Ganzer U, Ischebeck W
Laryngol Rhinol Otol (Stuttg). 1979 Oct;58(10):795-800.
Most of the hypophyseal adenomas can be removed by extracranial operation techniques. The ENT specialist prepares the approach to the pituitary gland while the neurosurgeon will resect the adenoma after having given the indication for this procedure. In this paper special attention is called to one of the extracranial techniques i.e. the sublabial-transseptal-transsphenoidal approach in hypophysectomy. It seems to be more advantageous than the other because the pituitary gland can be exactly removed oppositely. By that way the damage of the sinus, the carotid artery or the optic nerve can be avoided. The possibility of perforation of the nasal septum, deformation of the nose or atrophic rhinitis is of small importance especially if the otorhinologist will prepare the extracranial part of the operation. Moreover the neurosurgeon meets with a great and clear operation area because the anterior wall of the sella turcica can be resected extremely. Besides further advantages discussed in the paper the transseptal-transsphenoidal approach is rather simple, distinct and shortens the operation time.
大多数垂体腺瘤可通过颅外手术技术切除。耳鼻喉科专家准备垂体的手术入路，而神经外科医生在给出该手术指征后将切除腺瘤。本文特别关注颅外技术之一，即垂体切除术中的唇下 - 鼻中隔 - 经蝶窦入路。它似乎比其他方法更具优势，因为可以准确地对向切除垂体。通过这种方式，可以避免鼻窦、颈动脉或视神经的损伤。鼻中隔穿孔、鼻子变形或萎缩性鼻炎的可能性较小，尤其是如果耳鼻喉科医生准备手术的颅外部分。此外，神经外科医生会遇到一个大而清晰的手术区域，因为蝶鞍前壁可以大量切除。除了本文讨论的其他优点外，经鼻中隔 - 经蝶窦入路相当简单、清晰，且缩短了手术时间。
