Neurosurgical Review

, Volume 33, Issue 2, pp 243–249 | Cite as

A technical note on endonasal combined microscopic endoscopic with free head navigation technique of removal of pituitary adenomas

  • Ossama Al-MeftyEmail author
  • Svetlana Pravdenkova
  • Cristian Gragnaniello
Original Article


Pituitary surgery exemplifies the continuous refinement of surgical techniques. The transsphenoidal approach is the approach of choice to treat most pituitary adenomas. We report here, as a technical note, an operative nuance that represents an encompassment of various technical steps that we utilize in our current surgery, including the corroboration of navigation system on a free head with combined use of endoscope and microscope techniques.


Transsphenoidal surgery Sellar tumors Pituitary adenoma Surgical technique Microsurgery Endonasal endoscopy Neuronavigation Minimal invasive surgery 


Supplementary material


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Ossama Al-Mefty
    • 1
    Email author
  • Svetlana Pravdenkova
    • 1
  • Cristian Gragnaniello
    • 1
  1. 1.Department of NeurosurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA

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