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Endoscopic management of lesions of the sella turcica

Published online by Cambridge University Press:  29 June 2007

Dharambir S. Sethi  and
Prem K. Pillay
Dharambir S. Sethi*
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore.
Prem K. Pillay
Affiliation:
Departments of Neurosurgery, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore.
*
Dr Dharambir S. Sethi, F.R.C.S., F.A.M.S., Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore. Fax: (65) 226-2079.
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Abstract

The excellent visualization and minimally invasive surgical technique of endoscopic sinus surgery was applied to the management of 40 patients with sellar lesions. Endoscopic management of sellar lesions offers, not only the advantage of improved visualization, but also magnification, and a panoramic perspective of the important relationships of the sella turcica. In the past year, we have managed 40 subjects with sellar lesions, endoscopically: 38 patients had pituitary adenomas and two a craniopharyngioma.

At our hospital, the endoscope has replaced the operating microscope for surgery for pituitary adenomas and other sellar lesions. The endoscopic approach to the sphenoid sinus and the sella is performed by an ENT surgeon and the ablative surgery performed by a neurosurgeon.

Our experiences, using the endoscope to perform surgery on sellar and parasellar lesions, are reported and the advantages, over the operating microscope, which is traditionally used are discussed. The technique for endoscopic management of sellar lesions is described.

Keywords

HypophysectomytransphenoidalEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 10 , October 1995 , pp. 956 - 962
Copyright
Copyright © JLO (1984) Limited 1995

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