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Perioperative nasal and paranasal sinus considerations in transsphenoidal surgery for pituitary disease
- Source :
- British Journal of Neurosurgery, 34(3), 246-252. Informa Healthcare
- Publication Year :
- 2020
-
Abstract
- Endoscopic endonasal skull base surgery has emerged as the treatment modality of choice for a range of skull base lesions, particularly pituitary adenomas. However, navigation and manipulation of the nasal corridor and paranasal sinuses requires that surgeons are aware of effective techniques to maximize patient outcomes and avoid sinonasal morbidity postoperatively. This paper is a narrative review aimed to provide an updated and consolidated report on the perioperative management of the nasal corridor and paranasal sinuses in the setting of endoscopic skull base surgery for pituitary disease. Anatomic variants and common surgical techniques are discussed. Post-operative complications are evaluated in detail. Understanding the structural implications of the endonasal approach to the sphenoid is crucial to optimization of the surgical outcomes. We propose guidelines for perioperative management of endoscopic endonasal skull base surgery for pituitary diseases. Standardized treatment algorithms can improve patient satisfaction, and increase the comparability and the quality of reported information across research studies.
- Subjects :
- medicine.medical_specialty
Pituitary disease
medicine.medical_treatment
Nose
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Pituitary adenoma
Paranasal Sinuses
otorhinolaryngologic diseases
Medicine
Humans
Pituitary Neoplasms
Sinus (anatomy)
Transsphenoidal surgery
Skull Base
business.industry
Endoscopy
General Medicine
Perioperative
medicine.disease
Surgery
Skull
medicine.anatomical_structure
Paranasal sinuses
030220 oncology & carcinogenesis
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 02688697
- Volume :
- 34
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- British Journal of Neurosurgery
- Accession number :
- edsair.doi.dedup.....2bb2f313637a27615c46e17a095c716c