Abstract Objective The aim of this study was to evaluate olfactory, gustatory, and quality-of-life outcomes in patients who underwent endonasal transsphenoidal hypophysectomy. Methods In prospective study, the were assessed subjectively using Malay version sQOD-NS (short questionnaire olfactory disorders a negative statement) objectively culturally adapted Sniffin’ Sticks smell test taste preop...

juvenile nasopharyngeal angiofibroma (jna) is a rare, benign and locally invasive tumor. massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. in this article, we r...

This video demonstrates an endoscopic transsphenoidal resection of an corticotropin-secreting pituitary microadenoma. The patient is a 62-year-old man who was found to have a 5-mm pituitary adenoma after he exhibited signs and symptoms of Cushing disease. His endocrine laboratory studies confirmed central hypercortisolism.This video highlights dissection of the adenomapseudocapsule from the rem...

Surgery for cholesterol granulomas involving the petrous apex has traditionally been performed via a lateral skull base approach. We present a case-series of four cholesterol granulomas treated through the endoscopic-transsphenoid approach over the last 10 years. Drainage was successful and symptomatic improvement was obtained in all cases (follow-up 6 months-10 years). Primary 'sphenoid' lesio...

OBJECTIVE Endoscopic transsphenoidal approach has become the gold standard for surgical treatment of treating pituitary adenomas or other lesions in that area. Opening of bony skull base has been performed with burrs, chisels, and hammers or standard instruments like punches and circular top knives. The creation of primary bone flaps-as in external craniotomies-is difficult.The piezoelectric os...

Introduction Carotid artery injury (CAI) is the most feared and potentially catastrophic intraoperative complication an endoscopic skull base surgeon may face. With the advancement of transnasal endoscopic surgery and the willingness to tackle more diverse pathology, evidence-based management of this life-threatening complication is paramount for patient safety and surgeon confidence. Objective...

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...

Objective : We aimed to examine the effect of different intervals end tidal CO2 ( etCO2 ) values on hemodynamics and surgery in endoscopic endonasal transsphenoidal pituitary surgery. Material Methods: Two groups were evaluated retrospectively according maximum at time sellar resection. Group 1: 21 patients, etCO 2 =25-37 mmHg 2: 2=38-50 mmHg. The demographic characteristics, mean arterial pres...

The transsphenoidal approach has been utilized in intrasellar craniopharyngioma surgeries. However, the advent of endoscopic extended transsphenoidal approach (EETSA) has expanded its indication to suprasellar craniopharyngiomas. We compared the indication and limitations of EETSA to those of unilateral basal interhemispheric approach (UBIHA), which presents similar indications for surgery. We ...

Here we describe the procedures of endoscopic pituitary and skull base surgery in our institute. We also review the literature to reveal recent advances in this field. Endonasal approach via the sphenoid ostium was carried out for pituitary lesions without the nasal speculum. Postoperative nasal packing was basically not needed in such cases. For meningiomas, craniopharyngiomas, and giant pitui...