The Endoscopic Approach to the Pituitary Gland

The Application of Craniofacial Techniques and Intracranial Endoscopy to Pituitary Surgery

“…Evidence suggests that complication rates and surgical outcomes of endoscopic pituitary surgery compare favorably with those that have been reported in large series of patients who have undergone microscopic transseptal pituitary surgery. [18][19][20][21] More extensive data for longer periods of follow-up will substantiate these trends. It is clear that transnasal endoscopic pituitary surgery represents significant progress in the surgical management of pituitary disease.…”

Endoscopic endonasal transsphenoidal surgery: experience with 50 patients

“…Since the endoscope became popular in paranasal sinus surgery [18] and has been recently adopted in other neurosurgical procedures, interest has increased in its possible use in transsphenoidal pituitary surgery. [4,[9][10][11][12][13]16,17,21] Papay, et al, [13] reported a case of transseptal endoscopic repair of CSF leakage that occurred after transcranial pituitary surgery. Jankowski, et al, [10] first reported the successful endonasal endoscopic resection of pituitary adenomas in three patients.…”

“…In their report of 10 patients with pituitary tumors, they claimed that the rigid endoscope facilitated better dissection of the tumor away from the normal pituitary gland. Wurster and Smith [21] briefly reported their experience using endoscopic pituitary surgery in two patients. Sethi and Pillay [16] reported approximately 40 patients in whom they had performed endoscopic pituitary surgery via either the transnasal transseptal or ethmoidectomy approach with a sphenoid retractor.…”

Transnasal‐Transsphenoidal Endoscopic Surgery of the Pituitary Gland

“…The success of endoscopic paranasal sinus surgery has aroused some interest in the use of endoscopes during pituitary surgery 11‐14 . In 1989, Papay, et al 13 reported a case of transseptal endoscopic repair of a CSF leak after transcranial pituitary surgery.…”