Document Detail


Sublabial rhinoseptoplastic technique for transsphenoidal pituitary surgery by a hinged-septum method. Technical note.
MedLine Citation:
PMID:  7381549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new modification of the transseptal, transsphenoidal approach to the sella turcica is described. The procedure consists of unilateral dissection of the septal mucosa through a sublabial route, and retraction of the entire nasal septum with its upper attachment as a hinge. For mobilization of the septum, an L-shaped osteotomy is made along the base of the septum and along the anterior wall of the sphenoid sinus. It provides adequate exposure of the sphenoid sinus while preserving the septal structures. The anterior nasal spine and the edges of the nares are also left intact. The anterior wall of the sphenoid sinus is resected en bloc and is used as a bone splint for the reconstruction of the sellar floor. This approach has been performed in 45 cases of pituitary adenoma, one of craniopharyngioma, and one with sphenoid mucocele. There was no instance of complications such as mucosal perforation, septal deformity, infection. Modifications of the surgical instruments used are described.
Authors:
T Fukushima; K Sano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  52     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1980 Jun 
Date Detail:
Created Date:  1980-08-28     Completed Date:  1980-08-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  867-70     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Nasal Septum / surgery*
Pituitary Diseases / surgery
Pituitary Gland / surgery*
Sphenoid Sinus / surgery*
Surgery, Plastic / methods

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