Unilateral septal technique for transsphenoidal microsurgical approach to the sella turcica. Technical note.
A modification of the transseptal, transsphenoidal appraoch to the sella turcica is described; it consists of a unilateral separation of the nasal mucosa from the nasal septum. Experience with the technique in 215 cases has indicated that it is a useful, practical appraoch. The advantages are that the septum is spared, reoperation is made easier, and the procedure is quicker than the bilateral septal procedure. Asymptomatic nasal septal perforations (less than 3 mm) were seen in eight of 215 cases, and represented the only complication related to the operation.
D006801:Humans; D007016:Hypophysectomy / Q000379:methods; D008866:Microsurgery / Q000379:methods*; D009297:Nasal Mucosa; D009300:Nasal Septum; D012658:Sella Turcica / Q000601:surgery*; D013101:Sphenoid Sinus