Transsphenoidal surgery

Transsphenoidal surgery is a type of surgery used primarily for the removal of pituitary tumors. It is named for the route the surgeon uses to access the pituitary gland, which is through the sphenoid sinus.

Procedure

The procedure is performed under general anesthesia. The surgeon accesses the pituitary gland through the nose and sphenoid sinus, avoiding the need for an external incision. Once the surgeon reaches the sphenoid sinus, they open a small hole to access the pituitary gland. The tumor is then removed, either in pieces or as a whole, depending on its size and consistency.

Indications

Transsphenoidal surgery is primarily used to remove pituitary tumors. It may also be used to remove other types of tumors that occur in or around the pituitary gland. The procedure may be recommended if the tumor is causing symptoms such as headaches, vision problems, or hormonal imbalances.

Risks and Complications

As with any surgery, there are risks associated with transsphenoidal surgery. These may include infection, bleeding, and damage to surrounding structures. Specific to this procedure, there is a risk of cerebrospinal fluid leakage, which can lead to meningitis. There is also a risk of damage to the pituitary gland, which can result in hormonal imbalances.

Recovery

Recovery from transsphenoidal surgery varies depending on the individual and the specifics of the procedure. Generally, hospital stay is between 2 to 4 days. Full recovery may take several weeks.

See Also

• Pituitary gland
• Pituitary tumor
• Sphenoid sinus