Surgical Outcome of Endoscopic Endonasal Surgery for Non-Functional Pituitary Adenoma
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Background: Pituitary adenomas are the third most common intracranial neoplasm, accounting for 10%–25% of intracranial neoplasms with a prevalence of 16.9%. Recently for treating pituitary adenomas two important endoscopic approaches are used: a uninostril endonasal transsphenoidal approach and a binostril endonasal transsphenoidal method. Objective: Main goal is to identify most suitable approaches and evaluate the efficiency rate of uninostril and, endoscopic binostril method for treating pituitary adenomas. Method: In this retrospective study, 54 consecutive patient (Group A: binostril-34, Group B: uninostril-20) underwent endoscopic transsphenoidal binostril and uninostril surgery. Results: Uninostril endonasal approach provided the less amount of surgical freedom because axial plane freedom was limited by the nasal speculum than binostril method and surgery with uninostril approach patients visual acuity was 80% which was 6% lower than binostril approach. Conclusion: Binostril endoscopic approach is one step better for treatment of Pituitary adenoma. For measuring better outcome need further quantitative and qualitative data.
Authors and Affiliations
Md Moshiur Rahman, S. I. M. Khairun Nabi Khan, Robert Ahmed Khan, Harun Al Rashid, Md Shamsul Alam, Forhad Hossain Chowdhury, Umme Kulsum Sharmin Zaman
Keywords
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- EP ID EP537002
- DOI 10.21276/ijmrp.2018.4.5.039
- Views 108
- Downloads 0
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