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Titolo:
5-YEAR FOLLOW-UP OF NONSECRETING PITUITARY-ADENOMAS
Autore:
PETRUSON B; JAKOBSSON KE; ELFVERSON J; BENGTSSON BA;
Indirizzi:
GOTHENBURG UNIV,SAHLGRENS HOSP,DEPT OTOLARYNGOL S-41345 GOTHENBURG SWEDEN GOTHENBURG UNIV,SAHLGRENS HOSP,DEPT NEUROSURG S-41345 GOTHENBURG SWEDEN GOTHENBURG UNIV,SAHLGRENS HOSP,DEPT ENDOCRINOL S-41345 GOTHENBURG SWEDEN
Titolo Testata:
Archives of otolaryngology, head & neck surgery
fascicolo: 3, volume: 121, anno: 1995,
pagine: 317 - 322
SICI:
0886-4470(1995)121:3<317:5FONP>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANS-SPHENOIDAL MICROSURGERY; DECOMPRESSION; MANAGEMENT; REMOVAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
B. Petruson et al., "5-YEAR FOLLOW-UP OF NONSECRETING PITUITARY-ADENOMAS", Archives of otolaryngology, head & neck surgery, 121(3), 1995, pp. 317-322

Abstract

Nowadays, nonsecreting pituitary adenomas are usually operated on by means of a transsphenoidal approach, and the transseptal way is the most widely used. Since 1982 we have been using lateral rhinotomy instead, resecting bone in the piriform aperture up to the orbit to:obtain agood intrasellar view during surgery. In all, 48 patients were operated on between 1982 and 1987, and all of them have since been evaluatedin a 5-year follow-up. The only recurrence occurred in the only patient previously operated on transcranially. Computed tomography was performed in 44 patients (92%) after an average of 4 years and revealed nosigns of tumor in any of them. New pituitary insufficiencies developed in six (12%). An improvement in vision was observed in 38 patients (79%), none of whom suffered an impaired visual field or acuity. The frequency of new hormonal insufficiencies and improvement of vision thatwe observed in our patients is comparable with that reported by otherinvestigators, but the recurrence rate is lower and the optic ner-es and chiasma were never damaged thereby causing an impairment of vision. These benefits can most probably be explained by the surgical approach we used, in which the tumor and surrounding structures are very well visualized because the operative field is broader and closer than itis with the transseptal approach, which is normally used for this kind of tumor.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 06:16:38