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A modified incision for the trans-septal trans-sphenoidal approach to the pituitary

  • Mohamed El-Fatih Baraka (a1)

Abstract

The role of the otorhinolaryngologist in trans-septal trans-sphenoidal approach to hypophysectomy when undertaken conjointly with the neurosurgeon is to provide excellent and rapid exposure for the necessary neurosurgical manipulation.

For the past two years at the King Fahd Hospital of the University in Al-Khobar, Saudi Arabia, a modified incision for the trans-septal trans-sphenoidal approach to the skull base around the area of the sella turcica has been undertaken in eight cases. This incision may offer a good alternative to the standard hemi-transfixation incision.

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Corresponding author

Dr. M. E. Baraka, FRCS, Associate Professor and Consultant ENT Surgeon, King Fahd Hospital of the University, P.O. Box 40008, Al-Khobar 31952.Saudi Arabia

References

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Freer, O. (1902). The correction of deflection of the nasal septum with minimum of traumation. Journal of the American Medical Association, 38: 636.
Guiot, G. (1973). Trans-sphenoidal approach in surgical treatment of pituitary adenomas, general principles and indications in nonfunctioning adenomas. Excerpta Medica International Congress Series, 303: 159178.
Hardy, J. (1971). Trans-sphenoidal hypophysectomy: Neurosurgical technique. Journal of Neurosurgery, 34: 581–94.
Hardy, J. (1973). Trans-sphenoidal surgery of hypersecreting pituitary tumours. Excerpta Medica International Congress Series, 303: 179194.
Kern, E. B., Laws, E. R. and Randall, R. V. (1977). A trans-septal, trans-sphenoidal approach to the pituitary: An old approach-a new technique in the management of pituitary tumours and related disorders. Transactions of the American Academy of Ophthalmology and Otolaryngology, 84: 9971010.
Killian, G. (1904). Die submucose fensterresektion der nasen-scheidewand. Archivs für Laryngologie und Rhinologie, 16: 362.

A modified incision for the trans-septal trans-sphenoidal approach to the pituitary

  • Mohamed El-Fatih Baraka (a1)

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