Artico M, Pastore F S, Fraioli B, Giuffrè R
Center for Historical Documentation on Italian Neurosurgery, Institute of Neurosurgery, University of Rome Tor Vergata, Italy.
Neurosurgery. 1998 Apr;42(4):909-11; discussion 911-2. doi: 10.1097/00006123-199804000-00121.
This report describes the fundamental contribution made by Davide Giordano, proposing the transglabellar surgical approach in a period in which transfacial and transbasal operative approaches to the pituitary gland were considered inadvisable because of their risk. His idea was to gain access through bilateral paranasal and frontal skin incisions, allowing removal of the ethmoid bone and the anterior wall of the sphenoidal cube. With the anterior and inferior aspects of the sella turcica thus exposed, bone is removed and the gland is exposed by incision of the dura mater. The technique proposed by Giordano is undoubtedly a forerunner of the transsphenoidal route to the pituitary gland. The importance of his contribution was confirmed by Cushing, who reported his first use of the approach of Giordano in 1909 in a patient with a pituitary adenoma. The efforts of Giordano clearly inspired surgeons of his era to perform this operation clinically, giving impetus to the further development of neurosurgery.
本报告描述了达维德·乔达诺所做的重要贡献，他在经面部和经颅底垂体手术方法因风险而被认为不可取的时期，提出了经眉间手术入路。他的想法是通过双侧鼻旁和额部皮肤切口进入，去除筛骨和蝶窦前壁。这样蝶鞍的前下方就暴露出来了，去除骨质，切开硬脑膜暴露腺体。乔达诺提出的技术无疑是经蝶窦垂体手术入路的先驱。库欣证实了他的贡献的重要性，库欣于1909年报告了他首次在一名垂体腺瘤患者中使用乔达诺的手术方法。乔达诺的努力显然激励了他那个时代的外科医生在临床上开展这种手术，推动了神经外科的进一步发展。
