title: Endoscopic assisted transseptal transphenoidal hypophysectomy.
abstract: Eight patients with pituitary tumors were operated via the transseptal transsphenoidal approach from April to November 2004 at Hospital Ipoh. Seven patients presented with visual disturbances while three also had endocrine abnormalities. The post-operative follow-up period was between six months to a year. There was no mortality in this series. There were no complications related to the approach i.e. nasal or septal related. All patients with visual impairment showed improvement. Only one patient had hormonal irregularities. The endoscopic assisted transseptal approach to the sphenoid sinus for pituitary surgery was found to be easy and without sinonasal or labial complications often found with the sublabial approach.
authors.affiliation: Department of ENT, Hospital Ipoh, 30990 Ipoh, Perak.
authors.forename: S
authors.initials: S
authors.lastname: Mallina
authors.forename: S
authors.initials: S
authors.lastname: Harvinder
authors.forename: S
authors.initials: S
authors.lastname: Rosalind
authors.forename: R
authors.initials: R
authors.lastname: Philip
authors.forename: S
authors.initials: S
authors.lastname: Gurdeep
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007016:Hypophysectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000601:surgery; D013101:Sphenoid Sinus; D016896:Treatment Outcome