Rosegay H
J Neurosurg. 1981 Apr;54(4):448-54. doi: 10.3171/jns.1981.54.4.0448.
Cushing's experience with the surgical treatment of pituitary adenomas and other lesions producing the chiasmal syndrome is reviewed. The conclusion is that his ultimate rejection of the transsphenoidal route was not due to his dissatisfaction with this procedure, but rather came about because of the transfrontal route provided him with access to the pituitary and, at the same time, enabled him to verify all suprasellar tumors if the preoperative diagnosis was uncertain. Until he gave it up in 1929, Cushing used the transsphenoidal route preferentially when the sella was large. Some of his assistants in the clinic, notably Norman Dott, came away with a high and lasting regard for the operation, and Dott's subsequent influence on Gérard Guiot is a crucial link in the return of transsphenoidal surgery to its current preeminent position.
本文回顾了库欣对垂体腺瘤及其他导致视交叉综合征病变的外科治疗经验。结论是，他最终放弃经蝶窦入路并非因为对该手术不满意，而是因为经额入路能让他接触到垂体，同时，如果术前诊断不明确，还能使他确认所有鞍上肿瘤。在1929年放弃经蝶窦入路之前，当蝶鞍较大时，库欣优先采用经蝶窦入路。他在诊所的一些助手，尤其是诺曼·多特，对该手术怀有高度且持久的敬意，而多特随后对杰拉德·吉奥的影响是经蝶窦手术回归其当前卓越地位的关键环节。
