Abstract
Background
Pituitary surgery is a continuous evolving specialty of neurosurgery, requiring precise anatomical knowledge, technical skills and integrated appreciation of the pathophysiology.
Methods
We herein detail the features of the endoscopic endonasal approach for the management of pituitary adenomas, as experienced at the Division of Neurosurgery of the Universita’ degli Studi di Napoli “Federico II”.
Conclusions
The endoscopic endonasal technique brings advantages to the patient (less nasal traumatism, less post-op pain), to the surgeon (wider and closer view of the surgical target area, increase of the scientific activity, smoothing of interdisciplinary cooperation), and to the institution (shorter post-op hospital stay, and increase of the case load).
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References
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(2):66–73
Cappabianca P, Cavallo LM, de Divitiis E (2004) Endoscopic endonasal transsphenoidal surgery. Neurosurgery 55(4):933–940, discussion 940–941
Carrau RL, Jho HD, Ko Y (1996) Transnasal-transsphenoidal endoscopic surgery of the pituitary gland. Laryngoscope 106(7):914–918
Castelnuovo P, Pistochini A, Locatelli D (2006) Different surgical approaches to the sellar region: focusing on the “two nostrils four hands technique”. Rhinology 44(1):2–7
Cavallo LM, Messina A, Cappabianca P, Esposito F, de Divitiis E, Gardner P, Tschabitscher M (2005) Endoscopic endonasal surgery of the midline skull base: anatomical study and clinical considerations. Neurosurg Focus 19(1):E2
Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus 19(1):E3:1–12
Laws ER, Lanzino G (eds) (2010) Transsphenoidal surgery. Saunders - Elsevier, Philadelphia
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Cavallo, L.M., Solari, D., Esposito, F. et al. Endoscopic endonasal approach for pituitary adenomas. Acta Neurochir 154, 2251–2256 (2012). https://doi.org/10.1007/s00701-012-1493-z
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DOI: https://doi.org/10.1007/s00701-012-1493-z