Trans-Sphenoidal Hypophysectomy

Bateman, G. H.

doi:10.1017/s0022215100059557

Cited by 27 publications

(6 citation statements)

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“…Ethmoidectomy is the key act to gain additional space in order to temporarily lateralize the turbinates without resecting them. The transethmoidal approach of various paranasal sinus pathologies has often been described in the rhinological literature . In his landmark paper from 1950, Takahashi described the removal of ethmoid cells to treat chronic ethmoiditis .…”

Section: Discussionmentioning

confidence: 99%

“…The transethmoidal approach of various paranasal sinus pathologies has often been described in the rhinological literature. [25][26][27][28][29] In his landmark paper from 1950, Takahashi described the removal of ethmoid cells to treat chronic ethmoiditis. 30 However, this did not gain wide acceptance among neurosurgeons as it assumes detailed anatomical knowledge and thought to be time-consuming.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic unilateral transethmoid‐paraseptal approach to the central skull base

Eördögh

Briner

Simmen

et al. 2017

Laryngoscope Investig Oto

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ObjectivesThe endoscopic technique in transnasal skull base surgery offers optimal visualization and free manipulation in the surgical field. However, it may cause approach‐related sinonasal injury, influencing patients' quality of life (QOL). To minimize rhinological morbidity without restrictions in surgical manipulation and tumor resection, we introduced the unilateral transethmoidal‐paraseptal approach. In this article, we analyzed the long‐term results and sinonasal outcome of this technique.Study DesignRetrospective analysis of medical records.MethodsForty‐two consecutive patients underwent surgery between June 2010 and March 2014 using the transethmoid‐paraseptal approach. Perioperative work‐up included neurological, radiological, endocrinological, ophthalmological, and rhinological analysis. Patients' preoperative, 1‐month and 1‐year postoperative QOL was measured using the Sino‐Nasal Outcome Test (SNOT‐22).ResultsAt all individuals, a unilateral transethmoid‐paraseptal approach was performed. Removal of the turbinates, posterior septal resection or a conversion to biportal surgery could be avoided in all cases. There were no intraoperative neurovascular complications. All patients had a notable improvement in any disease‐related symptoms, as well as by objective criteria. Complete tumor resection was aimed in 39 cases and achieved in 31 of them. The SNOT‐22 scores transiently worsened 1 month after surgery and non‐significantly improved after 1 year, compared with the preoperative status. A subgroup of 7 patients with preoperative sinonasal disease evidence showed continuous significant improvement (p < .05) of SNOT‐22 scores across time. The smell screening tests showed no significant difference across time.ConclusionThe described approach allows safe removal of various skull base lesions without deterioration in sinonasal QOL and smell function.Level of Evidence4.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic unilateral transethmoid‐paraseptal approach to the central skull base

Eördögh

Briner

Simmen

et al. 2017

Laryngoscope Investig Oto

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“…The genotype of the parental homokaryotype female is responsible for the low eclosion rate. BATEMAN (1962) and KEARSEY and KOJIMA (1967) have reported similar maternal effects.…”

Section: Discussionmentioning

confidence: 71%

FECUNDITY AND FERTILITY IN FEMALE HOMO- AND HETEROKARYOTYPES OF THE TUMOROUS-HEAD STRAIN OF DROSOPHILA MELANOGASTER

Knowles¹

1967

Genetics

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“…The pituitary gland was removed trans-sphenoidally by a technique the details of which have been described previously (Bateman, 1962). The patients, all women, had been referred by a number of surgeons and so the indications for surgery were necessarily variable.…”

Section: Methodsmentioning

confidence: 99%

Trans-sphenoidal hypophysectomy in the treatment of advanced breast cancer

Reed¹,

Pizey

1967

Journal of British Surgery

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IN the past 15 years numerous papers have been published on the value of hypophysectomy in the treatment of metastatic breast cancer. In most cases the method employed was either a transfrontal craniotomy or transnasal isotope implantation. Since 1957 a number of reports have appeared describing the results of a trans-sphenoidal approach (Escher and Roth, 1957; Escher, Roth, and Cottier, 1958; Heck, McNaught, Dobson, and Greenspan, 1960; Escher and Ludi, 1961;Riskaer, Munthe Fog, and Hommelgaard, 1961;Noguera and Haase, 1961). All of these were based on a relatively small number of cases and none was from the United Kingdom. This paper presents the results of trans-sphenoidal hypophysectomy in a larger group of patients with advanced breast cancer who were followed for a longer postoperative period than in the other reported series. An evaluation was made of the indications for the operation and its effects discussed in relation to the results of previous treatment and to the likelihood of a favourable response following hypophysectomy . METHODS AND MATERIALThe pituitary gland was removed trans-sphenoidally by a technique the details of which have been described previously (Bateman, 1962). The patients, all women, had been referred by a number of surgeons and so the indications for surgery were necessarily variable. There was no preselection by the operator, the only criteria of acceptance being the patient's ability to withstand the operation, and whether the anatomy of the pituitary fossa and sphenoid sinus made the approach possible. The majority of patients had had previous surgery, radiotherapy, or hormone treatment. All patients treated with radioactive gold or yttrium were excluded. The assessment of the results was carried out by two independent observers. One of us (P. I. R.). personally assessed every patient who was alive during the last 2 years of the study and followed them up at regular, usually 3-monthlyY intervals following operation. Postoperative maintenance therapy with cortisone acetate and I-thyroxine in * Requests for reprints to P.

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Trans-Sphenoidal Hypophysectomy

Cited by 27 publications

References 0 publications

Endoscopic unilateral transethmoid‐paraseptal approach to the central skull base

Endoscopic unilateral transethmoid‐paraseptal approach to the central skull base

FECUNDITY AND FERTILITY IN FEMALE HOMO- AND HETEROKARYOTYPES OF THE TUMOROUS-HEAD STRAIN OF DROSOPHILA MELANOGASTER

Trans-sphenoidal hypophysectomy in the treatment of advanced breast cancer

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