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Complications with Transsphenoidal Surgery: A Review

Complications of Transsphenoidal Surgery

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Transsphenoidal Surgery

Abstract

Transsphenoidal microscopic and endoscopic surgery are the primary approaches for the vast majority (>95%) of sellar and parasellar lesions. The endonasal route is being increasingly utilized for a variety of anterior skull base lesions. These operations are associated with many uncommon but major risks such as carotid artery injury, visual loss, CSF rhinorrhea, meningitis, and pituitary insufficiency. In addition, there are numerous other frequently encountered but rarely reported minor complications that are individually rare but cumulatively common. Each can affect a patient’s operative experience and include endocrine-related problems, positioning issues, sinonasal and oral complications, anesthesia-related problems, graft donor site complications, and endoscope visualization difficulties. This review summarizes the management of major and minor complications, focusing on prevention and early recognition.

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Authors and Affiliations

  1. Pacific Pituitary Disorders Center, John Wayne Cancer Institute at Providence Saint John’s Health Center, Santa Monica, CA, USA

    Garni Barkhoudarian MD & Daniel F. Kelly MD

Authors
  1. Garni Barkhoudarian MD
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  2. Daniel F. Kelly MD
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Correspondence to Garni Barkhoudarian MD .

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Editors and Affiliations

  1. Department of Neurosurgery, Harvard Medical School Brigham and Women’s Hospital, Boston, MA, USA

    Edward R. Laws, Jr

  2. Department of Neurosurgery, Indianapolis Methodist Hospital, Indianapolis, IN, USA

    Aaron A. Cohen-Gadol

  3. Department of Neurosurgery, Weill Cornell Medical College New York Presbyterian Hospital, New York, NY, USA

    Theodore H. Schwartz

  4. Department of Neurological Surgery, University of Virginia, Charlottesville, VA, USA

    Jason P. Sheehan

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Barkhoudarian, G., Kelly, D.F. (2017). Complications with Transsphenoidal Surgery: A Review. In: Laws, Jr, E.R., Cohen-Gadol, A.A., Schwartz, T.H., Sheehan, J.P. (eds) Transsphenoidal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-56691-7_19

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  • DOI: https://doi.org/10.1007/978-3-319-56691-7_19

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