title: Sublabial transseptal approach to pituitary adenomas with special emphasis on rhinological complications.
abstract: OBJECTIVE
  The aim of this presentation is to show that the sublabial transseptal transsphenoidal approach to pituitary adenomas is the least invasive anatomic route with the lowest postoperative complication rates.
  
  
  METHODS
  This study was based on a retrospective analysis of 276 patients with a diagnosis of pituitary adenoma who were surgically treated via the sublabial transsphenoidal route.
  
  
  RESULTS
  The overall complication rate of the presented series was 14.8%. The recurrence rate was 14.1%; there were no deaths or intranasal complications in this series. Postoperative rhinological complications, such as septal perforation, synechiae, and mucosal tear which impaired nasal function, occur rarely with this approach compared to other approaches.
  
  
  CONCLUSIONS
  Besides the technical advantages of this approach, performance of the initial phase of the operation by an otorhinolaryngologic surgeon is the basis of the low intranasal complication rate in our series.
authors.affiliation: Diskapi Yildirim Bayezit Egitim ve Arastirma Hastanesi, 2. Norosirurji Klinigi, Ankara, Turkey. uygurer@gmail.com
authors.forename: Uygur
authors.initials: U
authors.lastname: Er
authors.forename: Levent
authors.initials: L
authors.lastname: Gürses
authors.forename: Cem
authors.initials: C
authors.lastname: Saka
authors.forename: Deniz
authors.initials: D
authors.lastname: Belen
authors.forename: Kazim
authors.initials: K
authors.lastname: Yiğitkanli
authors.forename: Serkan
authors.initials: S
authors.lastname: Simşek
authors.forename: Istemihan
authors.initials: I
authors.lastname: Akin
authors.forename: Murad
authors.initials: M
authors.lastname: Bavbek
mesh_terms: D049913:ACTH-Secreting Pituitary Adenoma / Q000601:surgery; D000236:Adenoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D003919:Diabetes Insipidus / Q000453:epidemiology / Q000209:etiology; D005260:Female; D049912:Growth Hormone-Secreting Pituitary Adenoma / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000293:injuries / Q000473:pathology; D009300:Nasal Septum / Q000293:injuries / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D019635:Neurosurgical Procedures / Q000379:methods*; D009668:Nose Diseases / Q000453:epidemiology* / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology*; D015175:Prolactinoma / Q000601:surgery; D012189:Retrospective Studies; D013972:Thyrotropin / Q000378:metabolism; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014883:Water-Electrolyte Imbalance / Q000453:epidemiology / Q000209:etiology; D055815:Young Adult
chemical_list: D013972:Thyrotropin