THE TRANSNASAL APPROACH TO SELLAR LESIONS. A NEUROSURGICAL EXPERIENCE AND PERSPECTIVE

Syed Sarmad Bukhari; Anisa Kalsoom; Muhammad Junaid; Maqbool Raza

doi:10.51253/pafmj.v1i1.7914

Authors

Syed Sarmad Bukhari The Aga Khan University Hospital, Karachi, Pakistan
Anisa Kalsoom Fauji Foundation Hospital, Rawalpindi Pakistan
Muhammad Junaid Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
Maqbool Raza Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v1i1.7914

Keywords:

Pituitary gland, Transnasal, Transsphenoidal

Abstract

The transnasal approach for pituitary lesions has been adopted increasingly by neurosurgeons for removing sellar lesions. It has made surgery in this region safer with fewer complications in experienced hands. However, the approach requires good knowledge of nasal anatomy and formal training to achieve good results since the territory is unfamiliar to most neurosurgeons. The approach has a somewhat steep learning curve. In our experience of 41 cases, we have presented here. We have discussed the history of this approach, technique and relevant complications and their avoidance.