PMID- 28582956
OWN - NLM
STAT- MEDLINE
DCOM- 20180126
LR  - 20221207
IS  - 1536-3732 (Electronic)
IS  - 1049-2275 (Linking)
VI  - 28
IP  - 4
DP  - 2017 Jun
TI  - Endoscopic Endonasal Transsphenoidal Approach From the Surgeon Point of View.
PG  - 959-962
LID - 10.1097/SCS.0000000000003423 [doi]
AB  - OBJECTIVE: In February 2009, the authors' center formed a team of neurosurgeons, 
      otolaryngologists, endocrinologists, and radiologists to perform pituitary 
      surgery using the endoscopic endonasal transsphenoidal approach (EETSA). This 
      paper reviews the authors' experience with the technique, pathological outcomes, 
      hormone profiles, and postoperative complications. METHODS: Between February 2009 
      and December 2015, 535 patients underwent the EETSA with 2-nostrils/4-hands 
      surgery. All of the patients had preoperative neurophthalmological and 
      endocrinological assessments and neuroimaging. Patients were followed for at 
      least 6 months with otolaryngological evaluations. RESULTS: The most common 
      pathology treated was pituitary adenomas, with 390 (72.9%) patients. Of these, 
      287 (73.6%) were nonfunctioning adenomas. As the surgical method, the 
      conventional 2-nostrils/4-hands technique was performed in 77 patients (14.4%), a 
      right conventional nasoseptal flap and left modified nasoseptal rescue flap 
      technique was used in 135 patients (25.2%), and bilateral modified nasoseptal 
      rescue flaps were used in 323 patients (60.4%). Postoperative complications 
      occurred in 46 patients (8.6%). The most common complications were vascular 
      injury or hematoma (10 patients, 1.9%), and the most common postoperative 
      sinonasal complaints were hyposmia or anosmia. Olfactory function was 
      significantly decreased according to the Connecticut Chemosensory Clinical 
      Research Center test (P <0.001) and Cross-Cultural Smell Identification Test 
      scores (P <0.001) evaluated 6 months postoperatively. CONCLUSIONS: Skull-base 
      tumor surgery via an EETSA with a team approach was performed for various 
      extended tumors. It is important to consider postoperative sinonasal dysfunction, 
      such as hyposmia or anosmia, and to have this followed by an otolaryngologist.
FAU - Kim, Do Hyun
AU  - Kim DH
AD  - *Department of Otolaryngology-Head and Neck Surgery daggerDepartment of Neurosurgery 
      double daggerDivision of Endocrinology and Metabolism, Department of Internal Medicine, Seoul 
      St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 
      Seoul, Korea.
FAU - Hong, Yong-Kil
AU  - Hong YK
FAU - Jeun, Sin-Soo
AU  - Jeun SS
FAU - Park, Jae-Sung
AU  - Park JS
FAU - Lim, Dong-Jun
AU  - Lim DJ
FAU - Kim, Soo Whan
AU  - Kim SW
FAU - Cho, Jin Hee
AU  - Cho JH
FAU - Park, Yong Jin
AU  - Park YJ
FAU - Kim, YulGyun
AU  - Kim Y
FAU - Kim, Sung Won
AU  - Kim SW
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Craniofac Surg
JT  - The Journal of craniofacial surgery
JID - 9010410
MH  - Adenoma/*surgery
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Attitude of Health Personnel
MH  - Child
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Natural Orifice Endoscopic Surgery/*methods
MH  - Patient Care Team
MH  - Pituitary Neoplasms/*surgery
MH  - Postoperative Complications/diagnosis/epidemiology
MH  - Plastic Surgery Procedures
MH  - Retrospective Studies
MH  - Sphenoid Sinus
MH  - Surgeons
MH  - Surgical Flaps
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2017/06/07 06:00
MHDA- 2018/01/27 06:00
CRDT- 2017/06/07 06:00
PHST- 2017/06/07 06:00 [entrez]
PHST- 2017/06/07 06:00 [pubmed]
PHST- 2018/01/27 06:00 [medline]
AID - 00001665-201706000-00025 [pii]
AID - 10.1097/SCS.0000000000003423 [doi]
PST - ppublish
SO  - J Craniofac Surg. 2017 Jun;28(4):959-962. doi: 10.1097/SCS.0000000000003423.