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Erschienen in: Acta Neurochirurgica 9/2013

01.09.2013 | Clinical Article - Brain Tumors

Endoscopic endonasal trans-sphenoidal approach for pituitary adenomas: Is one nostril enough?

verfasst von: Sheng Han, Xiaoxu Ding, Xinxin Tie, Yuan Liu, Junze Xia, Aihui Yan, Anhua Wu

Erschienen in: Acta Neurochirurgica | Ausgabe 9/2013

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Abstract

Background

Over the past decade, the endoscopic endonasal trans-sphenoidal approach has been used to resect pituitary adenomas. However, in the use of this procedure, some research teams prefer a two-nostril method, whereas other groups are in favor of the one-nostril method. Here, we present a series of pituitary adenomas and try to confirm whether or not one nostril is enough for endoscopic resection of most pituitary adenomas.

Methods

A total of 250 consecutive patients who underwent an endoscopic endonasal trans-sphenoidal approach were reviewed retrospectively, of which 200 were via the unilateral nostril (group 1) and 50 were via bilateral nostrils (group 2). Surgical and clinical outcomes were analyzed.

Results

For microadenomas, intrasellar macroadenomas and macroadenomas with moderate extrasellar extension, the prevalence of gross total resection (GTR), hormonal outcome and visual improvement were similar between the two groups. The one-nostril group had better results for duration of surgery and blood loss, with fewer rhinological complications. However, for macroadenomas with extensive extrasellar invasion, GTR was obtained in two of seven patients in group 2 but none in group 1.

Conclusion

The one-nostril method, which is relatively fast and minimally invasive, is adequate for endoscopic resection of most pituitary adenomas with moderate extension.
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Metadaten
Titel
Endoscopic endonasal trans-sphenoidal approach for pituitary adenomas: Is one nostril enough?
verfasst von
Sheng Han
Xiaoxu Ding
Xinxin Tie
Yuan Liu
Junze Xia
Aihui Yan
Anhua Wu
Publikationsdatum
01.09.2013
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 9/2013
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-013-1788-8

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