Ganzer U
Arch Otorhinolaryngol. 1978 Nov 22;219(2):336-7. doi: 10.1007/BF00463795.
The transseptal-transsphenoidal approach in hypophysectomy is more advantageous than all other accesses because the pituitary gland can be removed oppositely. By that way the damage of e.g. the optic nerve or the carotid artery can be avoided. The possiblity of perforation of the nasal septum, deformation of the tip of the nose or rhinitis sicca has only small importance. Moreover the neurosurgeon meets with a great and clear operating area because the anterior wall of the sella turcica can be resected extremely. The transseptal-transsphenoidal approach is simple, distinct and shortens the operation time.
经鼻中隔-经蝶窦垂体切除术的方法比所有其他入路更具优势，因为垂体可从相对方向切除。通过这种方式，可以避免例如对视神经或颈动脉的损伤。鼻中隔穿孔、鼻尖变形或干燥性鼻炎的可能性影响较小。此外，神经外科医生面对的手术区域宽敞且清晰，因为蝶鞍前壁可以大量切除。经鼻中隔-经蝶窦入路简单、明确，可缩短手术时间。
