Journal
NEUROSURGERY CLINICS OF NORTH AMERICA
Volume 26, Issue 3, Pages 323-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.nec.2015.03.007
Keywords
Transsphenoidal surgery; Extended approach; Pituitary adenoma; Giant adenoma; Endoscopic endonasal surgery
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The management of giant and large pituitary adenomas with wide intracranial extension or infrasellar involvement of nasal and paranasal cavities is a big challenge for neurosurgeons and the best surgical approach indications are still controversial. Endoscopic extended endonasal approaches have been proposed as a new surgical technique for the treatment of such selected pituitary adenomas. Surgical series coming from many centers all around the world are flourishing and results, in terms of outcomes and complications, seem encouraging. This technique could be considered a valid alternative to the transcranial route for the management of giant and large pituitary adenomas.
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