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Endoscopic Endonasal Approach for Pituitary Tumor Resection

Contributors: Timothy R. DeKlotz

With the widespread use of the endoscope in pituitary surgery, many technical nuances have emerged. Some surgeons still use a sublabial incision and a speculum, despite using the endoscope for visualization, while others favor approaches that are purely endonasal. Some surgical teams, using an endoscope-holder, work sequentially and individually, while others prefers two surgeons working together simultaneously. In this video, we demonstrate an endoscopic endonasal approach, in which the tumor resection is performed with a 4-hand technique with both surgeons working simultaneously.

DOI#: http://dx.doi.org/10.17797//bdxmmtst16

Endoscopic Endonasal Approach for Pituitary Tumor Resection
adenoma of the pituitary gland
prolactinomas amendable to medical therapy
N/A
visual field test endocrine laboratory tests (pituitary panel)
os the sphenoid sinus floor of the sella turcica optico-carotid recess planum sphenoidale
Advantage: fast healing for the patient, no incision Disadvantage: possible CSF leak, potential injury to carotid artery more difficult to control
Risks: post-operative CSF leak, endocrinopathy
Risks: post-operative CSF leak, endocrinopathy
N/A
N/A

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