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
ENDOSCOPIC REMOVAL OF HYPOPHYSEAL ADENOMAS: A RETROSPECTIVE STUDY
CARINCI, Francesco
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 sinusI documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
