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Acta Neurochirurgica

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01-12-2012 | How I Do it

Occam’s razor in minimally invasive pituitary surgery: tailoring the endoscopic endonasal uninostril trans-sphenoidal approach to sella turcica

Authors: Moncef Berhouma, Mahmoud Messerer, Emmanuel Jouanneau

Published in: Acta Neurochirurgica | Issue 12/2012

Abstract

Background

Since the introduction of the endoscopic endonasal approaches in the field of skull base surgery during the last two decades, several variants of the sella turcica endoscopic surgery have been described. The aim of this study is to provide a stepwise description of one of these variants in a minimally invasive/maximally efficient perspective.

Method

For the majority of our sella turcica pathologies, we have progressively adopted a uninostril endoscopic approach that is very conservative towards the nasal mucosa with a very limited mucosal incision, resection of the vomer and allowing an almost ad integrum sellar floor reconstruction, without compromising the efficacy and completeness of both surgical oncologic and endocrine targets.

Conclusion

The uninostril trans-sphenoidal endoscopic endonasal approach to sella turcica is tailored to ally maximal efficiency and minimal invasiveness.

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Title: Occam’s razor in minimally invasive pituitary surgery: tailoring the endoscopic endonasal uninostril trans-sphenoidal approach to sella turcica
Authors: Moncef Berhouma
Mahmoud Messerer
Emmanuel Jouanneau
Publication date: 01-12-2012
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 12/2012
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-012-1510-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Occam’s razor in minimally invasive pituitary surgery: tailoring the endoscopic endonasal uninostril trans-sphenoidal approach to sella turcica

Abstract

Background

Method

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Method

Conclusion

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