The endoscopic diving technique in endonasal transsphenoidal surgery: how I do it

Area of Science:

• Neurosurgery
• Otolaryngology
• Surgical Techniques

Background:

• Endonasal endoscopy is a minimally invasive surgical approach.
• Tumor removal in confined surgical spaces presents challenges.
• The endoscopic diving technique (EDT) was developed to address these challenges.

Purpose of the Study:

• To describe the endoscopic diving technique (EDT) in detail.
• To elucidate the advantages and applications of EDT in endonasal surgery.
• To provide practical insights into surgical tips and potential pitfalls.

Main Methods:

• Detailed step-by-step description of the endoscopic diving technique.
• Utilizing a continuous flow of pressurized saline for irrigation.
• Demonstration through high-quality endoscopic video footage.

Main Results:

• EDT facilitates wide exploration of the surgical cavity.
• The technique aids in tumor hydro-dissection.
• EDT assists in controlling bleeding during surgery.

Conclusions:

• The endoscopic diving technique is an effective and safe procedure.
• EDT optimizes the efficacy of endoscopic transsphenoidal surgery.
• The technique enhances visualization and surgical control in endonasal tumor removal.