[Technical difficulties in surgical treatment of Cushing disease in children and adolescents]

Cushing disease in children and adolescents is connected with many technical difficulties in operations for removal of pituitary adenoma from the approach through the sphenoid bone which is connected with anatomical conditions specific for that age group. The greatest difficulty is related to incomplete development of the sphenoidal sinus, which is sometimes spongy or presellar. Besides that, the size of the sphenoidal sinus and sella is small. The surgical methods are analysed which make possible overcoming of these difficulties.