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Transsphenoidal Surgery for Recurrent Pituitary Disease

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Transsphenoidal Surgery

Abstract

Transsphenoidal surgery (TSS) is the preferred approach for the surgical treatment of pituitary adenomas. It provides direct access to the sella without brain retraction, and remains the most commonly used approach for pituitary adenoma resection. Even in the hands of experienced surgeons, however, recurrent pituitary disease is seen in approximately 20% of the patients. Repeat surgery remains a viable option for many recurrent pituitary adenomas, especially in the presence of neurologic deficits due to mass effect on the optic nerve/chiasm and normal pituitary gland. In this chapter, we review technical considerations and the data pertaining to surgical outcomes following the transsphenoidal approach for recurrent pituitary disease.

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Acknowledgments

We would like to thank Rodrick A. Faccio for editorial assistance.

Author information

Authors and Affiliations

  1. Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Joshua Bakhsheshian MD, MS & Gabriel Zada MD, MS

  2. Neuro-Oncology and Endoscopic Pituitary/Skull Base Program, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Gabriel Zada MD, MS

Authors
  1. Joshua Bakhsheshian MD, MS
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  2. Gabriel Zada MD, MS
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Corresponding author

Correspondence to Gabriel Zada MD, MS .

Editor information

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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Bakhsheshian, J., Zada, G. (2017). Transsphenoidal Surgery for Recurrent Pituitary Disease. 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_22

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  • DOI: https://doi.org/10.1007/978-3-319-56691-7_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56689-4

  • Online ISBN: 978-3-319-56691-7

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