Transseptal Approach for the Treatment of Pituitary Lesions

Escajadillo, J.R; Gortari, Eduardo de

doi:10.1001/archotol.1983.00800190048012

Cited by 9 publications

(5 citation statements)

References 12 publications

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“…Theoretically, this increased perforation rate could be related to the greater dissection and potential devascularization created by this exposure. The advantages of the transnasal transsphenoidal approach are that the surgical exposure can be obtained more rapidly and with less surgical dissection 8 and that it is based on a surgical procedure that preserves nasal form and function and is familiar to the otolaryngologist. 4 It offers excellent operative sterility through its use of a relatively long, sterile intermembranous pathway 1 and avoids bleeding that is seen from the sublabial incision.…”

Section: Discussionmentioning

confidence: 99%

“…Few recent reports in the literature have advocated this procedure over the sublabial or external rhinoplasty approaches. 1,[8][9][10][11] We have used the transnasal transsphenoidal approach since 1985 because we believe it results in less postoperative morbidity and provides excellent exposure for our neurosurgical colleagues. We have been able to use this approach in all patients, not just those with acromegaly.…”

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confidence: 99%

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Transnasal Transsphenoidal Hypophysectomy: Choice of Approach for the Otolaryngologist

Dew

Haller

Major

1999

Otolaryngol.--head neck surg.

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Increasingly, the otolaryngologist is called on to provide exposure for the neurosurgeon performing transsphenoidal hypophysectomy. The 3 most common approaches for this exposure are the transnasal transseptal, sublabial transseptal, and external rhinoplasty approaches. We reviewed our series of 135 patients undergoing transnasal hypophysectomy for postoperative complications. In our series, we found that 18% of patients had a postoperative septal perforation, 2% of which were symptomatic; 6% of patients reported nasal cosmetic deformity; 13% reported transient lip numbness; and 3% reported postoperative nasal dysfunction. When comparing our complication rate with those published for the sublabial and external rhinoplasty approaches, we found the transnasal approach provides excellent exposure with less dissection and fewer postoperative complications. On the basis of these results, we believe that the transnasal transseptal approach provides excellent exposure for transsphenoidal hypophysectomy in all patients who require pituitary surgery.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Transnasal Transsphenoidal Hypophysectomy: Choice of Approach for the Otolaryngologist

Dew

Haller

Major

1999

Otolaryngol.--head neck surg.

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“…The best known advantage of the endonasal trans-septal trans-sphenoidal approach to the pituitary is that it is the most direct way; it does not injure the anterior nasal spine and it reduces the operating time (Escajadillo and de Gortari, 1983). The two commonly used incisions to approach septal surgery are the Freer (1902) and the Killian (1904) incisions (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…The endonasal approach, when compared to the maxilla-premaxilla technique, offers greater advantages, i.e. it is a more direct way; it does not injure the anterior nasal spine or the premaxilla; and it reduces the operating time (Escajadillo and de Gortari, 1983). I have added another modification that consists of using a vertical incision rather than the hemitransfixation incision.…”

Section: Introductionmentioning

confidence: 99%

A modified incision for the trans-septal trans-sphenoidal approach to the pituitary

Baraka

1989

J. Laryngol. Otol.

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The role of the otorhinolaryngologist in trans-septal trans-sphenoidal approach to hypophysectomy when undertaken conjointly with the neurosurgeon is to provide excellent and rapid exposure for the necessary neurosurgical manipulation.For the past two years at the King Fahd Hospital of the University in Al-Khobar, Saudi Arabia, a modified incision for the trans-septal trans-sphenoidal approach to the skull base around the area of the sella turcica has been undertaken in eight cases. This incision may offer a good alternative to the standard hemi-transfixation incision.

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“…Some adverse events were reported with the transseptal approach. These include a fracture of the anterior nasal spine, a nasal collapse (possibly presenting with a saddle nose), a septal dislocation, a hematoma or a septal perforation (27).…”

Section: The Transseptal Approachmentioning

confidence: 99%

The Sphenoid Sinus Revisited

2022

Ann Case Report

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In the past, the sphenoid sinus has often been overlooked. It was considered as an inaccessible paranasal sinus cavity due to its specific anatomical location, making it difficult to diagnose diseases.Today, the sphenoid sinus is regarded as equal to any other paranasal sinus cavity, and thus home to various diseases. Over the years, the assessment of these diseases has improved. Indeed, nasal endoscopy and qualitative head imaging (CT-scan and MRI) have been developed. These technologies provide information about the nature of disease, about the state of the walls of the sphenoid sinus and about extension of a lesion to adjacent structures. The endoscopic endonasal approach has improved safety and efficacy of sphenoid sinus surgery. Moreover, the sphenoid sinus acts as a gateway to the skull base. In fact, it enables removal of sellar and parasellar lesions. This endoscopic endonasal transsphenoidal approach (EETA) has lower morbidity rates than transcranial approaches.The authors propose an overview of the sphenoid sinus from an ENT point of view.

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Transseptal Approach for the Treatment of Pituitary Lesions

Abstract: \s=b\The transseptal approach is the most logical and adequate technique to reach the sella turcica and adjacent structures.

Cited by 9 publications

References 12 publications

Transnasal Transsphenoidal Hypophysectomy: Choice of Approach for the Otolaryngologist

Transnasal Transsphenoidal Hypophysectomy: Choice of Approach for the Otolaryngologist

A modified incision for the trans-septal trans-sphenoidal approach to the pituitary

The Sphenoid Sinus Revisited

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