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Endoscopy assisted transsphenoidal surgery for pituitary adenoma

Technical note

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Summary

Inspired by an experience with endoscopie paranasal sinus surgery, an endoscope was applied in transsphenoidal pituitary surgery. This endoscopic transsphenoidal technique has been used in 45 cases of pituitary adenomas. Using a 4 mm rigid endoscope, the pituitary adenoma is removed through a nostril. A zero-degree endoscope is used for micro-adenomas. A combination of a 0-degree endoscope and a 30-degree endoscope is used for macro-adenomas that have extended to the suprasellar region. Although it is early in our experience with a small number of patients, the short-term surgical results have been encouraging with patients' short hospital stay and minimum morbidity. The endoscopic technique that has evolved with our experience is described with two cases of pituitary adenomas.

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Authors and Affiliations

  1. Departments of Neurological Surgery and Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    H. -D. Jho & R. L. Carrau

Authors
  1. H. -D. Jho
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  2. R. L. Carrau
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Jho, H.D., Carrau, R.L. Endoscopy assisted transsphenoidal surgery for pituitary adenoma. Acta neurochir 138, 1416–1425 (1996). https://doi.org/10.1007/BF01411120

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