Minim Invasive Neurosurg 2008; 51(5): 272-274
DOI: 10.1055/s-0028-1082324
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

A Simplified Direct Endonasal Approach for Transsphenoidal Surgery

M. Nejadkazem 1 , A. Samii 2 , R. Fahlbusch 3 , S. Bidadi 4
  • 1Department of Ear, Nose and Throat, Imam Reza University Hospital, Tabriz, Iran
  • 2Neurosurgery Department, International Neuroscience Institute, Hannover, Germany
  • 3International Neuroscience Institute, Hannover, Germany
  • 4Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Further Information

Publication History

Publication Date:
14 October 2008 (online)

Abstract

Having the experience of more than 4 000 hypophysectomy operations (150 cases per year on the average) by the senior author, initially performed via an intracranial, then a transseptal approach, now a direct endonasal approach, as a minimal invasive technique, is introduced to reduce the complications and for better comfort of the patient. It is the least traumatic route to the sella turcica, it avoids brain retraction, and it provides excellent visualization of the pituitary gland and lesions related to that structure. The brilliant increased vision of the surgical target offered by the endoscope can enable a more effective removal of the lesion, followed by superior clinical results and a reduction in the incidence of complications.

References

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Correspondence

S. BidadiMD 

c/o Prof. H. Bidadi

Department of Solid State and Electronics

Faculty of Physics

University of Tabriz

51664 Tabriz

Iran

Phone: +98/411/330 57 49

Fax: +98/411/334 12 44

Email: bidadi@tabrizu.ac.ir

Email: sbidadi@yahoo.com