Nagpal Tapan
Department of Otolaryngology, SBKS MIRC, Waghodia, Vadodara, Gujarat, India 390007.
Ear Nose Throat J. 2015 Sep;94(9):E20-2.
Pituitary adenomas are benign tumors that arise within the anterior lobe (the adenohypophysis) of the pituitary gland in the sella turcica. As they grow, they can extend through the pituitary stalk and into the suprasellar compartment. The surgical management of these adenomas via a conventional intradural approach is fraught with a high risk of causing a large cerebrospinal fluid leak. We report a case of pituitary adenoma in a 60-year-old woman whose surgery was performed via a minimally invasive endoscopic transnasal transsphenoidal transtuberculum sellae extradural approach.
垂体腺瘤是起源于蝶鞍内垂体前叶(腺垂体)的良性肿瘤。随着肿瘤生长,它们可穿过垂体柄延伸至鞍上间隙。通过传统的硬脑膜内入路对这些腺瘤进行手术治疗,极易导致大量脑脊液漏。我们报告了一例60岁女性垂体腺瘤患者,其手术采用了微创内镜经鼻经蝶鞍结节硬膜外入路。