The online version of this article (doi:10.1007/s00701-017-3193-1) contains supplementary material, which is available to authorized users.
There are multiple approaches to reach the sellar region using microscope or endoscope, which are the old sublabial, with its post-operative morbidities, or the uni-nostril transseptal, which has a limited working field. Another technique is the direct transnasal, which is associated with tissue sacrifice, and lastly the bi-nostril (one side transseptal-other side transnasal), aiming to preserve one of the septal flaps.
We have 27 case studies using a new technique in which we access the sphenoid endoscopicaly through the nasal septum from both nostrils under the mucoperichondrial-periosteal flap.
This new technique provides easy way of wide exposure to the sphenoidal gate, with easier closure of the operative field.
Intra operative video shows working from both nostrils within the nasal septum (MP4 2903 kb)
Video 2 Intra operative video shows control of active bleeding (MPG 8335 kb)701_2017_3193_MOESM2_ESM.mpg
25 days post op reveals near normal nasal cavity (MP4 14,516 kb)
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- Bi-nostril transseptal endoscopic approach to the sphenoidal gate. A new technique
Ihsan Abbas Al-Baldawi
- Springer Vienna
Neu im Fachgebiet Chirurgie
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