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

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

Issue

Vol. 13 No. 1 (2023)

Section

Original Articles

License

Copyright (c) 2023 Bangladesh Society of Neurosurgeons

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

©Bangladesh Society of Neurosurgeons (BSNS)

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