Outcome of Pituitary Adenoma Surgery Through Transphenoidal Endoscopic Endonasal Approach -A Study of 96 Cases

Authors

  • Haradhan Deb Nath Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • KH Olinur Razib Resident, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Rathin Halder Medical Officer, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Md Ataur Rahman Registrar, Department of Neurosurgery, SSMC Mitford Hospital, Dhaka
  • Md Motasimul Hasan Associate Professor, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Abu Naim Wakil Uddin Medical Officer, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka.
  • Rabiul Karim Assistant Professor, Department of Neurosurgery, Chittagong Medical College Hospital, Chittagong
  • Sudip Barua Medical Officer, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • SK Farhad Munir Research Assistant, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Kanak Kanti Barua Professor (Rtd.), Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/bjns.v13i1.72293

Keywords:

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

Abstract

Background: Transphenoidal endoscopic approach is 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 showed among the 96 patients, 64 (66.7%) patients were male and 32(33.33%) were female. It was documented that in 96 patients, 88(91.66.3%) were macroadenoma and 8(8.33%) were microadenoma. Among 96 patients, 88 (91.66%) had preoperative visual disturbance and 8(8.33%) had normal vision. Tumor was totally removed in 88(91.66%) patients in endoscopic approach. Clinically 92(95.8%) patients were improved in endoscopically. Two (2.1%) patient developed pneumocephalus and meningitis, between them one died due to meningitis and other cured by conservative treatment. In 2 (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.

Bang. J Neurosurgery 2023; 12(2): 29-33

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Published

2024-05-08

How to Cite

Haradhan Deb Nath, KH Olinur Razib, Rathin Halder, Md Ataur Rahman, Md Motasimul Hasan, Uddin, A. N. W. ., Rabiul Karim, Sudip Barua, SK Farhad Munir, & Kanak Kanti Barua. (2024). Outcome of Pituitary Adenoma Surgery Through Transphenoidal Endoscopic Endonasal Approach -A Study of 96 Cases. Bangladesh Journal of Neurosurgery, 13(1), 29–33. https://doi.org/10.3329/bjns.v13i1.72293

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Original Articles