Advertisement

Endoscopic Anatomy Along the Transnasal Approach to the Pituitary Gland and the Surrounding Structures

  • M. Tschabitscher
  • R. J. Galzio
Chapter

Abstract

“The nasal route is impracticable and can be never otherwise”, Dandy, 1945 [2]. This assumption of one of the greatest neurosurgeons of the 20th century proved to be wrong. The idea of reaching the pituitary along the preformed route through the nose and the sphenoid sinus goes back to Davide Giordano’s [4] theoretical considerations in 1894. Schloffer [13] first practically tried to access the pituitary by reflecting the nose and removing most of what is inside it, i.e. the nasal septum, the turbinates and the ethmoid. Kanavel [8] only reflected the lower half of the nose and thus spared the ethmoid, while Halstead [5] used a sublabial approach. With Hirsch’s [6, 7] work the transnasal approach made its first breakthrough in 1909.

Keywords

Internal Carotid Artery Cavernous Sinus Sphenoid Sinus Nasal Septum Ophthalmic Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Clara M (1966) Entwicklungsgeschichte des Menschen, 6.Aufl. VEB Georg Thieme, LeipzigGoogle Scholar
  2. 2.
    Dandy W.E. (1945) Surgery of the Brain. In: Lewis’ practice of surgery, vol 12. Maryland W. F. Prior Company Inc., Hagerstown, p 557Google Scholar
  3. 3.
    Ferner H (1960) Die Hypophysenzisterne des Menschen und ihre Beziehung zum Entstehungsmechanismus der sekundaren Sellaerweiterung. Z Anat Entw Gesch 121: 407–416CrossRefGoogle Scholar
  4. 4.
    Giordano D (1894) Manuale di medicina operativa. In: Duplay e Reclus (eds) Trattato di Chirurgia. UTET, Torino, pp 100–103. (quoted from Guiffré R. Neurosurgery 42: 909-912, 1998)Google Scholar
  5. 5.
    Halstead A.E. (1910) The operative treatment of tumors of the hypophysis. Surg Gynec & Obstet 10: 494–502Google Scholar
  6. 6.
    Hirsch O, Kotrnetz H (1931) Uber die topographische Beziehungen des Chiasma opticum zur Hypophyse und ihre Bedeutung fUr die Chirurgie des Hirnanhanges. Arch Klin Chirurgie 168: 85–110Google Scholar
  7. 7.
    Hirsch O (1909) Eine neue Methode der endonasalen Operation von Hypophysentumoren. Wiener Med Wochenschrift 12: 636–638Google Scholar
  8. 8.
    Kanavel AB (1909) The removal of tumors of the pituitary body by an infranasal route. JAMA 53: 1704–1707CrossRefGoogle Scholar
  9. 9.
    Lang J (1988) Klinische Anatomie der Nase, Nasenhohle und Nebenhohlen. Aktuelle OtoRhino-Laryngologie Bd 11. Georg Thieme, Stuttgart New YorkGoogle Scholar
  10. 10.
    McConnell EM (1953) The arterial blood supply of the human hypophysis cerebri. Anat Rec 115: 175–201PubMedCrossRefGoogle Scholar
  11. 11.
    Perneczky A, Tschabitscher M, Resch KDM (1993) Endoscopic anatomy for neurosurgery. Georg Thieme, Stuttgart New YorkGoogle Scholar
  12. 12.
    Schaeffer JP (1924) Some points in the regional anatomy of the optic pathway, with especial reference to tumors of the hypophysis cerebri and resulting ocular changes. Anat Rec 28:243–279CrossRefGoogle Scholar
  13. 13.
    Schloffer H (1906) Zur Frage der Operationen an der Hypophyse. Beitr Klin Chirurgie 50: 767–817Google Scholar
  14. 14.
    Zuckerkandl E (1893) Normale und Pathologische Anatomie der Nasenhohle und ihrer pneumatischen Anhaenge. Bd 1, 2. Aufl. Wilhelm Braumüller, Wien LeipzigGoogle Scholar

Copyright information

© Springer-Verlag Wien 2003

Authors and Affiliations

  • M. Tschabitscher
  • R. J. Galzio

There are no affiliations available

Personalised recommendations