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2015 ; 55
(4
): 345-50
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English Wikipedia
Superior turbinectomy: role for a two-surgeon technique in endoscopic endonasal
transsphenoidal surgery--technical note
#MMPMID25797783
Fujimoto Y
; Ramos HF
; Mariani PP
; Romano FR
; Cukiert A
; Bor-Seng-Shu E
; Wakayama A
; Yoshimine T
Neurol Med Chir (Tokyo)
2015[]; 55
(4
): 345-50
PMID25797783
show ga
We describe a practical technique of superior turbinectomy followed by posterior
ethmoidectomy as a less invasive procedure for two-surgeon technique on
endoscopic endonasal transsphenoidal surgery. After identification of the
superior turbinate and the sphenoid ostium, the inferior third portion of the
superior turbinate was coagulated and resected. This partial superior
turbinectomy procedure exposed the posterior ethmoidal sinus. Resection of the
bony walls between the sphenoid and posterior ethmoid sinuses provided more
lateral and superior exposure of the sphenoid sinus. This technique was performed
in 56 patients with midline skull base lesions, including 49 pituitary adenomas
and 7 other lesions. Meticulous manipulation of instruments was performed in all
cases without surgical complications such as permanent hyposmia/anosmia or nasal
bleeding. Our findings suggested that the partial superior turbinectomy followed
by retrograde posterior ethmoidectomy is a simple and safe technique providing a
sufficient surgical corridor for two-surgeon technique to approaching midline
skull base regions, mainly involving pituitary adenomas.