A clinical reaserch of endoscopic endonasal transsphenoidal surgery for pituitary macroadenoma
10.13201/j.issn.1001-1781.2016.07.011
- Author:
Dong WANG
1
;
Ping FANG
1
;
Yehai LIU
1
;
Yi ZHAO
1
;
Chaobing GAO
1
Author Information
1. Department of Otolaryngology, the First Affiliated Hospital of Anhui Medical University, 230000, Hefei, China
- Publication Type:Journal Article
- Keywords:
sinus endoscope;
pituitary adenoma;
sphenoid sinus
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2016;30(7):551-553
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To share our exprience with the surgical management of pituitary macroadenoma and giant adenoma excision technique through the endoscopic transsphenoidal approach. Method:A retrospective analysis data of 27 patients with pituitary macroadenoma and giant adenoma surgery methods, postoperative complications and follow-up results. Result:All patients have no postoperative complications happened such as: nasal bleeding, intracranial hemorrhage, cerebrospinal fluid leak, blood sugar increased. Tumors invaded cavernous sinus in 5 cases, surrounded internal carotid artery in 2 cases, compressed optic chiasma in 7 cases and encroached optic nerve in 1 case. Postoperative vision decline occurred in 2 cases: 1 case recovered to the preoperative level after being taken out nasal stuffing and with conservative treatment, 1 case (preoperative visual acuity 0.1) restored light perception after conservative treatment. Postoperative diabetes insipidus occurred in 4 cases, and recovered in next week with corresponding therapy. Conclusion:Endoscopic endonasal transsphenoidal surgery is a safe and effective surgical technique.
