Perioperative nasal and paranasal sinus considerations in transsphenoidal surgery for pituitary disease.

Abstract:

:Endoscopic endonasal skull base surgery has emerged as the treatment modality of choice for a range of skull base lesions, particularly pituitary adenomas. However, navigation and manipulation of the nasal corridor and paranasal sinuses requires that surgeons are aware of effective techniques to maximize patient outcomes and avoid sinonasal morbidity postoperatively. This paper is a narrative review aimed to provide an updated and consolidated report on the perioperative management of the nasal corridor and paranasal sinuses in the setting of endoscopic skull base surgery for pituitary disease. Anatomic variants and common surgical techniques are discussed. Post-operative complications are evaluated in detail. Understanding the structural implications of the endonasal approach to the sphenoid is crucial to optimization of the surgical outcomes. We propose guidelines for perioperative management of endoscopic endonasal skull base surgery for pituitary diseases. Standardized treatment algorithms can improve patient satisfaction, and increase the comparability and the quality of reported information across research studies.

journal_name

Br J Neurosurg

authors

Caulley L,Uppaluri R,Dunn IF

doi

10.1080/02688697.2020.1731424

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

246-252

issue

3

eissn

0268-8697

issn

1360-046X

journal_volume

34

pub_type

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