van Cauwenberge P, Calliauw L
Acta Otorhinolaryngol Belg. 1983;37(6):883-91.
The technique of the transethmoidal-transsphenoidal approach to the pituitary gland is described stepwise. The importance of a thorough preoperative radiological work-up and a preoperative X-ray image-intensifying control is outlined. The greatest disadvantages of the transethmoidal route are the extra-axial approach and the external scar. The greatest advantages are the shorter route than in the transseptal approach, the absence of endonasal complications and the minimal postoperative discomfort. In the own patient material consisting of 26 patients where a pituitary adenoma was removed, we noted no mortality, no meningitis and no endonasal complications. There were two cases of postoperative C.S.F. leak and one case of amaurosis and ophthalmoplegia of the heterolateral eye.
逐步描述了经筛窦-经蝶窦入路至垂体的技术。概述了术前全面影像学检查和术前X线影像增强控制的重要性。经筛窦入路的最大缺点是轴外入路和外部瘢痕。最大优点是比经鼻中隔入路的路径短、无鼻内并发症且术后不适最小。在我们自己的26例切除垂体腺瘤的患者材料中，我们未发现死亡、脑膜炎和鼻内并发症。有2例术后脑脊液漏，1例对侧眼黑矇和眼肌麻痹。
