In this study was assessed the role that the direct endonasal approach with the operating endoscope plays in assisting operations for pituitary adenomas. During a 5-year period, from October 2004 to December 2010 - 42 patients (24 males and 18 females) with hypophyseal adenoma were treated with endoscopic- surgery. Surgery was performed via endonasal trans-sphenoidal approach. Three patients had complications (nasal hemorragia, anosmia, and rhinoliquorrea) in the follow-up period (mean 3 months). No statistical significance was detected between tumor dimensions and complications. On the basis of our experience, it is our opinion that this technique has a low rate of complications, particularly when adequate surgical instruments are used by surgeons who have familiarity with the endoscopic anatomy of the sphenoid sinus.
Author Keywords:endoscopic; endonasal approach; hypophyseal adenoma; sella turcica
ENDOSCOPIC REMOVAL OF HYPOPHYSEAL ADENOMAS: A RETROSPECTIVE STUDY / Romano, A; Perano, D; Oretti, G; Servadei, F; Iaccarino, C; Ghadirpour, R; Carinci, F. - In: EUROPEAN JOURNAL OF INFLAMMATION. - ISSN 1721-727X. - 9:2(2011), pp. 13-17.
ENDOSCOPIC REMOVAL OF HYPOPHYSEAL ADENOMAS: A RETROSPECTIVE STUDY
Iaccarino C;
2011
Abstract
In this study was assessed the role that the direct endonasal approach with the operating endoscope plays in assisting operations for pituitary adenomas. During a 5-year period, from October 2004 to December 2010 - 42 patients (24 males and 18 females) with hypophyseal adenoma were treated with endoscopic- surgery. Surgery was performed via endonasal trans-sphenoidal approach. Three patients had complications (nasal hemorragia, anosmia, and rhinoliquorrea) in the follow-up period (mean 3 months). No statistical significance was detected between tumor dimensions and complications. On the basis of our experience, it is our opinion that this technique has a low rate of complications, particularly when adequate surgical instruments are used by surgeons who have familiarity with the endoscopic anatomy of the sphenoid sinus.
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