Principles of Pituitary Surgery.
Publication/Presentation Date
2-1-2016
Abstract
Since the description of a transnasal approach for treatment of pituitary tumors, transsphenoidal surgery has undergone continuous development. Hirsch developed a lateral endonasal approach before simplifying it to a transseptal approach. Cushing approached pituitary tumors using a transsphenoidal approach but transitioned to the transcranial route. Transsphenoidal surgery was not "rediscovered" until Hardy introduced the surgical microscope. An endoscopic transsphenoidal approach for pituitary tumors has been reported and further advanced. We describe the principles of pituitary surgery including the key elements of surgical decision making and discuss the technical nuances distinguishing the endoscopic from the microscopic approach.
Volume
49
Issue
1
First Page
95
Last Page
106
ISSN
1557-8259
Published In/Presented At
Farrell, C. J., Nyquist, G. G., Farag, A. A., Rosen, M. R., & Evans, J. J. (2016). Principles of Pituitary Surgery. Otolaryngologic clinics of North America, 49(1), 95–106. https://doi.org/10.1016/j.otc.2015.09.005
Disciplines
Medicine and Health Sciences
PubMedID
26614830
Department(s)
Department of Surgery
Document Type
Article