Surgical anatomic findings of sphenoid sinus in 1009 Iranian patients with pituitary adenoma undergoing endoscopic transsphenoidal surgery

Sharifi, Guive; Ohadi, Mohammad Amin Dabbagh; Abedi, Mohammad Reza; Khajavi, Mehdi; Shahjouei, Shima; Moradi, Alireza; Bahranian, Arefe; Dilmaghani, Nader Akbari

doi:10.1007/s00405-022-07818-5

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…The most recent report by Sharif et al on SS pneumatisation in pituitary tumours also nominated the sellar pattern as the most prevalent subtype, accounting for 91.8% of individuals. However, the findings of Sharif et al contrast with previous studies in which the prevalence of conchal patterns ranged from 2% to 28%, a discrepancy possibly influenced by racial variations [1]. Conchal and presellar patterns are more common among Chinese individuals compared to other ethnicities [14].…”

Section: Discussionmentioning

confidence: 64%

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Magnetic Resonance Imaging Features of the Sphenoid Sinus in Patients with Non-Functioning Pituitary Adenoma

Ciurea,

Florian,

Lenghel

et al. 2024

Medicina

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Background and Objectives: A magnetic resonance imaging (MRI) scan is part of the diagnostic protocol in pituitary adenoma patients. The goal of the present study is to present and analyse the MRI appearances of the sphenoid sinus (SS) in patients with non-functioning pituitary adenoma (NFPA). Materials and Methods: This is a retrospective case–control study conducted between January 2015 and December 2023 in a tertiary referral hospital. Forty NFPA patients were included in the study group, while the control group consisted of 30 age- and gender-matched cases. Results: The sellar type of SS pneumatization was the most frequently encountered pattern among both groups. The presence of the lateral recess of the SS, mucosal cysts, and sphenoethmoidal cells was similar in both patient groups. The proportion of patients with SS mucosal thickness greater than 3 mm was 42.5% in NFPA group and 3% in the control group, and this difference was statistically significant (p < 0.001). The space between the two optic nerves was significantly larger in the NFPA group as compared to the control group (p < 0.001). Conclusions: Our study was able to establish a statistically significant association between the presence of NFPA and both the thickening of the SS mucosa and increased space between optic nerves.

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Section: Discussionmentioning

confidence: 64%

“…The endoscopic endonasal transsphenoidal approach (EEA) is the primary surgical technique for managing pituitary adenomas [1]. The sphenoid sinus (SS) holds significant importance as it serves as the primary passage to the pituitary fossa during transnasal transsphenoidal surgery.…”

Section: Introductionmentioning

confidence: 99%