. Transsphenoidal literally means "through the sphenoid sinus." It is a surgery performed through the nose and sphenoid sinus to remove pituitary tumors (Fig. What is transsphenoidal pituitary surgery? Transsphenoidal surgery is a surgical procedure that allows the surgeon to remove tumours, cysts or other abnormalities that can affect the pituitary gland and the area around it. This means the surgeon goes through the nose to get to the tumor. Transsphenoidal and Endoscopic Surgery for Pituitary Tumors Transsphenoidal and Endoscopic Surgery for Pituitary Tumors Most adult and pediatric pituitary tumors can be completely removed with microsurgical or endoscopic approaches through the nose, and cure rates at UCSF's California Center for Pituitary Disorders are above 90%. BACKGROUND: Inconsistent findings have been reported regarding the efficacy and safety of endoscopic and microscopic transsphenoidal surgery for pituitary adenoma. The patient will require hospitalization for two to five days after the surgery. Postoperative assessments are tailored to the early and later postoperative periods. The patient will require hospitalization for two to five days after the surgery. The back wall of the sinus covers the pituitary gland. Although utilization of fully endoscopic transsphenoidal approaches has dramatically increased recently because it offers enhanced visualization, current outcomes data do not clearly favor either . However, careful evaluations of the definitive diagnosis, adenoma size and growth rate, relationship with surrounding tissue, general condition, and neurosurgical procedural . What is transsphenoidal surgery? • Don't use any lotion, powder, oils, or deodorant. Endoscopic pituitary surgery, also called transsphenoidal endoscopic surgery, is the most common surgery used to remove pituitary tumors. transsphenoidal pituitarysurgery,'' ''nursingcareand transsphenoidal pituitary tumor surgery,'' ''glucocor-ticoids replacement in pituitary surgery,'' and ''glu-cose detection in cerebrospinal fluid leak.'' To be more comprehensive, the following key words were also used in finding more relevant articles: ''pi- Background The endoscopic transsphenoidal approach is an efficient minimally invasive procedure for removal of pituitary tumors that can be accomplished through a one-hand or two-hand approach. It involves the collaboration between a neurosurgeon and an ENT specialist who has specific training in endoscopic sinus surgery, with access to highly specialized technology and surgical staff, like those available at Willis-Knighton. . This is a newer technique and is called endoscopic pituitary surgery. However, a significant number of complications do occur. Endoscopic Transsphenoidal Surgery can be done with help of a microscope, endoscope, or both. Background: Currently, transsphenoidal surgery is considered the procedure of choice for treating most sellar lesions. viii 11 Combined Hybrid Microscopic and Endoscopic Transsphenoidal Surgery: Anatomy, Instrumentation, and Technique. This section also offers explanations regarding diagnosis, treatment, therapy and surgery. With transsphenoidal surgery, surgeons approach the pituitary gland through the nose and sphenoid sinus — transsphenoidal means "through the sphenoid sinus." Using a microscope or an endoscope, they can navigate through these passages and remove the tumor through the nose without needing to make an incision in face or drill through the skull. This is a gland relating to the scale of a pea which is found at the bottom of the human brain behind the eyes. 1). Transsphenoidal surgery is the mainstay of treatment for most pituitary adenomas and other sellar masses. In rare cases, pituitary tumors cannot be removed using the endoscopic expanded endonasal approach. Damages pituitary gland: During surgery, your pituitary gland can be injured. Transsphenoidal surgery (TSS) to resect an adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma is the first-line treatment for Cushing's disease (CD), with increasing usage of endoscopic transsphenoidal (ETSS) technique. Introduction: Endoscopy controlled transsphenoidal surgery of pituitary tumors has become quite popular during the last years. Transsphenoidal surgery for the removal of tumors is considered a safe procedure, but all forms of surgery carry some risk. Pituitary adenomas are benign tumors which arise from the pituitary gland and can be successfully treated with transsphenoidal (through the sinus) surgery. More recently, technological advances have led to the use of rigid endoscopes in pituitary surgery. The aim of this study was to assess remission rates and postoperative complications following ETSS for CD. A single-surgeon endoscopic endonasal transsphenoidal surgery with two-hand/one-and-half nostril approach is an effective and safe procedure for removal of large pituitary tumors. Transsphenoidal surgery is a procedure that allows the surgeon to remove tumours, cysts or other abnormalities that can affect the pituitary gland and the area around it. Endoscopic endonasal transsphenoidal surgery may affect olfaction at 1 month after surgery, and olfactory function is expected to return after 3 months. This section answers frequently asked questions regarding transsphenoidal surgery for pituitary adenomas. Transsphenoidal Surgery is a minimally invasive surgery for removing pituitary tumor.IndianMedTrip offers low-cost treatment for pituitary tumor by best neurosurgeons in India. 2 popular forms of Abbreviation for Transsphenoidal Pituitary Surgery updated in 2022 . Transsphenoidal means "through the sphenoid sinus." The sphenoid sinus is one of the air spaces behind the nose. Using an endoscopic camera, microscope, small light and precision instruments, the surgeon enters the sinus through the nose to remove the mass. Objective: Transsphenoidal surgery (TS) for sellar lesions is an established and safe procedure but complications can occur, particularly involving the neuroendocrine system. However, a significant number of complications do occur. The word comes from 'trans', meaning 'to cross or pass through', and 'sphenoid', the name of the cavity (the sphenoid sinus) that is passed through to reach the pituitary gland. Transsphenoidal surgery for pituitary tumors is surgery to remove a tumor (lump) on the pituitary gland. It is responsible for regulating most of your body's hormones, the chemical messengers that travel through your blood. Transsphenoidal surgery seems to be a reasonably safe procedure, with a mortality rate of less than 1%. gross total resection), relieve pressure and minimize the risk of relapse. From Wikipedia, the free encyclopedia Transsphenoidal surgery is a type of surgery in which an endoscope or surgical instruments are inserted into part of the brain by going through the nose and the sphenoid bone (a butterfly-shaped bone forming the anterior inferior portion of the brain case) into the sphenoidal sinus cavity. A retrospective analysis of a prospective single . Contact Dr. Swearingen for any emergencies. Transsphenoidal Surgery. This study was carried out to establish the long term efficacy and safety of TSS in children. The paper by Ammirati and Colleagues1 comes to the conclusion that, in the performance of transsphenoidal pituitary surgery, the traditional microsurgical approach is less likely to be accompanied by vascular complications than the transnasal endoscopic method. Transsphenoidal surgery(TSS) is an effective treatment that can directly remove pituitary tumors that cause PDH in canines under a single course of general anesthesia. Your pituitary gland is a small, bean-shaped structure that lies at the base (bottom) of your brain behind your eyes. There are two different surgical options for performing the transsphenoidal procedure, the transseptal and the endonasal In many centers throughout the world, this technique is now routinely used under the same indications . Transsphenoidal surgery can be performed with an endoscope, microscope, or both. After Your Transsphenoidal Surgery. It is called this because the surgery is done through the nose. . See also: surgery . 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