Koltai P J, Goldstein J C, Parnes S M, Price J C
Arch Otolaryngol. 1985 Jul;111(7):456-8. doi: 10.1001/archotol.1985.00800090070011.
The history of transsphenoidal hypophysectomy demonstrates the soundness of the basic concept of approaching the sella turcica in a midline fashion through the nose. Conceptually, it has not been eclipsed since first evolved by Cushing in the early part of this century. The surgical advances since Cushing's time have been major refinements in instrumentation and minor refinements of his basic technique. The external rhinoplasty approach is such a refinement. We have used this technique in a two-year period between June 1982 and June 1984 on 14 patients. We have found this technique for transsphenoidal hypophysectomy to be a simple, reliable, rapid technique for exposing the septum and the floor of the nose. It provides excellent exposure to the sphenoid sinus and pituitary gland without loss of nasal tip projection or other cosmetic deformity.
经蝶窦垂体切除术的历史证明了通过鼻腔以中线方式进入蝶鞍这一基本概念的合理性。从概念上讲，自本世纪初由库欣首次提出以来，它从未过时。自库欣时代以来的手术进展主要是器械方面的重大改进以及对其基本技术的细微改进。外鼻整形术入路就是这样一种改进。我们在1982年6月至1984年6月的两年时间里，对14例患者采用了这种技术。我们发现这种经蝶窦垂体切除术技术是一种简单、可靠、快速的暴露鼻中隔和鼻底的技术。它能很好地暴露蝶窦和垂体，而不会导致鼻尖突出丧失或其他美容畸形。
