Outcome of Pituitary Adenoma Surgery Through Transphenoidal Endoscopic Endonasal Approach A Study Of 48 Cases

Authors

  • Haradhan Deb Nath Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Kanak Kanti Barua Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Kazi Hafiz Uddin Dept. of Neurosurgery, National Institute of Neurosciences and Hospital, Sher-e Bangla Nagar, Agargaon, Dhaka
  • Rathin Halder Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Shahadat Hossain Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Syed Shahreor Razzaque Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Olinur Rajib Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bjn.v36i1.87109

Keywords:

Pituitary adenoma, transphenoidal approach, endoscopic endonasal approach, acromegally, cushing’s syndrome

Abstract

Background: Transphenoidal endoscopic approach is the minimal invasive surgery in case of pituitary adenoma.

Objective: To see the outcome of transphenoidal endoscopic approach in case of pituitary tumour.

Results: This study was carried among the 48 patients and out of them 32 (66.7%) patients were male and 16(3.33%) were female. It was documented that in 48 patients, 44(91.66.3%) were macroadenoma and 4(8.33%) were microadenoma. Among 48 patients, 44 (91.66%) had preoperative visual disturbance and 4(8.33%) had normal vision. Tumor was totally removed in 44(91.66%) patients in endoscopic approach. Clinically 46(95.8%) patients were improved in endoscopically. One (2.1%) patient developed pneumocephalus and meningitis. In 1 (2.1%) patient, carotid artery was partially torn, which was managed by nasal pack.

Conclusion: It was concluded that endoscopic endonasal approach is safe and effective procedure.

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Published

2026-01-12

How to Cite

Nath, H. D., Kanak Kanti Barua, Kazi Hafiz Uddin, Rathin Halder, Shahadat Hossain, Syed Shahreor Razzaque, & Olinur Rajib. (2026). Outcome of Pituitary Adenoma Surgery Through Transphenoidal Endoscopic Endonasal Approach A Study Of 48 Cases. Bangladesh Journal of Neuroscience, 36(1), 39–45. https://doi.org/10.3329/bjn.v36i1.87109

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