Endoscopic Endonasal Transsphenoidal Surgery: History and Evolution.

Area of Science:

• Neurosurgery
• Otolaryngology
• Endoscopic Surgery

Background:

• Traditional transfacial and transcranial approaches for sellar/parasellar access were associated with high complication and mortality rates.
• These extensive surgical routes presented significant challenges and limitations in visualization.

Observation:

• The advent of endoscopic endonasal techniques has transformed surgical strategies for the sellar and parasellar areas.
• These minimally invasive methods overcome the visual limitations of open surgeries, enabling access to previously hidden anatomical regions.

Findings:

• Endoscopic endonasal surgery represents a revolutionary advancement in transsphenoidal surgery.
• This technique provides enhanced visualization and access compared to older, more invasive methods.

Implications:

• The widespread adoption of endoscopic endonasal techniques is improving patient safety and surgical efficacy.
• Further innovations in endoscopic approaches continue to expand the possibilities for treating sellar and parasellar pathologies.