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Updated: Jun 15, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
A technical note on endonasal combined microscopic endoscopic with free head navigation technique of removal of
Ossama Al-Mefty1, Svetlana Pravdenkova, Cristian Gragnaniello
1Department of Neurosurgery, University of Arkansas for Medical Sciences, 4301 W. Markham, #507, Little Rock, AR 72205, USA. keelandamye@uams.edu
Abstract:
Pituitary surgery exemplifies the continuous refinement of surgical techniques. The transsphenoidal approach is the approach of choice to treat most pituitary adenomas. We report here, as a technical note, an operative nuance that represents an encompassment of various technical steps that we utilize in our current surgery, including the corroboration of navigation system on a free head with combined use of endoscope and microscope techniques.
