Perspectives on endoscopic transsphenoidal surgery

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[Endoscopic transsphenoidal pituitary surgery].

Endoscopic surgery has been performed in our Department since 1996 as assistance in micro-neurosurgical procedures. In the same way the endoscope was used in transsphenoidal pituitary surgery, but from the beginning of 2004 we started with "pure" endoscopic surgery. We present our experience with the first ninety patients to demonstrate our way of operating. Endoscopic pituitary surgery is perf...

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Management of Pituitary Adenomas: Mononostril Endoscopic Transsphenoidal Surgery

Introduction: The endoscopic transsphenoidal approach for pituitary adenomas and other sellar lesions is quickly becoming the procedure of choice in their surgical management. The most common approach is binostril three-hand technique which requires a large exposure and subjects both nasal cavities to potential trauma. To reduce nasal morbidity, we employ a mononostril two-hand technique with t...

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Olfactory outcomes after endoscopic transsphenoidal pituitary surgery.

BACKGROUND Olfaction has been demonstrated to have a great impact on patients' lives. Transsphenoidal endoscopic pituitary surgery is associated with potentially significant damage to olfactory tissues, but to date this issue has been only poorly documented in the literature. STUDY DESIGN Prospective cohort study comparing olfactory outcomes pre- and postpituitary surgery. METHOD Patients w...

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Olfactory and sinonasal outcomes in endoscopic transsphenoidal skull-base surgery.

BACKGROUND Endoscopic anterior skull-base surgery has been previously suggested to cause a significant deterioration in olfactory function. Given the impact on quality of life, the objective of this study was to determine the effect of a unilateral middle-turbinate-sacrificing approach on olfactory function and sinonasal outcome. METHODS Prospective cohort study comparing olfactory and sinona...

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Endoscopic Endonasal Transsphenoidal Surgery in Regional Sellar Lesions (Surgical trial)

Introduction. Endonasal endoscopic approach has entered recently like a strong option for pituitary tumors treatment. Material and method. A prospective, controlled, randomized and double blind surgical assay was carried out in 41 patients with regional sellar lesions between August 2002 and July 2004. Effectiveness of this method in relation to the microscopic transphenoidal one was evaluated....

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ژورنال

عنوان ژورنال: Neurosurgical Focus

سال: 2005

ISSN: 1092-0684

DOI: 10.3171/foc.2005.19.6.3