Ihsan Abbas Al-Baldawi1. 1. Department of otorhinolaryngology-skull base surgery, Neuroscience hospital, Baghdad, Iraq. drihsanabbas@yahoo.com.
Abstract
BACKGROUND: There are multiple approaches to reach the sellar region using microscope or endoscope, which are the old sublabial, with its post-operative morbidities, or the uni-nostril transseptal, which has a limited working field. Another technique is the direct transnasal, which is associated with tissue sacrifice, and lastly the bi-nostril (one side transseptal-other side transnasal), aiming to preserve one of the septal flaps. METHOD: We have 27 case studies using a new technique in which we access the sphenoid endoscopicaly through the nasal septum from both nostrils under the mucoperichondrial-periosteal flap. CONCLUSION: This new technique provides easy way of wide exposure to the sphenoidal gate, with easier closure of the operative field.
BACKGROUND: There are multiple approaches to reach the sellar region using microscope or endoscope, which are the old sublabial, with its post-operative morbidities, or the uni-nostril transseptal, which has a limited working field. Another technique is the direct transnasal, which is associated with tissue sacrifice, and lastly the bi-nostril (one side transseptal-other side transnasal), aiming to preserve one of the septal flaps. METHOD: We have 27 case studies using a new technique in which we access the sphenoid endoscopicaly through the nasal septum from both nostrils under the mucoperichondrial-periosteal flap. CONCLUSION: This new technique provides easy way of wide exposure to the sphenoidal gate, with easier closure of the operative field.
Authors: Gustavo Hadad; Luis Bassagasteguy; Ricardo L Carrau; Juan C Mataza; Amin Kassam; Carl H Snyderman; Arlan Mintz Journal: Laryngoscope Date: 2006-10 Impact factor: 3.325
Authors: Samer S Hoz; Zahraa F Al-Sharshahi; Ignatius N Esene; Ali A Dolachee; Ali M Neamah; Aktham O Al-Khafaji; Mohammed A Al-Dhahir; Hatem Sadik Journal: Surg Neurol Int Date: 2021-05-17