Transantral transsphenoidal approach to the pituitary. Technical note

Area of Science:

• Neurosurgery
• Otolaryngology
• Skull Base Surgery

Background:

• The sella turcica is a critical anatomical region housing the pituitary gland.
• Surgical access to the sella turcica can be challenging.
• Minimally invasive techniques are increasingly preferred for complex cranial procedures.

Purpose of the Study:

• To describe the transantral transsphenoidal surgical technique.
• To evaluate the advantages and potential complications of this approach.
• To explore its applicability in treating skull base and orbital pathologies.

Main Methods:

• The study describes a transantral transsphenoidal surgical approach.
• This technique involves accessing the sella turcica through the maxillary sinus.
• Advantages and potential complications were analyzed.

Main Results:

• The transantral transsphenoidal approach provides a viable route to the sella turcica.
• Potential benefits include reduced operative time and improved cosmesis.
• Key complications were identified and discussed.

Conclusions:

• The transantral transsphenoidal approach is a valuable technique for sella turcica surgery.
• This method may be extended to manage tumors of the skull base and orbits.
• Careful consideration of potential risks is essential for successful outcomes.