Brandon A Miller1, Adriana G Ioachimescu1, Nelson M Oyesiku2. 1. Department of Neurosurgery, Emory University, Atlanta, Georgia, USA. 2. Department of Neurosurgery, Emory University, Atlanta, Georgia, USA. Electronic address: noyesik@emory.edu.
Abstract
OBJECTIVE: To analyze current indications for transsphenoidal pituitary surgery. METHODS: The current literature regarding transsphenoidal surgery for all subtypes of pituitary adenomas and other sellar lesions was examined. Alternate approaches for pituitary surgery were also reviewed. RESULTS: Transsphenoidal surgery continues to be the mainstay of surgical treatment for pituitary tumors, and has good outcomes in experienced hands. Pre- and postoperative management of pituitary tumors remains an important part of the treatment of patients with pituitary tumors. CONCLUSIONS: Even as medical and surgical treatment for pituitary tumors evolves, transsphenoidal surgery remains a mainstay of treatment. Outcomes after transshenoidal surgery have improved over time. Neurosurgeons must be aware of the indications, risks and alternatives to transsphenoidal pituitary surgery.
OBJECTIVE: To analyze current indications for transsphenoidal pituitary surgery. METHODS: The current literature regarding transsphenoidal surgery for all subtypes of pituitary adenomas and other sellar lesions was examined. Alternate approaches for pituitary surgery were also reviewed. RESULTS: Transsphenoidal surgery continues to be the mainstay of surgical treatment for pituitary tumors, and has good outcomes in experienced hands. Pre- and postoperative management of pituitary tumors remains an important part of the treatment of patients with pituitary tumors. CONCLUSIONS: Even as medical and surgical treatment for pituitary tumors evolves, transsphenoidal surgery remains a mainstay of treatment. Outcomes after transshenoidal surgery have improved over time. Neurosurgeons must be aware of the indications, risks and alternatives to transsphenoidal pituitary surgery.
Authors: Bobby A Tajudeen; Edward C Kuan; Nithin D Adappa; Joseph K Han; Rakesh K Chandra; James N Palmer; David W Kennedy; Marilene B Wang; Jeffrey D Suh Journal: J Neurol Surg B Skull Base Date: 2016-09-09