Wilson W R, Khan A, Laws E R
Division of Otolaryngology, George Washington University Medical Center, Washington, DC 20037.
Laryngoscope. 1990 Aug;100(8):817-9. doi: 10.1288/00005537-199008000-00004.
Our experience with over 147 operations for pituitary disease has given us an opportunity to use and evaluate four separate transseptal approaches. Three approaches have been described previously in the literature: the sublabial transseptal, the open rhinoplasty, and the alotomy with anterior septal dissection. The fourth approach, alotomy with posterior septal dissection, is described here. The advantages and disadvantages of each are discussed, as are the complications of transseptal surgery. A working knowledge of the various transseptal approaches to the pituitary is imperative for the otolaryngologist who participates in pituitary surgery.
我们在147例以上垂体疾病手术中的经验，使我们有机会使用和评估四种不同的经鼻中隔入路。此前文献中已描述了三种入路：唇下经鼻中隔入路、开放式鼻整形术入路以及伴有前鼻中隔分离的鼻切开术入路。本文介绍了第四种入路，即伴有后鼻中隔分离的鼻切开术入路。文中讨论了每种入路的优缺点以及经鼻中隔手术的并发症。对于参与垂体手术的耳鼻喉科医生而言，全面了解垂体的各种经鼻中隔入路至关重要。
