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Endoscopic management of lesions of the sella turcica

Published online by Cambridge University Press:  29 June 2007

Dharambir S. Sethi  and
Prem K. Pillay
Dharambir S. Sethi*
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore.
Prem K. Pillay
Affiliation:
Departments of Neurosurgery, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore.
*
Dr Dharambir S. Sethi, F.R.C.S., F.A.M.S., Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore. Fax: (65) 226-2079.
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Abstract

The excellent visualization and minimally invasive surgical technique of endoscopic sinus surgery was applied to the management of 40 patients with sellar lesions. Endoscopic management of sellar lesions offers, not only the advantage of improved visualization, but also magnification, and a panoramic perspective of the important relationships of the sella turcica. In the past year, we have managed 40 subjects with sellar lesions, endoscopically: 38 patients had pituitary adenomas and two a craniopharyngioma.

At our hospital, the endoscope has replaced the operating microscope for surgery for pituitary adenomas and other sellar lesions. The endoscopic approach to the sphenoid sinus and the sella is performed by an ENT surgeon and the ablative surgery performed by a neurosurgeon.

Our experiences, using the endoscope to perform surgery on sellar and parasellar lesions, are reported and the advantages, over the operating microscope, which is traditionally used are discussed. The technique for endoscopic management of sellar lesions is described.

Keywords

HypophysectomytransphenoidalEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 10 , October 1995 , pp. 956 - 962
Copyright
Copyright © JLO (1984) Limited 1995

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References

Black, P. M., Zervas, N. T., Candia, G. L. (1987) Incidence and management of complications of transsphenoidal operations for pituitary adenomas. Neurosurgery 20: 20–920.CrossRefGoogle ScholarPubMed
Guiot, G. (1973) Transsphenoidal approach in surgical treatment of pituitary adenomas: general principles and indications in non-functioning adenomas. In: Diagnosis and Treatment of Pituitary Tumors. (Kohler, P. O., Ross, G. T., eds). Series No. 303, Excerpta Medica International Congress Amsterdam, pp 159–178.Google Scholar
Hardy, J. (1969) Microneurosurgery of the hypophysis: a subnasal transsphenoidal approach with television magnification and televised radiofluoroscopic control. In: Microneurosurgery. (Rand, R. W., ed.). C. V. Mosby, St Louis, pp 87–103.Google ScholarPubMed
Kennedy, D. W. (1985) Functional endoscopic sinus surgery technique. Archives of Otolaryngology, Head and Neck Surgery 111: 111–643.Google ScholarPubMed
Koltai, P. J., Goldstein, J. C., Parnes, S. M., Price, J. C. (1985) External rhinoplasty approach to transsphenoidal hypophysectomy. Archives of Otolaryngology, Head and Neck Surgery 111: 111–456.CrossRefGoogle ScholarPubMed
Laws, E. R., Jr., Kern, E. B. (1976) Complications of transsphenoidal surgery. Clinical Neurosurgery 23: 23–401.Google Scholar
Papay, F. A., Maggiano, H., Dominquez, S., Hassenbusch, S. J., Levine, H. L., Lavertu, P. (1989) Rigid endoscopic repair of paranasal sinus cerebrospinal fluid fistulas. Laryngoscope 99: 1195–1201.Google ScholarPubMed
Reddy, K., Lesiuk, H., West, M., Fewer, D. (1990) False aneurysm of the cavernous carotid artery: a complication of transsphenoidal surgery. Surgical Neurology 33: 33–142.CrossRefGoogle ScholarPubMed
Schloffer, H. (1907) Erfolgreiche operation eines hypophysentumors auf nasalem Wege. Wein Klin Wochenschr 20: 20–621.Google Scholar
Stankiewicz, J. A. (1989) Complications in endoscopic intranasal ethmoidectomy: an update. Laryngoscope 99: 99–686.CrossRefGoogle ScholarPubMed
Tucker, H. M., Hahn, J. F. (1982) Transnasal transseptal approach to hypophysectomy. Laryngoscope 92: 92–55.CrossRefGoogle Scholar
Wigand, M. E. (1981) Transnasal ethmoidectomy under endoscopic control. Rhinology 19: 19–7.Google Scholar
Wilson, W. R., Khan, A., Laws, E. R. Jr (1990) Transseptal approaches for pituitary surgery. Laryngoscope 100: 100–817.CrossRefGoogle ScholarPubMed