Abstract
THE PITUITARY FOSSA, because of its intimate anatomical relationship to the sphenoid sinus, lends itself well to a transsphenoidal surgical approach. The sphenoid sinus, in turn, has been reached by various transnasal and transsinus routes. The purpose of this article is to describe an operative technique for hypophysectomy which we feel is superior to previously described rhinologic approaches. The essentials of this operation consist of: (1) exposing the posterior septal area through a lateral rhinotomy, creating wide access to this area by fracturing the nasal wall laterally into a maxillary sinus fenestra; (2) entering the sphenoid through a short, midline, transseptal route; and (3) utilizing the wide field of exposure and the operating microscope for total hypophysectomy. The rhinologic approach to the pituitary fossa is desirable for the following problems: (1) biopsy or excision of certain pituitary tumors; (2) ablation of the pituitary gland for endocrine responsive metastatic breast cancer
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Archives of Otolaryngology - Head and Neck Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
