title: [Mononostril-septum-transsphenoidal approach for pituitary adenoma].
abstract: 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.
authors.affiliation: Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China. liuzxcc@sina.com
authors.forename: Zhi-xiong
authors.initials: ZX
authors.lastname: Liu
authors.forename: Xian-rui
authors.initials: XR
authors.lastname: Yuan
authors.forename: Jia-sheng
authors.initials: JS
authors.lastname: Fang
authors.forename: Jun
authors.initials: J
authors.lastname: Huang
authors.forename: Yu-bin
authors.initials: YB
authors.lastname: Li
authors.forename: Chao
authors.initials: C
authors.lastname: Luo
authors.forename: Zhi-quan
authors.initials: ZQ
authors.lastname: Yang
authors.forename: Yun-sheng
authors.initials: YS
authors.lastname: Liu
mesh_terms: 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*