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PubMed · 12447234

Endoscopic image-guided transethmoid pituitary surgery.

Roy F Thomas·William T Monacci·Eric A Mair
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Abstract

OBJECTIVE: We describe a new endoscopic transethmoid approach for pituitary surgery and to compare it with other surgical techniques. STUDY DESIGN AND SETTING: Eleven patients undergoing pituitary surgery from September 2000 through January 2002 underwent an image-guided endoscopic transethmoid procedure to remove pituitary tumors. Ease of approach, resection, exposure of the surgical field, and operative complications were documented. RESULTS: Endoscopic ethmoidectomy permits enhanced exposure and simplified tumor resection. The use of one nostril to stabilize the endoscope and the other to pass instruments affords a bimanual procedure that avoids the difficulty of small nares and keeping the scope fixed while exchanging instruments. Operative morbidity was low with no significant complications in this pilot study. CONCLUSIONS: This approach opens a generous operative exposure while safely allowing room to endoscopically maneuver and affords direct access should revision surgery be needed. SIGNIFICANCE: This procedure uses a technique familiar to otolaryngologists and may be used for pituitary and other skull base tumors.

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AdenomaAdultCraniopharyngiomaEndoscopyEthmoid SinusFemaleHumansInflammationMaleMiddle AgedOutcome Assessment, Health CarePilot ProjectsPituitary NeoplasmsRadiographySurgery, Computer-AssistedClinical TrialComparative StudyJournal Article

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Roy F Thomas, William T Monacci, Eric A Mair. 2002. Endoscopic image-guided transethmoid pituitary surgery.. https://doi.org/10.1067/mhn.2002.129821

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