Clinical analysis and treatment of nasal complications after transsphenoidal pituitary adenomasectomy

VernacularTitle:经鼻蝶入路垂体瘤切除术后鼻腔并发症的分析及处置
Author: You CHENG ¹ ; Fei XUE ; Tianyou WANG ; Junfeng JI ; Wei CHEN ; Zhiyi WANG ; Li XU ; Chunhua HANG
Author Information

1. 南京军区南京总医院耳鼻咽喉头颈外科
Keywords: Pituitary Neoplasms; Endoscopy; Sphenoid Sinus; Postoperative Complications; Nasal Cavity
From: Chinese Archives of Otolaryngology-Head and Neck Surgery 2017;24(9):475-478
CountryChina
Language:Chinese
Abstract: OBJECTIVE To exlpore the prevention and therapy methods of nasal complications after transsphenoidal pituitary adenomasectomy.METHODS 129 cases of pituitary adenomas underwent transsphenoidal surgery.The postoperative nasal complications were observed and disposed.RESULTS A total of 26 cases(20.1％) of nasal complications appeared in all 129 cases of pituitary adenomas underwent transsphenoidal surgery,including nasal hemorrhage 6 cases(4.8％),eerebrospinal fluid rhinorrhea 9 cases(6.9％),sphenoid sinusitis 3 cases(2.3％),atrophy rhinitis 2 cases(1.6％),olfactory dysfunction 2 cases(1.6％),nasal septum perforation 1 case(0.8％),and nasal adhesion 3 cases(2.3％).They were all cured after nasal endoscopic regular cavity clean,nasal hormone,nasal irrigation.CONCLUSION The nasal complications after transsphenoidal pituitary adenomas ectomy surgery should be timely disposed,which can effectively improve the patients' clinical symptoms.