title: Transseptal Subperichondrial Endoscopic Hypophysectomy With Preservation of Vital Nasal Structures.
abstract: BACKGROUND
  Pituitary surgery involving different techniques is often applied to the excision of benign adenomas. Operative interventions involved various approaches and techniques. Endoscopic transsphenoidal approach is the less traumatic route to the sella turcica, avoiding brain retraction, and also permitting good visualization, with lower rates of morbidity and mortality. Although mortality of pituitary surgery decreased by advances in surgical techniques morbidities such as synechiae formation, anosmia, bleeding, nasal septal perforations, drying, and incrustation due to traumatization of the nasal structures such as septum, nasal mucosa, and middle concha are the current problems in pituitary surgery. Here, the authors described an endoscopic transseptal subpericondrial hypophysectomy with minimal damage to normal anatomy and physiology and discussed advantages of this technique.
  
  
  METHODS
  The authors performed endoscopic transseptal subpericondrial hypophysectomy to 2 patients and evaluated intraoperative and postoperative results.
  
  
  RESULTS
  No complication was noted during surgery or postoperative period with endoscopic transseptal subpericondrial hypophysectomy technique.
  
  
  CONCLUSIONS
  Endoscopic transseptal subpericondrial hypophysectomy is a safe technique and, requires only a short surgery time and does not require the removal of any physiological tissue or cause any bleeding.
authors.affiliation: *Ear Nose Throat Clinic, Faculty of Medicine, Balikesir University, Balikesir†Ear Nose Throat Clinic, Faculty of Medicine, Adiyaman University, Adiyaman‡Neurosurgery Clinic, Faculty of Medicine, Balikesir University, Balikesir, Turkey.
authors.forename: Hasmet
authors.initials: H
authors.lastname: Yazici
authors.forename: Sedat
authors.initials: S
authors.lastname: Doğan
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Sönmez
authors.forename: Olcay
authors.initials: O
authors.lastname: Eser
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007016:Hypophysectomy / Q000379:methods*; D061270:Nasal Septal Perforation / Q000517:prevention & control*; D061646:Operative Time; D010911:Pituitary Neoplasms / Q000601:surgery*; D012658:Sella Turcica / Q000601:surgery*