Guanti bianchi technique for resection of selected pituitary adenomas.

Autor:	Villalonga JF; LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina.; Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina., Burroni M; Department of Neurosurgery, Hospital Pedro de Elizalde, Buenos Aires, Argentina., Fabozzi GL; Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of Neurosurgery, University of Napoli 'Federico II', Naples, Italy., Solari D; Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of Neurosurgery, University of Napoli 'Federico II', Naples, Italy., Campero A; LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina.; Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina., Cappabianca P; Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of Neurosurgery, University of Napoli 'Federico II', Naples, Italy., Cavallo LM; Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of Neurosurgery, University of Napoli 'Federico II', Naples, Italy.
Jazyk:	angličtina
Zdroj:	Brain & spine [Brain Spine] 2023 Feb 25; Vol. 3, pp. 101724. Date of Electronic Publication: 2023 Feb 25 (Print Publication: 2023).
DOI:	10.1016/j.bas.2023.101724
Abstrakt:	Introduction: Since the introduction of the endoscopic endonasal approach (EEA) to skull base, the nasal phase has been a true challenge as it represents the moment of definition of the corridor, thus defining the instruments maneuverability at tumor removal phase. The longstanding cooperation between ENT and neurosurgeons have provided the possibility of creating adequate corridor with maximal respect toward nasal structures and mucosa. This sparked the idea of entering the sella as thieves, so we named "Guanti Bianchi" technique a lesser invasive variation of the approach for the removal of selected pituitary adenoma. Research Question: The purpose of this study is to present the preliminary results of "Guanti Bianchi" technique. Material and Methods: Data from 17 patients undergoing "Guanti Bianchi" technique (out of 235 standard EEA) at our center, were retrospectively analysed. ASK Nasal-12, a quality-of-life instrument developed specifically to assess patient perception of nasal morbidity, was administered pre- and postoperatively. Results: 10 (59%) patients were men and 7 (41%) women. The mean age was 67.7 (range 35-88). The average duration of the surgical procedure was 71.17 minutes (range 45-100). GTR was achieved in all patients, no postoperative complications were observed. Baseline ASK Nasal-12 was near normal in all patients, 3/17 (17,6%) experienced transitory very mild symptoms without any worsening at 3 and 6 months. Discussion and Conclusions: This minimally invasive technique does not require turbinectomy or carving of the nasoseptal flap, it alters the nasal mucosa as little as necessary, and it is quick and easy to perform. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.)
Databáze:	MEDLINE
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