A new modified speculum guided single nostril technique for endoscopic transnasal transsphenoidal surgery: an analysis of nasal complications

作者：Waran Vicknes; Tang Ing Ping^*; Karuppiah Ravindran; Abd Kadir Khairul Azmi; Chandran Hari; Muthusamy Kalai Arasu; Prepageran Narayanan

来源：British Journal of Neurosurgery, 2013, 27(6): 742-746.

DOI：10.3109/02688697.2013.791667

• endoscopic transnasal transsphenoidal surgery
• nasal complications
• pituitary tumour
• single nostril technique

The endoscopic transnasal, transsphenoidal surgical technique for pituitary tumour excision has generally been regarded as a less invasive technique, ranging from single nostril to dual nostril techniques. We propose a single nostril technique using a modified nasal speculum as a preferred technique. We initially reviewed 25 patients who underwent pituitary tumour excision, via endoscopic transnasal transsphenoidal surgery, using this new modified speculum-guided single nostril technique. The results show shorter operation time with reduced intra- and post-operative nasal soft tissue injuries and complications.

• 出版日期2013-12