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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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Bulla Down Endoscopic Sphenoidotomy.
1Department of Special Surgery, Division of ORL-HNS, Jordan University of Science and Technology, Irbid, Jordan.
The Journal of Craniofacial Surgery
|September 23, 2017
Summary
This study introduces a safe endoscopic technique for accessing the sphenoid sinus. The method avoids turbinate resection, simplifying surgery for sphenoid pathologies and skull base access.
Area of Science:
- Otolaryngology
- Endoscopic Sinus Surgery
- Skull Base Surgery
Background:
- Surgical access to the sphenoid sinus presents significant challenges in sinus surgery.
- Existing techniques may involve complications or suboptimal approaches.
Purpose of the Study:
- To describe a novel, simple, and safe endoscopic technique for sphenoid sinus access.
- To manage isolated sphenoid pathologies and facilitate skull base surgery.
Main Methods:
- Endoscopic sinus surgery involving removal of the bulla ethmoidalis.
- Temporary lateralization of the middle turbinate for improved sphenoid access.
Main Results:
- The described approach provides effective access to the sphenoid sinus.
- The technique avoids increasing surgical morbidity.
- It circumvents complications related to turbinate resection.
Conclusions:
- This novel endoscopic technique offers a safe and effective method for sphenoid sinus surgery.
- It simplifies access for both isolated sphenoid pathologies and skull base procedures.
- The approach minimizes potential complications associated with traditional methods.
