Endoscopic transnasal transseptal pituitary surgery.


Journal

European annals of otorhinolaryngology, head and neck diseases
ISSN: 1879-730X
Titre abrégé: Eur Ann Otorhinolaryngol Head Neck Dis
Pays: France
ID NLM: 101531465

Informations de publication

Date de publication:
Apr 2019
Historique:
pubmed: 28 10 2018
medline: 19 11 2019
entrez: 28 10 2018
Statut: ppublish

Résumé

Pituitary surgery is performed via a transsphenoidal approach in the vast majority of cases according to various methods that have changed over the years. A microscopic transseptal approach via a sublabial mucosal incision or a nasal mucosal incision has also been extensively used. An endoscopic transnasal approach was first described in the 1990's, followed by the concept of a microscopic transseptal approach and an endoscopic strictly endonasal approach. We use an entirely endoscopic transseptal transsphenoidal approach via an incision in the nasal mucosa for both access and tumour resection. This procedure has a number of advantages: strictly midline approach to the sella turcica, large operative field, no interference between instruments and a low rate of nasal complications.

Identifiants

pubmed: 30366871
pii: S1879-7296(18)30166-2
doi: 10.1016/j.anorl.2018.10.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

131-134

Informations de copyright

Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Auteurs

V Favier (V)

Service d'ORL, chirurgie maxillo-faciale et stomatologie, hôpital Gui-de-Chauliac, CHU Montpellier, 34000 Montpellier, France. Electronic address: v-favier@chu-montpellier.fr.

J Boetto (J)

Service de neurochirurgie A, hôpital Gui-de-Chauliac, CHU Montpellier, 34000 Montpellier, France.

C Cartier (C)

Service d'ORL, chirurgie maxillo-faciale et stomatologie, hôpital Gui-de-Chauliac, CHU Montpellier, 34000 Montpellier, France.

F Segnarbieux (F)

Service de neurochirurgie A, hôpital Gui-de-Chauliac, CHU Montpellier, 34000 Montpellier, France.

L Crampette (L)

Service d'ORL, chirurgie maxillo-faciale et stomatologie, hôpital Gui-de-Chauliac, CHU Montpellier, 34000 Montpellier, France.

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Classifications MeSH