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Related Experiment Video

Updated: Jun 20, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
07:43

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

Published on: January 17, 2018

[Endonasal endoscopic orbital decompression through the transethmoidal approach].

P A Kochetov, A S Lopatin, N Iu Sergienko

    Vestnik Otorinolaringologii
    |September 10, 2009
    PubMed
    Summary
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    Endonasal endoscopic surgery offers new possibilities for treating endocrine ophthalmopathy. This approach successfully reduced exophthalmos in most patients, improving vision and quality of life without serious complications.

    Area of Science:

    • Otolaryngology and Ophthalmology
    • Minimally Invasive Surgical Techniques

    Context:

    • Endocrine ophthalmopathy, characterized by exophthalmos, often requires surgical intervention.
    • Current surgical options may have limitations, prompting exploration of alternative approaches.
    • Pharmacologically compensated thyroid dysfunction presents specific challenges in managing exophthalmos.

    Purpose:

    • To evaluate the feasibility and outcomes of endonasal endoscopic surgery for endocrine ophthalmopathy.
    • To assess the efficacy of the transethmoidal approach in reducing exophthalmos.
    • To explore the extension of indications for endoscopic surgery in this patient population.

    Summary:

    • Six patients with exophthalmos due to endocrine ophthalmopathy underwent transethmoidal endoscopic surgery with orbital wall resection.

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    Last Updated: Jun 20, 2026

    Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
    07:43

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    Published on: January 17, 2018

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  • Five patients experienced significant regression of exophthalmos (3.5–6 mm), improved vision, and enhanced quality of life.
  • No purulent complications occurred; two patients had temporary postoperative diplopia.

    • Impact:

    • Demonstrates the potential of endonasal endoscopic surgery as a viable treatment for endocrine ophthalmopathy.
    • Highlights the safety and effectiveness of the transethmoidal approach for orbital decompression.
    • Suggests expanded indications for minimally invasive endoscopic techniques in managing complex orbital conditions.