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Related Experiment Video

Updated: Jun 2, 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

Transantral balloon dilation plus posterior ethmoidectomy.

Victor Kizhner1, Michael Setzen, Yosef P Krespi

  • 1St. Luke's Roosevelt Hospital, New York, New York, USA. vkizhner@gmail.com

The Laryngoscope
|April 27, 2011
PubMed
Summary

Transantral endoscopic balloon dilatation (TABD) effectively treats moderate sinus disease using a minimally invasive approach. This technique improves patient outcomes and offers an alternative to traditional endoscopic sinus surgery.

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Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery
  • Rhinology

Background:

  • Transantral endoscopic balloon dilatation (TABD) was introduced for mild maxillary and ethmoid sinus disease.
  • An expanded approach allows for treatment of moderate disease by accessing additional sinus regions.

Purpose of the Study:

  • To evaluate the efficacy of an expanded TABD approach using two working channels.
  • To assess the feasibility of transantral posterior ethmoidectomy (TAPE) via this approach.
  • To determine the safety and outcomes of this minimally invasive technique for moderate sinus disease.

Main Methods:

  • Retrospective review of TABD and TAPE procedures performed in 2009.
  • Utilized a sublabial approach with two working channels for endoscopy and instrumentation.

Related Experiment Videos

Last Updated: Jun 2, 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

  • Collected data on patient demographics, Sino-Nasal Outcome Test (SNOT) scores, Lund-Mackay scores, and complications.

    • Main Results:

    • Thirty-five patients underwent 64 TABD procedures and 10 TAPE procedures.
    • Significant improvement in SNOT scores (1.77 to 0.83) was observed.
    • Minimal complications and a low conversion rate to standard endoscopic sinus surgery (ESS).

    Conclusions:

    • The two-trocar transantral approach is effective for moderate antral disease (TABD) and posterior ethmoidectomy (TAPE).
    • This minimally invasive technique bridges the gap between mild and severe sinus disease requiring traditional ESS.
    • The approach offers a successful and useful alternative for managing moderate sinus pathology.