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Evolution of Transsphenoidal Surgery

2003
The transsphenoidal route is the dominant approach to the pituitary and sellar area and is utilized for more than 95% of the surgical indications in this region. Pituitary adenomas represent the third most common primary intracranial tumor after gliomas and meningiomas, with a percentage of more than 15% in most series reported in the literature and ...
CAPPABIANCA, PAOLO   +2 more
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Endoscopic transsphenoidal surgery

Journal of Neuro-Oncology, 2001
Endoscopic transsphenoidal surgery was developed under a minimally invasive surgical strategy. This endonasal transsphenoidal endoscopy eliminates a sublabial or transfixional incision, the use of a transsphenoidal retractor and any nasal packing.Reported are 160 patients who had undergone endoscopic transsphenoidal surgery from 1993 to 1999.
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The supine position for transsphenoidal surgery

Neurosurgical Review, 1994
The supine position has been routinely used for transphenoidal microsurgery in our department since 1973. We had 404 patients, 387 of whom had pituitary micro-or macroadenomas. It is always satisfactory, allowing a very good control of intraoperative arterial pressure and prevention of air embolism. It is also comfortable for both surgeons.
FRAIOLI B   +4 more
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Complications of Transsphenoidal Surgery

Journal of Neuroscience Nursing, 1985
Transsphenoidal surgery has many advantages in providing access to the sella turcica. It is associated with relatively low morbidity and mortality but it should be recognized that it is not without risk. Often, signs and symptoms of complications from transsphenoidal surgery are observed by the nurse.
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Speculum Opening in Transsphenoidal Surgery

Operative Neurosurgery, 2006
Abstract OBJECTIVE: To assess the extent to which the transsphenoidal speculum can be safely opened at the face of and within the sphenoid sinus without risking damage to the optic nerves in the optic canals and at the orbital apex and the nerves coursing adjacent the walls of the sphenoid sinus.
Adriano S, Garcia, Albert L, Rhoton
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Endoscopic Endonasal Transsphenoidal Surgery

2002
The existence of a route through the nose to the brain that avoided disfiguring the face was well known to the Egyptians (2600 BC), who used to insert special hooked instruments up through the nostril and the sphenoid sinus to extract the brain in the mummification process.
CAPPABIANCA, PAOLO, DE DIVITIIS E.
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Patients Simulator for Transsphenoidal Surgery

2018 International Symposium on Micro-NanoMechatronics and Human Science (MHS), 2018
We developed “Bionic Brain” which was equipped with cranial base module to train for transsphenoidal surgery. In the transsphenoidal surgery training by using this Bionic Brain, the user can insert an endoscope and a curette into the nose and sphenoid sinus, and remove tumors from the pituitary gland.
Taisuke Masuda   +11 more
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The history and evolution of transsphenoidal surgery

Journal of Neurosurgery, 2001
✓ Initial attempts at transcranial approaches to the pituitary gland in the late 1800s and early 1900s resulted in a mortality rate that was generally considered prohibitive. Schloffer suggested the use of a transsphenoidal route as a safer, alternative approach to the sella turcica. He reported the first successful removal of a pituitary tumor via the
J K, Liu   +4 more
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Pituitary Surgery: Transsphenoidal Approach

Neurosurgery, 2002
THE TRANSSPHENOIDAL APPROACH for sellar tumors has evolved significantly since it was described initially during the first decade of the 20th century. The approach currently incorporates technological advancements and refinements in patient selection, operative technique, and postoperative care.
John A, Jane   +4 more
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Frameless Stereotaxy for Transsphenoidal Surgery

Neurosurgery, 1999
To evaluate the utility of performing transsphenoidal surgery with computer-assisted image guidance.Thirty-seven patients underwent transsphenoidal surgery in which a frameless stereotactic system was used to confirm the trajectory to the sella and to locate the anatomic midline.
W J, Elias   +3 more
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