Microscopic Transsphenoidal Surgery in the Era of Endoscopy: Are There Any Advantages?
| Autor: | Rennert RC; Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA., Fredrickson VL; Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA., Couldwell WT; Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA. Electronic address: neuropub@hsc.utah.edu. |
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| Jazyk: | angličtina |
| Zdroj: | Otolaryngologic clinics of North America [Otolaryngol Clin North Am] 2022 Apr; Vol. 55 (2), pp. 411-420. |
| DOI: | 10.1016/j.otc.2021.12.010 |
| Abstrakt: | Developed over 50 years ago, the microscopic transsphenoidal approach is a simple, efficient technique with proven efficacy for the surgical treatment of an array of sellar and parasellar diseases. Although utilization of fully endoscopic transsphenoidal approaches has dramatically increased recently because it offers enhanced visualization, current outcomes data do not clearly favor either approach. Potential advantages of the microscope that persist in the endoscopic era include decreased operative time; preservation of a single-surgeon, unobstructed, twohanded microsurgical technique; and limited disruption of the nasal mucosa. Endoscope-assisted microsurgical approaches can also be used to overcome limitations in visualization while preserving the aforementioned advantages. Competing Interests: Disclosure The authors have nothing to disclose. (Copyright © 2021 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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