원저

경비중격 경접형동 뇌하수체 수술 후의 비중격과 접형동의 구조에 대한 전산화단층촬영을 이용한 평가

윤정희1, 조남식1, 최종철1,*, 김민욱1, 조민정1, 김지형2
Jung-Hee Yoon1, Nam-Sik Joe1, Jong-Cheol Choi1,*, Min-Wook Kim1, Min-Jung Cho1, Ji-Hyung Kim2
Author Information & Copyright
1건양대학교 의과대학 이비인후-두경부외과학교실
2영상의학교실
1Department of Otolaryngology-Head & Neck Surgery, Konyang University College of Medicine, Daejeon, Korea
2Diagnostic Radiology, Konyang University College of Medicine, Daejeon, Korea
*교신저자: 최종철, 320–718 대전광역시 서구 가수원동 685 건양대학교 의과대학 이비인후-두경부외과학교실 전화: (042) 600-9215·전송: (042) 543-8959 E-mail: entcjc@hanmail.net

© Copyright 2007 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 12, 2007; Accepted: May 04, 2007

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Many surgical approaches have been used for removal of the pituitary lesions. Transseptal transsphenoidal approach (TSA) for pituitary tumor is well-established surgical technique in these approaches. After TSA, many rhinologic complications have been reported because this method is manipulated along the entire length of the nasal septum for opening sphenoid sinus. But, postoperative evaluation of frameworks of the septum and sphenoid sinus after TSA has not been reported. So, this study was to evaluate changes of frameworks of the septum and sphenoid sinus seen on CT scan after TSA compared to preoperative CT scan within several years. Material and Methods: 11 patients (male: 6, female: 5/mean age: 48.7 years) with pituitary tumor resection were accomplished through TSA were prospectively studied with CT scans. 2 patients with TSA after 1 year (Group 1), 2 patients with TSA after 2 years (Group 2), 3 patients with TSA after 3 years (Group 3) , 2 patients with TSA after 4 years (Group 4) , 2 patients with TSA after 5 years (Group 5) were studied. Preoperative CT scans were compared with postoperative CT scans after TSA during 5 years intervals including degree of septal deviation, frameworks of entire septum, shape of the anterior wall of sphenoid sinus, pneumatization pattern of sphenoid sinus in each groups. Results: All patients had remarkably similar to frameworks of the septum and sphenoid sinus seen on postoperative CT after TSA compared to preoperative CT scan. Conclusion: This study demonstrated that time dependent changes of frameworks of the septum and sphenoid sinus afer TSA for pituitary tumor resection showed no distinctive characteristics. TSA for puituitary surgery was found to be safe without changes of frameworks of the septum and sphenoid sinus. (J Clinical Otolaryngol 2007;18:47–53)

Keywords: 경비중격 경접형동 뇌하수체 수술; 전산화 단층촬영
Keywords: Transseptal transsphenoidal hypophysectomy; CT scan