Comparing Mononostril, Binostril, and One and a Half Nostril Endoscopic Transsphenoidal Approach for Treating Pituitary AdenomaPituitary Adenoma

Background and Aim: EETA (Endoscopic Endonasal Transsphenoidal Approach) is a preferred choice for pituitary tumors. offers minimal invasiveness, fewer complications, better outcomes than the sublabial or transseptal microscopic approach. has three approaches: mononostril endoscopic transsphenoidal approach, binostril one half nostril This study aims to compare different EETAs between transcranial approach EETA. Methods Materials/Patients: To provide up-to-date information, we concisely reviewed these EETAs. Using keywords of “neuroendoscopy”, “META” (Mononostril Endoscopic Approach), “OETA” (One “BETA” (Binostril “pituitary adenoma”, “EETA”, “endoscopy”, “transsphenoidal approach”, “transcranial adenoma” “microscopic approach”. We retrieved all relevant articles from Google Scholar, PubMed, Medline. Then, them critically analyzed them. Results: In BETA there free easy movement surgical instruments in field broader view sphenoid sinus it an excellent resect large The META suitable tumors with limited involvement intra-sellar supra-sellar area. not some limitations following situations: crowded narrow nasal cavity, harder tumor invasive appearance significant suprasellar extension, lesions other adenomas. OETA provides sufficient corridor 2-surgeon/4 3-hands technique injury nose good operative results, field, low post-operative morbidity, quality life. Conclusion: EETA, knowing size consistency tumor, general versus adenoma, extent parasellar essential. If cannot reach macroadenoma trans-sphenoidal then can use removal tumor. pediatric adenoma