The transseptal approach to lesions of the pituitary and parasellar regions

The Laryngoscope
E B KernE R Laws

Abstract

In a series of 505 consecutive procedures, the transseptal-transsphenoidal pituitary operation has proved safe and effective. The overall mortality in this series is 1.39%. A wide variety of sphenoid and sellar lesions and nearly every pituitary adenoma have been found suitable for the exposure provided through the sublabial-transseptal approach. This statement rests on the premise that both the rhinologist's and the neurosurgeon's skills are optimally applied to each case. The role of the otorhinolaryngologist is defined in this paper, and the benefits of the team approach are explored. An interpretive history of the transsphenoidal approach is presented, and the evolution of the transseptal technique developed at the Mayo Clinic from 1972 to 1978 is reviewed. Emphasizing the rhinologic aspects, all details of the surgical technique are described and illustrated. Our experience with the special endocrine syndromes is also reviewed to spotlight clinical features that require individual consideration by the rhinologic surgeon.

References

Jan 1, 1977·The Laryngoscope·J A RothD M Long
Jun 1, 1977·Journal of Neurosurgery·E R LawsR W Hollenhorst
Jan 1, 1976·Clinical Neurosurgery·E R Laws, E B Kern
Nov 1, 1976·The Laryngoscope·T C Calcaterra, R W Rand
Jul 1, 1972·The Medical Clinics of North America·S F HodgsonC S MacCarty
Apr 1, 1971·Journal of Neurosurgery·J Hardy
Jan 1, 1969·The British Journal of Surgery·P McGrath
Sep 1, 1967·Archives of Otolaryngology·J A James
May 1, 1953·Journal of Neurosurgery·R LUFT, H OLIVECRONA
Sep 1, 1958·A.M.A. Archives of Otolaryngology·M H COTTLEI E GAYNON
Jul 1, 1961·Archives of Otolaryngology·C A HAMBERGERB SJOGREN

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Citations

Feb 3, 2009·Pituitary·Gustavo Rassier IsolanOtávio Piltcher
May 20, 2003·Auris, Nasus, Larynx·Cem BilgenUmit Uluöz
Jun 1, 1989·International Journal of Radiation Oncology, Biology, Physics·P W GrigsbyH G Schwartz
Mar 1, 1984·American Journal of Otolaryngology·K J LeeM Pensak
Jul 1, 1993·American Journal of Otolaryngology·A H Shikani, J H Kelly
Jun 14, 2013·Nutrition Research Reviews·Alida Melse-Boonstra, Ian Mackenzie
Jul 23, 2019·International Forum of Allergy & Rhinology·Eric W WangCarl H Snyderman
Nov 1, 1980·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·T R SpoonerD A Herz
Jun 1, 1983·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R S BogdasarianG W Kindt
Jan 1, 1988·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R A Sofferman
Jun 18, 1998·Arquivos de neuro-psiquiatria·M S MenesesA A Pedrozo
Jun 3, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·L A DewS Major
Jan 13, 2000·American Journal of Rhinology·H G GassnerE B Kern

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