Endonasal transsphenoidal surgery under neuroendoscope for conchiform sphenoid sinus pituitary adenoma
Xia Weimin
Shao Naiyuan
Tang Ke
Abstract：Objective To explore the surgical treatment of pituitary adenoma with conchiform sphenoid sinus. Methods Clinical data of 12 pituitary adenoma patients with conchiform sphenoid sinus were analyzed retrospectively. Preoperative CT multiplanar reconstructions were performed. An endoscope was used to guide the intraoperative sellar floor exploration and tumor resection with microdrill via transsphenoidal approach. Results The sellar floor exposure and tumor resection were accomplished successfully without the intraoperative localization equipment. Postoperative MRI indicated that total resection was achieved in 10 patients and subtotal resection in 2. No serious complication occurred. All the patients were followed up for 6 to 12 months and recovered well. Conclusion Endoscopic surgery of pituitary adenoma with conchiform sphenoid sinus via transsphenoidal approach can accurately expose the sellar floor and remove the tumor by the aid of detailed preoperative imaging examination and intraoperative usage of microdrill, which is a minimally invasive neurosurgery procedure with less trauma and good effect.
Keywords：pituitary neoplasmssphenoid sinusconchiformapproachtranssphenoidalneuroendoscopes
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 494-496 )