A new modified speculum guided single nostril technique for endoscopic transnasal transsphenoidal surgery: an analysis of nasal complications

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...

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Bibliographic Details
Published in:British journal of neurosurgery 2013-12, Vol.27 (6), p.742-746
Main Authors: Waran, Vicknes, Tang, Ing Ping, Karuppiah, Ravindran, Abd Kadir, Khairul Azmi, Chandran, Hari, Muthusamy, Kalai Arasu, Prepageran, Narayanan
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
endoscopic transnasal transsphenoidal surgery
Endoscopy - instrumentation
Endoscopy - methods
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Nasal Cavity - surgery
nasal complications
Neurosurgery
Neurosurgical Procedures - instrumentation
Neurosurgical Procedures - methods
Nose
Nose - injuries
Pituitary gland
Pituitary Neoplasms - pathology
Pituitary Neoplasms - surgery
pituitary tumour
Postoperative Complications - epidemiology
Postoperative Complications - therapy
Prospective Studies
single nostril technique
Sphenoid Sinus - surgery
Surgery, Computer-Assisted - instrumentation
Surgery, Computer-Assisted - methods
Surgical Instruments
Surgical outcomes
Treatment Outcome
Tumors
Young Adult
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Summary: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.
ISSN:0268-8697
1360-046X
DOI:10.3109/02688697.2013.791667