[Mononostril-septum-transsphenoidal approach for pituitary adenoma].
OBJECTIVE
To summarize the mononostril-septum-transsphenoidal approach for pituitary adenoma.


METHODS
The clinical features, operative techniques, and outcome of 36 patients with pituitary adenoma were analyzed retrospectively.


RESULTS
Tumors were totally removed in 28 cases, and subtotally resected in 8 patients. No patient died after the operation. Endocrine symptom of 31 patients returned to the normal level, the symptom of the other 5 cases were improved. Thirty patients with visual field defects recovered after the operation. Cerebrospinal fluid leakage occurred in one patient, and was cured with conservative treatment in 2 weeks.


CONCLUSIONS
Mononostril-septum-transsphenoidal approach can make use of the natural space of the nasal cavity, which has many advantages, such as direct approach, short operative time, minimal invasion, and few complications. It is a effective transsphenoidal surgical approach.
Liu
Zhi-xiong
ZX
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China. liuzxcc@sina.com
Yuan
Xian-rui
XR
Fang
Jia-sheng
JS
Huang
Jun
J
Li
Yu-bin
YB
Luo
Chao
C
Yang
Zhi-quan
ZQ
Liu
Yun-sheng
YS
D000236:Adenoma / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods; D010911:Pituitary Neoplasms / Q000601:surgery*; D013101:Sphenoid Sinus / Q000601:surgery*