摘要
The rhinologist participating in microsurgery of the pituitary adenomaplays an important role in relieving the patients from suffering and indecreasing the incidence of complications.This paper summarily reportsrhinological aspects in 100 cases undergoing trans-nasosphenoid intrasellarmicrosurgery,including operative routes and incisions,methods for opening andreconstructing the sellar floor and nasal comPlications.The authors suggest aseptavestibular incision to modify Hirsch’s septal incision,and outline our fivemethods to open and reconstruct the sellar floor.The operator should select themost proper method according to different situations,in operation.The most dan-gerous complications are CSF rhinorrhea with supurative meningitis and fatalhemorrhage.In our experience five such cases were cured by medical and surgicaltreatments.
The rhinologist participating in microsurgery of the pituitary adenoma plays an important role in relieving the patients from suffering and in decreasing the incidence of complications.This paper summarily reports rhinological aspects in 100 cases undergoing trans-nasosphenoid intrasellar microsurgery,including operative routes and incisions,methods for opening and reconstructing the sellar floor and nasal comPlications.The authors suggest a septavestibular incision to modify Hirsch's septal incision,and outline our five methods to open and reconstruct the sellar floor.The operator should select the most proper method according to different situations,in operation.The most dan- gerous complications are CSF rhinorrhea with supurative meningitis and fatal hemorrhage.In our experience five such cases were cured by medical and surgical treatments.
