Clinical study on transsphenoidal approach under endoscope for repairing cerebrospinal fluid rhinorrhea after pituitary adenoma resection
YU Huan-xin
LI Hai-yan
LIU Gang
Abstract：Objective To summarize the experience of endoscopic surgery by transsphenoidal approach for repairing cerebrospinal fluid (CSF) rhinorrhea after pituitary adenoma resection.Methods Clinical data,operation skills and follow-up data of 16 cases of persistent CSF rhinorrhea after pituitary adenoma resection from March 2009 to July 2014 were retrospectively analyzed.Results All patients were repaired by endoscopic transspheuoidal approach,13 cases (13/16) were successful by one reparative surgery,2 cases (2/16) were successful by the second repairment,and one case (1/16) was failed by several endoscopic surgeries,but was successfully repaired by craniotomy.One case presented intracranial infection after surgery,and recovered after taking ceftriaxone.After postoperative follow-up for 6 months to 2 years (average 12 months),no tumor recurrence or CSF rhinorrhea recurrence occurred.Conclusions Endoscopic transsphenoidal approach for repairing CSF rhinorrhea after pituitary adenoma resection was safe and effective.It can be widely used in clinic.
Keywords：Pituitary neoplasmsAdenomaSphenoid sinusCerebrospinal fluid rhinorrheaEndoscopy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 458-461 )