Beta
35935

Endoscopically assisted approaches to the pituitary

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Neurosurgery

Advisors

Mansi, Amr A. , Zuhdi, Ahmad Z. , Quttb, Mussttafa M.

Authors

Hegazi, Ahmad Abdel-Aziz

Accessioned

2017-03-30 06:19:59

Available

2017-03-30 06:19:59

type

M.D. Thesis

Abstract

Surgery for lesions of the pituitary gland still represents a significant challenge, despite the highly refined nature of contemporary microsurgery, because the area In and around the pituitary gland is an area of the brain studded with vital anatomical structures .The use of conventional microsurgery for pituitary tumors also is made less effective by the fact that many parts of this area are hidden to the eyes of the surgical microscope. In practice it can be found that this defect can be compensated for by the intra-operative use of rigid lens endoscopes. In this study this concept has been applied for surgery of the pituitary gland through the use of three approaches namely the endoscopic assisted transsphenoid approach, the endoscopiclly assisted sub frontal approach and the endoscopically assisted pterional approach in 25 pituitary adenomas to visualize into the hidden areas of the brain which were found to be mainly the contra lateral Sylvain fissure, cavernous sinus, retrosellar area and the optic carotid recess of the sphenoid sinus.

Issued

1 Jan 2002

Details

Type

Thesis

Created At

31 Jan 2023