Clinical Study on Transsphenoidal Approach to Pituitary Gland

Suh, Se Hoon; Lee, Hyeon; Ahn, Young Min; Kim, Lee Suk; Baek, Chung Hwan; Kang, Myung Koo; Kim, Hyung Dong

doi:10.35420/jcohns.1995.6.1.56

J Clin Otolaryngol Head Neck Surg 1995; 6(1):56-62

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1995.6.1.56

원저

경접 형동 뇌하수체 수술에 대한 임상적 고찰

서세훈¹, 이현¹, 안영민¹, 김리석¹, 백정환¹, 강명구¹, 김형동¹

Clinical Study on Transsphenoidal Approach to Pituitary Gland

Se Hoon Suh¹, Hyeon Lee¹, Young Min Ahn¹, Lee Suk Kim¹, Chung Hwan Baek¹, Myung Koo Kang¹, Hyung Dong Kim¹

Author Information & Copyright ▼

¹동아대학교 의과대학 이비인후과학교실·동아대학교 의과대학 신경외과학교실

¹Department of Otolaryngology, College of Medicine, Dong-A University Department of Neurosurgery, College of Medicine, Dong-A University

© Copyright 1995 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.

Published Online: May 31, 2020

ABSTRACT

Forty four cases of transsphenoidal hypophysectomies from May, 1990 to July, 1994 were analysed.

The results were as follows:

Male to female ratio was 1 to 1.44.
Thirty five cases were pituitary adenomas(79.5%), fifteen cases were functioning adenomas(34.1%) and twenty cases were non-functioning adenomas(45.5%).
The chief complaints were visual loss and visual field defect(38.6%), headache(29.5%), amenorrhea(13.6%), acromegaly(11.4%) and others in order of frequencies.
Pneumatization types of the sphenoid sinus were sellar(70.5%), presellar(20.5%) and unclassifiable(9%).
Among 17 cases with preoperative visual disturbance, 7 cases(47.1%) were improved and 2 cases(11.7%) were aggravated after operation.
Postoperative complications were transient diabetes insipidus(45.5%) and meningitis (2.3%).

Keywords: Transsphenoidal approach