Document Detail


Endoscopic transsphenoidal approach through a widened nasal cavity for pituitary lesions.
MedLine Citation:
PMID:  11535013     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We operated upon 12 patients with macroadenoma and two with Rathke's cleft cyst using an endoscope through a nasal speculum. Pure endoscopic endonasal transsphenoiolal approach (TSA) was performed in nine patients and endoscope-assisted microscopic endo nasal TSA in five. A thin-bladed nasal speculum was used to achieve a wide, almost midline, pathway without an incision at the septal mucosa. This made it possible to convert from the endoscopic to the microscopic approach and vice versa at any time during operation as the occasion demanded. In 10 of the 12 patients with macroadenoma, adenomas were removed totally and did not recur during the mean follow-up period of 24 months. Two adenomas could not be removed totally due to their invasiveness. In two of five patients who underwent endoscope-assisted microscopic TSA for macroadenoma, the endoscope could visualise residual tumour at blind corners after microscopic tumor removal. Two patients with Rathke's cleft cyst did not show recurrence. No patient showed sinonasal or endocrinological complications. Versatile use of the endoscope through a widened nasal cavity using a nasal speculum is a promising tool for the treatment of pituitary lesions.
Authors:
E Y Kim; H S Park; J J Kim; H S Han; M S Nam; Y S Kim; H C Park
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  8     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-05     Completed Date:  2001-12-07     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  437-41     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Harcourt Publishers Ltd.
Affiliation:
Department of Neurosurgery, Inha University Hospital, College of Medicine, Inha University, Inchon, Korea. nskey@inha.ac.kr
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MeSH Terms
Descriptor/Qualifier:
Adenoma / surgery*
Adult
Aged
Endoscopy / methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nasal Cavity
Pituitary Neoplasms / surgery*
Surgical Instruments

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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