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Fifteen Years Experience with Transnasal Trans-Sphenoidal Operation for Pituitary Tumours

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Modern Neurosurgery 1

Abstract

Although Koenig in 1898 developed a bucco-nasal transnasal approach to the pituitary gland, operations using a superior nasal approach became more popular. For example, the Giordano superior nasal approach as modified by Schloffer in 1907 was used successfully in patients (10, 12). Moszkowicz (20) also modiefied Schloffer’s operation by doing the procedure in two stages, trying to reduce the infection rate by making the entry into the sphenoid sinus at a second stage. A year later, Borchard used Schloffer’s technique successfully in a patient. Hochenegg also described a superior nasal approach which Cushing used in three cases (9, 10). The operative mortality was reported to be 25–38% with these techniques due to uncontrolled infections.

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References

  1. Alyea, O.E.V.: Sphenoid sinus — anatomic study with consideration of the structural characteristics of the sphenoid sinus. Arch. Otolaryngol. 34, 225–253 (1941)

    Article  Google Scholar 

  2. Backlund, E.O., Rähn, T., Sarby, B., de Schryver, A., Wennerstrand, J.: Closed Stereotaxic Hypophysectomy by means of 6°C0 Gamma Radiation. Acta Radiologica Therapy Physics Biology 2, 545–555 (1972)

    Article  Google Scholar 

  3. Backlund, E.O., Rähn, T., Sarby, B., Wennerstrand, J.: Stereotaxic Gammahypophysectomy. Acta Neural Scand. 48, 261–262 (1972)

    Article  Google Scholar 

  4. Bateman, G.H.: Trans-sphenoidal hypophysectomy, a review of 70 cases treated in the past two years. Trans. Am. Acad. OphthalmoL OtolaryngoL 66, 103–110 (1962)

    CAS  Google Scholar 

  5. Bergland, R.M., Ray, B.S., Torack, R.M.: Anatomical variations in the pituitary gland and adjacent structures in 225 human autopsy cases. J. Neurosurg. 28, 93–99 (1968)

    Article  PubMed  CAS  Google Scholar 

  6. Chiari, O.: Über eine Modifikation der Schlofferschen Operation von Tumoren der Hypophyse. Wien, Klin. Wochenschr. 25, 5–6 (1912)

    Google Scholar 

  7. Congdon, E.D.: The distribution and mode of septa and walls of the sphenoid sinus. Anat. Rec. 18, 97–116 (1920)

    Article  Google Scholar 

  8. Cope, Z.V.: The internal structure of the sphenoidal sinus. J. Anat. Physiol. 51, 127–136 (1917)

    CAS  Google Scholar 

  9. Cushing, H.: The pituitary body and its disorders, p. 298. Philadelphia: J.B. Lippincott Co. 1912

    Google Scholar 

  10. Halstead, A.E.: Remarks on the operative treatment of tumors of the hypophysis. Surg. Gynecol. Obstet. 10, 494–502 (1910)

    Google Scholar 

  11. Hardy, J., Wigser, S.M.: Trans-sphenoidal surgery of pituitary fossa tumors with televised radio-fluoroscopic control. J. Neurosurg. 23, 612–619 (1965)

    Article  PubMed  CAS  Google Scholar 

  12. Heuer, G.J.: The surgical apparoach and the treatment of tumors and other lesions about the optic chiasm. Surg. Gynecol. Obstet. 53, 489–518 (1931)

    Google Scholar 

  13. Hirsch, O.: Diskussion in: Offizielles Protokoll der K.K. Gesellschaft der Ärzte. Wien Klin. Wochenschr. 22, 473 (1909)

    Google Scholar 

  14. Hirsch, O.: Tumeurs hypophysaires basée sur 100 cas apérés par l’auteur d’apres sa propre méthode endonasale. La Presse Med. 1, 578–580 (1926)

    Google Scholar 

  15. Hirsch, O.: Pituitary tumors, a borderland between cranial and trans-sphenoidal surgery. N. Engl. J. Med. 254, 937–939 (1956)

    Article  PubMed  CAS  Google Scholar 

  16. James, J.A.: Transethmosphenoidal hypophysectomy. Arch. OtolaryngoL 86, 256–264 (1967)

    Article  PubMed  CAS  Google Scholar 

  17. Kanavel, A.B.: The removal of tumors of the pituitary body by an infranasal route. J.A.M.A. 53, 1704–1707 (1909)

    Article  Google Scholar 

  18. Kanavel, A.B.: A consideration of final results in hypophyseal surgery. Surg. GynecoL Obstet. 16, 541–548 (1913)

    Google Scholar 

  19. Kaplan, H.A., Browder, J., Krieger, A.J.: Intercavernous connections of the cavernous sinus. J. Neurosurg. 45, 166–168 (1976)

    Article  PubMed  CAS  Google Scholar 

  20. Moszkowicz, L.: Zur Technik der Operationen an der Hypophyse. Wien Klin. Wochenschr. 20, 792–795 (1940)

    Google Scholar 

  21. Peele, J.C.: Unusual anatomical variations of the sphenoid sinus. Laryngoscope 67, 208–237 (1957)

    PubMed  CAS  Google Scholar 

  22. Rähn, T., Thorén, M., Hall, K., Backlund, E.O.: Stereotactic radiosurgery in Cushing’s syndrome: Acute radiation effects. Surg. Neurol. 14, 85–92 (1980)

    PubMed  Google Scholar 

  23. Rand, R.W.: Microneurosurgery. 2nd ed. St. Louis: C.V. Mosby Co. 1978

    Google Scholar 

  24. Thorén, M., Rähn, T., Hall, K., Backlund, E.O.: Treatment of pituitary dependent Cushing’s syndrome with closed stereotactic radiosurgery by means of 60Co Gamma Radiation. Acta Endocrinologica 88, 7–17 (1978)

    Google Scholar 

  25. West, J.M.: The surgery of the hypophysis from the standpoint of the rhinologist. J.A.M.A. 54, 1132–1134 (1910)

    Article  Google Scholar 

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© 1982 Springer-Verlag Berlin Heidelberg

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Rand, R.W. (1982). Fifteen Years Experience with Transnasal Trans-Sphenoidal Operation for Pituitary Tumours. In: Brock, M. (eds) Modern Neurosurgery 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08801-2_20

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  • DOI: https://doi.org/10.1007/978-3-662-08801-2_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-08803-6

  • Online ISBN: 978-3-662-08801-2

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