A New Irrigation System (Endosplash) for a Rigid Endoscope in Trans-sphenoidal Endoscopic Surgery

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A New Irrigation System (Endosplash) for a Rigid Endoscope in Trans-sphenoidal Endoscopic Surgery

Obstruction of the visual field by blood is a major hindrance during endonasal endoscopic surgery, and a rapid and effective method for cleaning the lens is needed. We developed a new lens-cleaning system that does not employ a sheath or an irrigation-suction system. It is a 20-mm long cylinder with side holes that is attached to the barrel of the endoscope and is connected to a syringe contain...

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Mononostril versus binostril versus one and a half Nostril Endoscopic Trans sphenoidal approach for pituitary adenoma

Background and Aim: Over the past 2 decades, endoscopy has become an integral part of the surgical repertoire for pituitary procedures and over the past several decades, the endoscopic endonasal trans sphenoidal approach (EETA) has gradually become an accepted option for pituitary tumors with intra-,supra-,and para-sellar location and extension, because of its minimal invasiveness and high effi...

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Endoscope-Assisted Trans-Sphenoidal Approach for Treatment of Sternberg's Canal

We report an uncommon case of a 45-year-old woman who presented with spontaneous rhinorrhea. A computed tomography (CT) scan of the head revealed an abnormally large sphenoid sinus associated with a parasellar bony defect (Sternberg's canal) through which magnetic resonance imaging could detect an encephalocele of the right temporal lobe. An endoscope-assisted trans-sphenoidal approach was perf...

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Safe Corridor to Access Clivus for Endoscopic Trans-Sphenoidal Surgery: A Radiological and Anatomical Study

PURPOSE Penetration of the clivus is required for surgical access of the brain stem. The endoscopic transclivus approach is a difficult procedure with high risk of injury to important neurovascular structures. We undertook a novel anatomical and radiological investigation to understand the structure of the clivus and neurovascular structures relevant to the extended trans-nasal trans-sphenoid p...

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Endoscopic versus microscopic trans-sphenoidal pituitary surgery: a systematic review and meta-analysis.

BACKGROUND Endoscopic trans-sphenoidal surgery has been increasingly replacing microscopic surgery as the state of the art trans-sphenoidal approach. OBJECTIVE OF REVIEW To assess the efficacy and safety of pure endoscopic approach in comparison with microscopic approach in pituitary surgery. TYPE OF REVIEW Literature review and meta-analysis. SEARCH STRATEGY Systematic literature searche...

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ژورنال

عنوان ژورنال: Neurologia medico-chirurgica

سال: 2016

ISSN: 0470-8105,1349-8029

DOI: 10.2176/nmc.tn.2015-0218