원저

내시경을 이용한 뇌하수체 미세선종의 비내 경접형동 접근법

오승철1, 박병훈1, 김선태1, 김찬우1, 장일환1, 차흥억1, 김영보2
Seung Chul Oh1, Byung Hoon Park1, Sun Tae Kim1, Chan Woo Kim1, II Hwan Jang1, Heung Eog Cha1, Young Bo Kim2
Author Information & Copyright
1가천의과대학부속 길병원 이비인후과학교실
2신경외과학교실
1Department of Otolaryngology, Neurosurgery, Gachon Medical College, Inchon, Korea
2Gil Hospital, Gachon Medical College, Inchon, Korea

© Copyright 1998 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

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.

Keywords: Pituitary microadenoma; Endoscopic transnasal transsphenoidal approach