title: A new modified speculum guided single nostril technique for endoscopic transnasal transsphenoidal surgery: an analysis of nasal complications.
abstract: Abstract The endoscopic transnasal, transsphenoidal surgical technique for pituitary tumour excision has generally been regarded as a less invasive technique, ranging from single nostril to dual nostril techniques. We propose a single nostril technique using a modified nasal speculum as a preferred technique. We initially reviewed 25 patients who underwent pituitary tumour excision, via endoscopic transnasal transsphenoidal surgery, using this new modified speculum-guided single nostril technique. The results show shorter operation time with reduced intra- and post-operative nasal soft tissue injuries and complications.
authors: Department of Neurosurgery, Faculty of Medicine, University of Malaya , Kuala Lumpur , Malaysia.
authors: Vicknes
authors: V
authors: Waran
authors: Ing Ping
authors: IP
authors: Tang
authors: Ravindran
authors: R
authors: Karuppiah
authors: Khairul Azmi
authors: KA
authors: Abd Kadir
authors: Hari
authors: H
authors: Chandran
authors: Kalai Arasu
authors: KA
authors: Muthusamy
authors: Narayanan
authors: N
authors: Prepageran
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods*; D009666:Nose / Q000293:injuries*; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000628:therapy*; D011446:Prospective Studies; D013101:Sphenoid Sinus / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation* / Q000379:methods*; D013525:Surgical Instruments; D016896:Treatment Outcome; D055815:Young Adult