Transnasal, transeptal sphenoidal approach to hypophysectomy

Area of Science:

• Neurosurgery
• Otolaryngology

Background:

• The sublabial, transeptal approach has been the standard for transsphenoidal hypophysectomy since 1960.
• This method provides good surgical exposure and a midline path to the pituitary gland.

Purpose of the Study:

• To evaluate a modified transeptal, transsphenoidal approach for hypophysectomy.
• To present an alternative to the conventional sublabial technique.

Main Methods:

• A modified transeptal, transsphenoidal hypophysectomy technique was developed and utilized.
• The procedure was performed jointly by the Departments of Otolaryngology and Neurosurgery.

Main Results:

• The modified approach may offer an alternative to the standard sublabial technique.
• This modified method can potentially avoid complications associated with the sublabial incision.

Conclusions:

• The modified transeptal, transsphenoidal approach is a viable alternative for hypophysectomy.
• This technique may reduce drawbacks such as dental numbness and nasal spine interference.