The Ohio State University College of Medicine, 370 W 9th Avenue, Columbus, OH 43210, USA.
Department of Neurological Surgery, The Ohio State University Wexner Medical Center, 410 W 10th Avenue, Columbus, OH 43210, USA.
Otolaryngol Clin North Am. 2022 Apr;55(2):431-448. doi: 10.1016/j.otc.2021.12.011.
Pituitary surgery has undergone rapid advancements in the last 30 years, secondary to improved surgical techniques and technologies, including those that allow endoscopic approaches. Although the endoscopic endonasal approach (EEA) offers minimally invasive access to the region of the pituitary gland, complications are a significant consideration for the combined otolaryngology-neurosurgery team that is preparing for a case. In this article, we discuss various complications related to the EEA in pituitary surgery and explore ways to plan for and avoid them during surgery.
过去 30 年来,由于手术技术和技术的改进,包括允许使用内窥镜方法在内,垂体手术取得了快速进展。虽然内窥镜经鼻入路(EEA)为进入垂体区域提供了微创途径,但对于准备进行手术的耳鼻喉科-神经外科联合团队来说,并发症是一个重要的考虑因素。在本文中,我们讨论了与垂体手术中的 EEA 相关的各种并发症,并探讨了在手术期间计划和避免这些并发症的方法。