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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Transnasal endoscopic surgery for intranasal pleomorphic adenomas
1Division of Rhinology, Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital and Kweishan, Taoyuan, Taiwan.
Summary
Endoscopic endonasal surgery effectively treated intranasal pleomorphic adenoma in nine patients. This minimally invasive approach showed no recurrence in long-term follow-up, establishing it as a reliable treatment option.
Area of Science:
- Otolaryngology
- Neurosurgery
- Surgical Oncology
Background:
- Pleomorphic adenoma, a benign salivary gland tumor, can occur in the nasal cavity.
- Intranasal tumors pose surgical challenges due to their location.
Observation:
- A case series of nine patients with intranasal pleomorphic adenoma treated between 1995 and 2008.
- Eight patients completed a mean follow-up of 7.01 years (range: 2–13 years).
Findings:
- Endoscopic endonasal surgery was performed for tumor removal in all nine patients.
- The postoperative course was uncomplicated for all patients.
- No recurrence was observed in the eight patients with regular follow-up.
Implications:
- Endoscopic surgery provides a reliable and effective treatment for intranasal pleomorphic adenoma.
- Minimally invasive endoscopic techniques allow for the safe removal of large or posteriorly located nasal tumors.
- This approach avoids the need for open surgery, potentially reducing morbidity.
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