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Direct transnasal approach for pituitary surgery

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Abstract

One hundred four patients with pituitary tumours were treated using the direct transnasal approach. The data of these patients were analysed prospectively with regard to duration of surgery and occurrence of complications and compared with retrospective data from 52 patients in whom the traditional sublabial trans-sphenoidal approach was performed. Using the direct transnasal approach, mean operative time was significantly lower than with the sublabial technique. In addition, even though major complications were observed in neither treatment group, minor complications were significantly less frequent after the direct transnasal approach. Due to minimised dissection of normal tissue, this approach is less time-consuming and less traumatic, and the rate of minor complications is significantly lower than with the sublabial procedure.

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References

  1. Hardy J (1969) Transsphenoidal microsurgery of the normal and pathological pituitary. Clin Neurosurg 16:185–217

    CAS  PubMed  Google Scholar 

  2. Cappabianca P, Alfieri A, de Divitiis E (1998) Endoscopic endonasal transsphenoidal approach to the sella: towards functional endoscopic pituitary surgery (FEPS). Minim Invasive Neurosurg 41:66–73

    CAS  PubMed  Google Scholar 

  3. Griffith HB, Veerapen R (1987) A direct transnasal approach to the sphenoid sinus. Technical note. J Neurosurg 66:140–142

    CAS  PubMed  Google Scholar 

  4. Yaniv E, Rappaport ZH (1997) Endoscopic transseptal transsphenoidal surgery for pituitary tumors. Neurosurgery 40:944–946

    CAS  PubMed  Google Scholar 

  5. Cooke RS, Jones RA (1994) Experience with the direct transnasal transsphenoidal approach to the pituitary fossa. Br J Neurosurg 8:193–196

    CAS  PubMed  Google Scholar 

  6. Freidberg SR, Hybels RL, Oliver P (1979) Intranasal approach to the sella turcica. Surg Neurol 12:145–146

    CAS  PubMed  Google Scholar 

  7. Jho HD, Carrau RL, Ko Y, Daly MA (1997) Endoscopic pituitary surgery: an early experience. Surg Neurol 47:213–222

    CAS  PubMed  Google Scholar 

  8. Tindall GT, Collins WF Jr, Kirchner JA (1978) Unilateral septal technique for transsphenoidal microsurgical approach to the sella turcica. Technical note. J Neurosurg 49:138-142

    CAS  PubMed  Google Scholar 

  9. Tan LK, Jones RA (1995) Nasal complications of the direct transnasal approach to the pituitary fossa. Br J Neurosurg 9:739–742

    CAS  PubMed  Google Scholar 

  10. Gammert C (1990) Rhinosurgical experience with the transseptal-transsphenoidal hypophysectomy: technique and long-term results. Laryngoscope 100:286–289

    CAS  PubMed  Google Scholar 

  11. Arita K, Uozumi T, Yano T, Kurisu K, Hirohata T, Sadatomo T, et al (1994) Oral complication of sublabial transsphenoidal approach and advantage of endonasal transsphenoidal approach. No Shinkei Geka 22:119–124

    CAS  PubMed  Google Scholar 

  12. Watson SW, Sinn DP, Neuwelt EA (1982) Dental considerations in the sublabial transsphenoidal surgical approach to the pituitary gland. Neurosurgery 10:236-241

    CAS  PubMed  Google Scholar 

  13. Koren I, Hadar T, Rappaport ZH, Yaniv E (1999) Endoscopic transnasal transsphenoidal microsurgery versus the sublabial approach for the treatment of pituitary tumors: endonasal complications. Laryngoscope 109:1838-1840

    CAS  PubMed  Google Scholar 

  14. Badie B, Nguyen P, Preston JK (2000) Endoscopic-guided direct endonasal approach for pituitary surgery. Surg Neurol 53:168–172

    CAS  PubMed  Google Scholar 

  15. Rodziewicz GS, Kelley RT, Kellman RM, Smith MV (1996) Transnasal endoscopic surgery of the pituitary gland: technical note. Neurosurgery 39:189–192

    CAS  PubMed  Google Scholar 

  16. Laws ER (1996) Transnasal endoscopic surgery of the pituitary gland (Comment). Neurosurgery 39:193

    Google Scholar 

  17. Post KD, Catalano PJ (1996) Transnasal endoscopic surgery of the pituitary gland (Comment). Neurosurgery 39:192

    Google Scholar 

  18. Jho HD, Carrau RL (1996) Endoscopy assisted transsphenoidal surgery for pituitary adenoma. Technical note. Acta Neurochir (Wien) 138:1416–1425

    Google Scholar 

  19. Jho HD, Carrau RL (1997) Endoscopic endonasal transsphenoidal surgery: experience with 50 patients. J Neurosurg 87:44–51

    CAS  PubMed  Google Scholar 

  20. Bauer BL, Hellwig D (1997) Endoscopic pituitary surgery (Comment). Surg Neurol 47:222

    Google Scholar 

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Acknowledgements

We thank Ms. Marina Heibel for her technical assistance.

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Authors and Affiliations

  1. Neurosurgical Clinic, Johann Wolfgang Goethe University, Schleusenweg 2–16, 60528, Frankfurt am Main, Germany

    Gerhard Marquardt, Hilal Yahya, Elvis Hermann & Volker Seifert

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  1. Gerhard Marquardt
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  2. Hilal Yahya
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  3. Elvis Hermann
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  4. Volker Seifert
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Correspondence to Gerhard Marquardt.

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Marquardt, G., Yahya, H., Hermann, E. et al. Direct transnasal approach for pituitary surgery. Neurosurg Rev 27, 83–88 (2004). https://doi.org/10.1007/s10143-003-0301-x

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  • DOI: https://doi.org/10.1007/s10143-003-0301-x

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