Review Article: Comparing Mononostril, Binostril, and One and a Half Nostril Endoscopic Transsphenoidal Approach for Treating Pituitary Adenoma

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YOUSEFZADEH CHABOK SHAHROKH; SHARIFI GUIVE; GHORBANI MOHAMMAD; SAMADIAN MOHAMMAD; KALANI NAVID; Kazeminezhad Ali

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Journal: IRANIAN JOURNAL OF NEUROSURGERY Year:2021 | Volume:7 | Issue:1 (24) Page(s): 15-22

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Title

Review Article: Comparing Mononostril, Binostril, and One and a Half Nostril Endoscopic Transsphenoidal Approach for Treating Pituitary Adenoma

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Keywords

Mononostril endoscopy

Binostril endoscopy

One and a half nostril endoscopy

Transsphenoidal approach

Abstract

Background and Aim: EETA (Endoscopic Endonasal Transsphenoidal approach) is a preferred choice for pituitary tumors. EETA offers minimal invasiveness, fewer complications, and better outcomes than the sublabial or transseptal microscopic approach. EETA has three approaches: mononostril endoscopic Transsphenoidal approach, binostril endoscopic Transsphenoidal approach, and one and a half nostril approach. This study aims to compare three different EETAs and compare between microscopic Transsphenoidal approach, transcranial approach and EETA. Methods and Materials/Patients: To provide up-to-date information, we concisely reviewed these three EETAs. Using the keywords of “ neuroendoscopy” , “ META” (Mononostril Endoscopic Transsphenoidal approach), “ OETA” (One and a half nostril Approach), “ BETA” (Binostril Endoscopic Transsphenoidal approach), “ pituitary adenoma” , “ EETA” , “ endoscopy” , “ Transsphenoidal approach” , “ transcranial approach for pituitary adenoma” and “ microscopic Transsphenoidal approach” . We retrieved all the relevant articles from Google Scholar, PubMed, and Medline. Then, we reviewed them and critically analyzed them. Results: In BETA there is free and easy movement of surgical instruments in the surgical field and a broader view of the sphenoid sinus and it is an excellent approach to resect large tumors. The META is suitable in tumors with limited involvement of the intra-sellar and supra-sellar area. The mononostril approach is not suitable and has some limitations for the following situations: a crowded narrow nasal cavity, a harder tumor with the invasive appearance or significant suprasellar extension, and lesions other than pituitary adenomas. The OETA provides a sufficient surgical corridor for a 2-surgeon/4 or 3-hands technique with a minimal injury of the nose and good operative results, free and easy movement of surgical instruments in the surgical field, low postoperative morbidity, and good post-operative quality of life. Conclusion: In EETA, knowing the size and consistency of tumor, general versus invasive pituitary adenoma, and the extent of parasellar and suprasellar extension, is essential. If we cannot reach a pituitary macroadenoma with a trans-sphenoidal approach, then we can use a transcranial approach for the removal of the tumor. The microscopic Transsphenoidal approach is suitable for pediatric pituitary adenoma.

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References

MANAGEMENT OF PITUITARY ADENOMAS: MONONOSTRIL ENDOSCOPIC TRANSSPHENOIDAL SURGERY

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APA: Copy

YOUSEFZADEH CHABOK, SHAHROKH, SHARIFI, GUIVE, GHORBANI, MOHAMMAD, SAMADIAN, MOHAMMAD, KALANI, NAVID, & Kazeminezhad, Ali. (2021). Review Article: Comparing Mononostril, Binostril, and One and a Half Nostril Endoscopic Transsphenoidal Approach for Treating Pituitary Adenoma. IRANIAN JOURNAL OF NEUROSURGERY, 7(1 (24)), 15-22. SID. https://sid.ir/paper/693565/en

Vancouver: Copy

YOUSEFZADEH CHABOK SHAHROKH, SHARIFI GUIVE, GHORBANI MOHAMMAD, SAMADIAN MOHAMMAD, KALANI NAVID, Kazeminezhad Ali. Review Article: Comparing Mononostril, Binostril, and One and a Half Nostril Endoscopic Transsphenoidal Approach for Treating Pituitary Adenoma. IRANIAN JOURNAL OF NEUROSURGERY[Internet]. 2021;7(1 (24)):15-22. Available from: https://sid.ir/paper/693565/en

IEEE: Copy

SHAHROKH YOUSEFZADEH CHABOK, GUIVE SHARIFI, MOHAMMAD GHORBANI, MOHAMMAD SAMADIAN, NAVID KALANI, and Ali Kazeminezhad, “Review Article: Comparing Mononostril, Binostril, and One and a Half Nostril Endoscopic Transsphenoidal Approach for Treating Pituitary Adenoma,” IRANIAN JOURNAL OF NEUROSURGERY, vol. 7, no. 1 (24), pp. 15–22, 2021, [Online]. Available: https://sid.ir/paper/693565/en

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