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External rhinoplasty approach to transsphenoidal hypophysectomy.

S M Parnes1, P J Koltai

  • 1Division of Otolaryngology-Head & Neck Surgery, Albany Medical College, New York.

Ear, Nose, & Throat Journal
|July 1, 1991
PubMed
Summary

This study introduces an external rhinoplasty technique, a modification of the transseptal transsphenoidal hypophysectomy. The method offers a safe and effective approach for pituitary gland access without cosmetic deformity.

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Area of Science:

  • Otorhinolaryngology
  • Neurosurgery
  • Plastic Surgery

Background:

  • The transseptal transsphenoidal hypophysectomy, established by Cushing in 1910, is a recognized surgical technique.
  • Variations aim to improve exposure and reduce complications.

Purpose of the Study:

  • To present an external rhinoplasty approach as a modification of the transseptal transsphenoidal hypophysectomy.
  • To evaluate the efficacy and safety of this modified technique.

Main Methods:

  • The study utilized an external rhinoplasty approach, modifying the traditional transseptal transsphenoidal hypophysectomy.
  • The technique was applied in 75 cases over a six-year period.

Main Results:

  • The external rhinoplasty approach demonstrated efficacy and safety in 75 cases.

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  • The technique provided simple, reliable, and rapid exposure of the nasal septum, nasal floor, sphenoid sinus, and pituitary gland.
  • No instances of nasal tip projection loss or cosmetic deformity were observed.

    • Conclusions:

    • The modified external rhinoplasty approach is a safe and effective technique for pituitary surgery.
    • This method ensures excellent surgical exposure without compromising nasal aesthetics.