내시경을 이용한 뇌하수체 미세선종의 비내 경접형동 접근법

Background: The transsphenoidal route via either sublabial or septal incision, was known the standard route for approach to pituitary tumors. More recently endonasal approach to the sella using endoscopic technique without trauma to the nasal septum was reintroduced in pituitary microadenoma.

Objectives: This study was undertaken to review the technique and evaluate problem of this approach, advantage, disadvantage, and results of the operation.

Materials and Methods: A retrospective review was performed in selected four patients with pituitary microadenoma treated by pituitary tumor surgery via endoscopic transnasal transsphenoidal approach.

Conclusion: The advantages of this approach are quick patient recovery, minimum morbidity, eliminate potential complications of the orodental, septal, and paranasal sinus areas, and encourage visualization by- endoscopes. So, the endoscopic endonasal approach to the sella turcica was supposed a valuable and efficient procedure for size reducing of pituitary microadenoma in some cases.