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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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How I do it - endoscopic endonasal approach for pituitary tumour
N Phillips1, P Nix2
1Department of Neurosurgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK. nickphillips@nhs.net.
Acta Neurochirurgica
|August 16, 2016
Summary
Endoscopic endonasal surgery offers a minimally invasive approach to the anterior skull base, improving patient experience compared to traditional open surgeries. This technique provides a safe and effective method for accessing midline lesions.
Area of Science:
- Neurosurgery
- Otolaryngology
Background:
- Endoscopic endonasal surgery is an evolving minimally invasive technique for anterior skull base access.
- It presents a patient-centered alternative to traditional open surgical methods.
Purpose of the Study:
- To present a fundamental endoscopic endonasal surgical approach for midline skull base lesions.
- To establish a foundational technique for broader skull base access.
Main Methods:
- Description of a basic endoscopic endonasal surgical approach.
- Focus on midline lesion access as a starting point.
Main Results:
- The technique has been refined globally in numerous centers.
- Demonstrates a low complication rate and significant potential.
Conclusions:
- This endoscopic approach offers a safe and effective method for anterior skull base surgery.
- The technique provides excellent potential for treating midline lesions with minimal invasiveness.

