Naveed Aslam.
Endonasal endoscopic approach to the lesions of sphenoid sinus and pituitary area.
Proceeding Shaikh Zayed Postgrad Med Inst Jan ;15(1):35-40.

Surgical access to the sphenoid, sellar and parasellar regions has traditionallv been done by transnasal or transcranial routes. Transnasal, transphenoidal approach has been used by neurosurgeons and ENT surgeons successfully for years for removal of pituitary tumors with lesser morbidity than transcranial approach. Over the last few years, endoscopic approach to these regions has gained much popularity because of advances in optics, endoscopes and illumination. This is a review of 74 cases of lesions in the area of sphenoid sinus and pituitary gland and their management with minimally invasive technique of endoscopic sinus surgery through the nose. Presentation, surgical details, advantages and disadvantages of endoscopic approach are discussed here. The technique was found to be successful in all these selected cases with quick postoperative recovery and no morbidity. Compared to the traditional methods of approaching sphenoid sinus and pituitary area, like external ethmoidectomy approach or transeptal transphenoidal approach, endoscopic technique was found to have the advantages of being minimally invasive with no external incisions, less traumatic to the patient, no need for operating microscope or intraoperative image intensifier, better assessment and clearance of the disease by the use of straight and angled vision endoscopes, quicker post operative recovery and lesser overall morbidity.

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