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Postoperative anosmia after removal of pituitary gland adenomas using the pterional approach

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Summary

There have been several studies on anosmia following operations on anterior circulation aneurysms, but no similar study has yet been reported on pituitary gland adenomas which required the transcranial approach.

In this study, 38 cases with pituitary gland adenomas, for whom the pterional approach was employed, were observed retrospectively from the point of view of postoperative olfactory nerve function.

In the postoperative period only one case complained of impaired sense of smell on the operated side. Eight cases objectively showed olfactory nerve disfunctions. The olfactory nerve function could be preserved at a relatively high rate of 79 per cent. This high rate, we think, resulted from the microtechnique employed as well as the relatively cautious frontal retraction which was less than 1,5 cm.

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References

  1. Cooper PR (ed) (1987) Head Injury, 2nd Ed. William and Wilkins, Baltimore, pp 141–142

    Google Scholar 

  2. Eriksen KD, Rasmussen TB, Larsen CK (1990) Anosmia following operation for cerebral aneurysms in the anterior circulation. J Neurosurg 72: 864–865

    Google Scholar 

  3. Pool JL (1961) Aneurysms of the anterior communicating artery. Bifrontal craniotomy and routine use of temporary clips. J Neurosurg 18: 98–111

    Google Scholar 

  4. Smith DV (1991) Taste and Smell Dysfunction. In: Paperella MM, Shumrick DA, Gluckman JL, Mayerhoff WL (eds) Otolaryngology, Vol. III, 3rd Ed. Saunders, Philadelphia, pp 1915–1934

    Google Scholar 

  5. Suzuki J, Minoi K, Yoshimoto T (1986) Bifrontal interhemispheric approach to aneurysms of the anterior communicating artery. J Neurosurg 64: 183–190

    Google Scholar 

  6. Suzuki J, Yoshimoto T, Minoi K (1981) Preservation of the olfactory tract for anterior communicating artery aneurysms, and the functional prognosis. J Neurosurg 54: 342–345

    Google Scholar 

  7. Yaşargil MG, Fox JL, Ray MW (1975) The operative approach to aneurysms of the anterior communicating artery. In: Krayenbühl H (ed) Advances and technical standarts in neurosurgery, Vol 2. Springer, New York Wien, pp 113–168

    Google Scholar 

  8. Yaşargil MG (1984) Microneurosurgery, Vol 1. Thieme, Stuttgart, pp 215–234

    Google Scholar 

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Aydin, I.H., Önder, A., Kadioglu, H.H. et al. Postoperative anosmia after removal of pituitary gland adenomas using the pterional approach. Acta neurochir 119, 101–103 (1992). https://doi.org/10.1007/BF01541791

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