Nationwide shift from microscopic to endoscopic transsphenoidal pituitary surgery

Impact of obstructive sleep apnea in transsphenoidal pituitary surgery: An analysis of inpatient data

“…The treatment of pituitary neoplasms has seen many advancements, including the emergence of transsphenoidal surgery (TSS) for surgical intervention initially developed in the early 1900s. This technique became the standard of care in the initial treatment of pituitary neoplasms after proving to be less invasive and associated with lower morbidity and mortality than the historically used transcranial surgical route . More recently, endoscopic techniques have gained popularity compared to microscopic techniques, due to better intraoperative visualization and tumor resection …”

“…This technique became the standard of care in the initial treatment of pituitary neoplasms after proving to be less invasive and associated with lower morbidity and mortality than the historically used transcranial surgical route. [1][2][3] More recently, endoscopic techniques have gained popularity compared to microscopic techniques, due to better intraoperative visualization and tumor resection. [2][3][4] TSS complications have been previously characterized in various patient populations, such as those with acromegaly, Cushing's disease, and pituitary malignancies.…”

“…[1][2][3] More recently, endoscopic techniques have gained popularity compared to microscopic techniques, due to better intraoperative visualization and tumor resection. [2][3][4] TSS complications have been previously characterized in various patient populations, such as those with acromegaly, Cushing's disease, and pituitary malignancies. [5][6][7] However, the impact of obstructive sleep apnea (OSA) on TSS outcomes is a relevant concern that has not been well examined.…”

Endoscopic and external approaches for orbital decompression: an analysis of trends from a U.S. perspective

“…The endoscopic transsphenoidal approach has also been increasingly utilized over the past 2 decades, with one study demonstrating an expansion from a fringe minority of procedures in 2003, nearly catching up with microscopic approaches by 2010 . In 2016, Rolston et al further explored this nationwide shift from the microscopic to endoscopic transsphenoidal approach and reported a consistent increase in endoscopic transsphenoidal procedures with a concurrent decrease in microscopic transsphenoidal procedures for pituitary tumors between 2003 and 2013 . This trend is likely the result of the increasing use of the endoscopic transsphenoidal procedure in neurosurgical training settings with a subsequently newer generation of neurosurgeons now familiar with the approach, in addition to the increased focus on cooperation between neurosurgeons and otolaryngologists.…”

“…The rhinologic landscape is characterized by increasing employment of minimally invasive approaches . To our knowledge, there have been no population‐based analyses evaluating trends in the endonasal performance of orbital surgery.…”