[The transseptal-transsphenoidal approach in hypophysectomy (author's transl)]

Area of Science:

• Neurosurgery
• Endocrinology
• Otolaryngology

Context:

• Hypophysectomy involves pituitary gland removal.
• Surgical access to the pituitary gland presents challenges.
• Minimizing damage to surrounding neurovascular structures is paramount.

Purpose:

• To evaluate the advantages of the transseptal-transsphenoidal approach for hypophysectomy.
• To compare this approach with alternative surgical methods.
• To highlight the safety and efficacy of the transseptal-transsphenoidal route.

Summary:

• The transseptal-transsphenoidal approach provides direct, opposite access to the pituitary gland.
• This method significantly reduces the risk of injury to the optic nerve and carotid artery.
• Potential complications like nasal septum perforation are minor compared to the benefits.

Impact:

• Facilitates safer and more effective pituitary gland removal.
• Enhances the surgical field, allowing for extensive resection of the sella turcica's anterior wall.
• Simplifies the surgical procedure, reducing operation time and improving patient outcomes.