Management Of Recurrent Pituitary Tumors Endoscopic Endonasal Approach

Management Of Recurrent Pituitary Tumors Endoscopic Endonasal Approach Introduction and research question. the use of an endoscope in skull base surgery provides a panoramic close up view over the intracranial structures from multiple angles with excellent illumination, thus permitting greater extent of resection of tumors arising at sellar area, mostly represented by pitnet pituitary neuroendocrine tumors, with higher likelihood of preserving vital intact. A single surgeon endoscopic endonasal transsphenoidal surgery with two hand one and half nostril approach is an effective and safe procedure for removal of large pituitary tumors. introduction in the past 20 years, neurosurgeons have used the endoscope to perform transsphenoidal surgery for pituitary tumors resection [ 1 – 5 ].

Pdf Surgical Challenges And Outcome Of Endoscopic Endonasal Transsphenoidal surgery is the mainstay of treatment for most kinds of pituitary adenomas and other sellar masses. this topic review covers the techniques, results, and complications of transsphenoidal surgery of pituitary adenomas and other sellar masses. the endocrine evaluation of these disorders, as well as options for medical therapy of. Microscopic transsphenoidal surgery has long been considered the “gold standard” in surgical treatment of pituitary tumors. many large series have reported the efficacy, safety, and limitations of this approach. over the last two decades, however, endoscopic endonasal surgery has gradually gained favor as a primary approach for sellar and. The widespread adoption of the endoscopic approach has recently increased focus on the potential to maximize tumour resection, due to the improved field of view, better illumination, improvement of identification of critical neurovascular structures and normal pituitary gland, plus the ability to access the cavernous sinus using angled endoscopes. Background: the endoscopic endonasal transsphenoidal approach (eeta) is an established technique for the resection of a large variety of benign sellar and suprasellar lesions, mostly pituitary adenomas. it has clear advantages over the microscopic approach, like a superior close up view of the relevant anatomy and the tumor gland interface, an.