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27.01.2022 | Original Article

Sinonasal outcomes associated with the use of BioGlue® in endoscopic transsphenoidal pituitary surgery

verfasst von: Cathal John Hannan, Deirdre Nolan, Paula Corr, Michael Amoo, Daniel Murray, Seamus Looby, Mohsen Javadpour

Erschienen in: Neurosurgical Review | Ausgabe 3/2022

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Abstract

Concerns have been raised in the neurosurgical literature regarding the use of BioGlue®, a tissue sealant initially developed for cardiothoracic surgery, due to reports of an increased incidence of infection, wound breakdown, and CSF fistulae. The aim of this study was to determine if the use of BioGlue® in skull base repair impacts on the sinonasal outcomes and the incidence of post-operative infection following endoscopic pituitary surgery. SNOT-22 questionnaires were completed pre-operatively, and at 6, 12, and 24 weeks post-operatively by 50 patients. Pre- and post-operative MRI scans were reviewed and assessed for evidence of post-operative sinusitis. Patient records were consulted to ascertain the incidence of post-operative infection. Repeated measures ANOVA and Wilcoxon signed rank test were used for data analysis. Statistical analysis revealed a significant difference in the mean SNOT-22 scores across the four time intervals (F(1.605, 78.642) = 9.180, p = 0.001). This difference was powered by a deterioration at 6 weeks that recovered completely by 12 weeks. The mean SNOT-22 score in the study cohort at 24 weeks was 16.84/110 (range 0–57, ± 2.04) which was lower than the mean pre-operative score and is consistent with mild rhinosinusitis. There were no cases of post-operative meningitis and 1/50 (2%) case of post-operative sinusitis in this cohort. The use of BioGlue® in endoscopic endonasal pituitary surgery does not appear to lead to significant sinonasal morbidity. Previous concerns about the use of BioGlue® in transcranial procedures may not apply to extradural application of this tissue sealant in endoscopic transnasal surgery.

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Titel: Sinonasal outcomes associated with the use of BioGlue® in endoscopic transsphenoidal pituitary surgery
verfasst von: Cathal John Hannan
Deirdre Nolan
Paula Corr
Michael Amoo
Daniel Murray
Seamus Looby
Mohsen Javadpour
Publikationsdatum: 27.01.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Neurosurgical Review / Ausgabe 3/2022
Print ISSN: 0344-5607
Elektronische ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-021-01723-x

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Sinonasal outcomes associated with the use of BioGlue® in endoscopic transsphenoidal pituitary surgery

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