Trans-superior meatus endoscopic surgery of sphenoidal sinus and sellar area: a surgical technique for lesion of sellar area

Autor:	Jian-Xin Yue, Song Zhang, Wei-Jia Kong, Yan-Jun Wang, Xin-Gao Xiong, Li-Xin Zhu
Rok vydání:	2008
Předmět:	Adult Male medicine.medical_specialty Meatus Adolescent Sphenoid Sinus Endoscopic surgery Lesion Young Adult Paranasal Sinus Diseases otorhinolaryngologic diseases Humans Medicine Pituitary Neoplasms Sella Turcica Sinus (anatomy) Aged Sphenoidal sinus medicine.diagnostic_test business.industry Endoscopy General Medicine Middle Aged Otorhinolaryngologic Surgical Procedures Surgery medicine.anatomical_structure Sella turcica Otorhinolaryngology Female medicine.symptom business
Zdroj:	Acta Oto-Laryngologica. 128:1233-1237
ISSN:	1651-2251 0001-6489
DOI:	10.1080/00016480801901733
Popis:	A trans-superior meatus endoscopic approach to treat diseases in the sphenoid sinus and sellar area is a safe, minimally traumatic, and effective method.To avoid complications, we explored the use of the superior meatus and superior turbinate in the endoscope approach to the sphenoid sinus and sellar area.This was a retrospective analysis of the curative effect of the trans-superior meatus approach for diseases in the sphenoid sinus and sellar area in 138 cases.All of 138 patients had successful operations and no serious complication occurred. All cases were followed up for a period of 1-3 years. No recurrence was found in 94 patients with isolated sphenoid sinus disease (sinusitis, mucoceles, or mycosis). Of 24 patients with pituitary adenoma, 17 patients had entire resection and no recurrence was found. Four patients had subtotal resection and three patients had partial resection with postoperative radiotherapy, and preoperative symptoms were improved. Of 13 cases of cerebrospinal rhinorrhea in the sphenoid sinus, 12 cases were successfully repaired by a single operation and 1 case was successfully repaired by a repeat operation. Among seven cases with decompression of the optic canal, four had obvious effect, two cases showed improvement, and there was no improvement in one case.
Databáze:	OpenAIRE
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