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[Endonasal sequelae after hypophysectomy]

D Soldati1, P Monnier

  • 1Clinique ORL et Chirurgie Cervico-faciale, CHUV, Lausanne, Suisse.

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|October 10, 1998
PubMed
Summary
This summary is machine-generated.

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Transsphenoidal hypophysectomy complications are generally low, with most patients experiencing no issues. A small percentage require ENT follow-up, but many report improved respiration post-surgery.

Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Endocrinology

Context:

  • Transsphenoidal hypophysectomy is a surgical procedure to remove the pituitary gland.
  • Performed annually in Lausanne, this study focuses on the transvestibular transseptal approach.

Purpose:

  • To assess the complication rate of transsphenoidal hypophysectomy.
  • To evaluate the impact of complications on patient quality of life.
  • To analyze post-operative patient-reported outcomes and endoscopic findings.

Summary:

  • A study of 178 patients undergoing transsphenoidal hypophysectomy found that 36% reported no complaints, and 19% experienced improved respiration.
  • Common post-operative complaints included nasal obstruction and crusting (38% each).
  • Endoscopic examination revealed anterior septal perforations in 13.7% of patients, with 80% being symptomatic. Posterior septal perforations occurred in 6 cases, all asymptomatic.

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Impact:

  • Only 5% of patients required ENT follow-up exceeding six months, indicating a generally safe procedure.
  • The study highlights the importance of assessing both subjective patient complaints and objective endoscopic findings.
  • Understanding complication rates is crucial for managing patient expectations and improving surgical outcomes.