Endoscopic Endonasal Transsphenoidal Resection Of Pituitary Adenomas: Preliminary Evaluation Of Consecutive Cases.

dc.creatorChone, Carlos Takahiro
dc.creatorSampaio, Marcelo Hamiltom
dc.creatorSakano, Eulalia
dc.creatorPaschoal, Jorge Rizzato
dc.creatorGarnes, Heraldo Mendes
dc.creatorQueiroz, Luciano
dc.creatorVargas, Antonio Augusto Roth
dc.creatorFernandes, Yvens Barbosa
dc.creatorHonorato, Donizete C
dc.creatorFabbro, Mateus Dal
dc.creatorGuizoni, Henrico
dc.creatorTedeschi, Helder
dc.date2014-Apr
dc.date2015-11-27T13:42:34Z
dc.date2015-11-27T13:42:34Z
dc.date.accessioned2018-03-29T01:20:48Z
dc.date.available2018-03-29T01:20:48Z
dc.identifierBrazilian Journal Of Otorhinolaryngology. v. 80, n. 2, p. 146-51, 2014-Apr.
dc.identifier1808-8686
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/24830973
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/201410
dc.identifier24830973
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1301643
dc.descriptionEndoscopic endonasal transsphenoidal surgery has gained increasing acceptance by otolaryngologists and neurosurgeons. In many centers throughout the world, this technique is now routinely used for the same indications as conventional microsurgical technique for pituitary tumors. To present a surgical experience of consecutive endoscopic endonasal trans-sphenoidal resections of pituitary adenomas. In this study, consecutive patients with pituitary adenomas submitted to endoscopic endonasal pituitary surgery were evaluated regarding the rate of residual tumor, functional remission, symptoms relief, complications, and tumor size. Forty-seven consecutive patients were evaluated; 17 had functioning adenomas, seven had GH producing tumors, five had Cushing's disease, and five had prolactinomas. Of the functioning adenomas, 12 were macroadenomas and five were microadenomas; 30 cases were non-functioning macroadenomas. Of the patients with functioning adenomas, 87% improved. 85% of the patients with visual deficits related to optic nerve compression progressed over time. Most of the patients with complaints of headaches improved (76%). Surgical complications occurred in 10% of patients, which included with two carotid lesions, two cerebrospinal fluid leaks, and one death of a patient with a previous history of complications. Endoscopic endonasal pituitary surgery is a feasible technique, yielding good surgical and functional outcomes, and low morbidity.
dc.description80
dc.description146-51
dc.languageeng
dc.languagepor
dc.relationBrazilian Journal Of Otorhinolaryngology
dc.relationBraz J Otorhinolaryngol
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdenoma
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectEndoscopy
dc.subjectFemale
dc.subjectHumans
dc.subjectMagnetic Resonance Imaging
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPituitary Neoplasms
dc.subjectSphenoid Bone
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.titleEndoscopic Endonasal Transsphenoidal Resection Of Pituitary Adenomas: Preliminary Evaluation Of Consecutive Cases.
dc.typeArtículos de revistas


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