title: The transcolumellar transsphenoidal approach to pituitary tumours: advantanges and limitations.
abstract: A retrospective review was performed on 11 patients who had undergone the transcolumellar transsphenoidal hypophysectomy in our center. There were eight females and three males with age ranging from 17 to 72 years (mean 50 years). Ten patients had pituitary macroadenomas and one had suprasellar cyst. The mean follow up duration for these 11 patients post surgery was 7.2 months. Complications included two cerebrospinal leaks, one postoperative sphenopalatine bleed, one septal perforation and one patient developed numbness of the tip of the nose. We found that this approach is a preferred alternative technique especially in smaller Oriental noses with lower complication rate and better aesthetic result.
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Jalna Yaacub Latiff, 56000 Cheras, Kuala Lumpur.
authors.forename: B S
authors.initials: BS
authors.lastname: Gendeh
authors.forename: M S
authors.initials: MS
authors.lastname: Sakina
authors.forename: B M
authors.initials: BM
authors.lastname: Selladurai
authors.forename: T
authors.initials: T
authors.lastname: Jegan
authors.forename: K
authors.initials: K
authors.lastname: Misiran
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007016:Hypophysectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D013101:Sphenoid Sinus