<b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">To report the results of our first series of patients undergoing a pure&...<b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">To report the results of our first series of patients undergoing a pure</span><span style="font-family:Verdana;">ly</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> endoscopic endonasal approach for pituitary surgery in Sohag University Hospitals. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">We reviewed 20 consecutive patients during the period from January 2017 to January 2020 with pituitary adenoma who underwent purely endoscopic transsphenoidal resection of their lesions. The patients’ clinical outcomes, degrees of tumor removal, and complications were reported. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There were 18 primary and 2 recurrent adenomas (19 nonfunctioning and 1 functioning GH secreting adenoma). The average degree of gross total removal for tumors was 70%, C.S.F leak occurred in 20%, diabetes insipidus in 10% and sellar hemorrhage in 5%. There was no post-operative mortality, vascular injury, sphenoiditis, septal perforation, epistaxis or general complication. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">A purely endoscopic approach for pituitary adenoma treatment is a safe and effective alternative to the traditional microscopic procedure.</span></span>展开更多
Objective: In this study we aimed to compare the effects of submucosal cauterization of the inferior turbinate with or without inferior partial turbinectomy. Materials and methods: In this prospective cohort study, 60...Objective: In this study we aimed to compare the effects of submucosal cauterization of the inferior turbinate with or without inferior partial turbinectomy. Materials and methods: In this prospective cohort study, 60 patients with inferior turbinate hypertrophy were randomized and divided into two groups. The first one was submitted to submucosal cauterization associated with partial turbinectomy, and the second one only submucous cauterization. Five items were assessed to compare both methods: pain, nasal bleeding, scarring, crustation and nasal air way patency. Follow-up was performed on days 1, 14, 30 and 3 months later. Results: In both groups crusting formation was similar. Reactionary hemorrhage was more common in turbinectomy group. Scarring showed better results in the turbinectomy group in the first month postoperative, airway patency showed good results in 80% of the patients with turbinectomy. Conclusion: Submucosal cauterization with inferior partial turbinectomy has yielded better nasal patency when compared to submucosal electrocautery ablation alone.展开更多
文摘<b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">To report the results of our first series of patients undergoing a pure</span><span style="font-family:Verdana;">ly</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> endoscopic endonasal approach for pituitary surgery in Sohag University Hospitals. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">We reviewed 20 consecutive patients during the period from January 2017 to January 2020 with pituitary adenoma who underwent purely endoscopic transsphenoidal resection of their lesions. The patients’ clinical outcomes, degrees of tumor removal, and complications were reported. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There were 18 primary and 2 recurrent adenomas (19 nonfunctioning and 1 functioning GH secreting adenoma). The average degree of gross total removal for tumors was 70%, C.S.F leak occurred in 20%, diabetes insipidus in 10% and sellar hemorrhage in 5%. There was no post-operative mortality, vascular injury, sphenoiditis, septal perforation, epistaxis or general complication. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">A purely endoscopic approach for pituitary adenoma treatment is a safe and effective alternative to the traditional microscopic procedure.</span></span>
文摘Objective: In this study we aimed to compare the effects of submucosal cauterization of the inferior turbinate with or without inferior partial turbinectomy. Materials and methods: In this prospective cohort study, 60 patients with inferior turbinate hypertrophy were randomized and divided into two groups. The first one was submitted to submucosal cauterization associated with partial turbinectomy, and the second one only submucous cauterization. Five items were assessed to compare both methods: pain, nasal bleeding, scarring, crustation and nasal air way patency. Follow-up was performed on days 1, 14, 30 and 3 months later. Results: In both groups crusting formation was similar. Reactionary hemorrhage was more common in turbinectomy group. Scarring showed better results in the turbinectomy group in the first month postoperative, airway patency showed good results in 80% of the patients with turbinectomy. Conclusion: Submucosal cauterization with inferior partial turbinectomy has yielded better nasal patency when compared to submucosal electrocautery ablation alone.
