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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Application of minimally invasive endoscopic sinus surgery techniques
Kevin C Welch1, James A Stankiewicz
1Department of Otolaryngology-Head & Neck Surgery, Loyola University Medical Center, 2160 South First Avenue, Magquire Building, Maywood, IL 60153, USA. kwelch1@lumc.edu
Otolaryngologic Clinics of North America
|June 8, 2010
Summary
New endoscopic sinus surgery (ESS) techniques and balloon catheter dilatation offer improved outcomes for chronic rhinosinusitis, minimizing trauma and costs. These advancements provide new avenues for surgical treatment in a changing medical landscape.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Rhinology
Background:
- Chronic rhinosinusitis (CRS) presents a significant challenge in otolaryngology.
- Recalcitrant CRS cases often require advanced surgical interventions.
- Current treatment paradigms are evolving with technological advancements.
Purpose of the Study:
- To describe current endoscopic sinus surgery (ESS) techniques.
- To evaluate quality-of-life outcomes associated with ESS.
- To detail transnasal and transantral balloon catheter dilatation techniques and their results.
Main Methods:
- Review of current endoscopic sinus surgery (ESS) instrumentation and techniques.
- Analysis of quality-of-life data related to ESS.
- Description of balloon catheter dilatation procedures (transnasal and transantral).
- Outcomes assessment for balloon catheter dilatation.
Main Results:
- New ESS instrumentation and techniques can effectively treat recalcitrant chronic rhinosinusitis.
- These methods potentially reduce operative times, sinus-mucosal trauma, and costs.
- Balloon catheter dilatation shows promising outcomes for specific patient populations.
Conclusions:
- Modern endoscopic sinus surgery (ESS) offers enhanced treatment options for chronic rhinosinusitis.
- Balloon catheter dilatation represents a viable minimally invasive alternative.
- The evolving medical climate may facilitate broader adoption of these advanced techniques.
