| Changes of the Sphenoid Sinus After Transsphenoidal Approach to the Pituitary Fossa |
| Ic-Tae Kim, MD1, Tae Cheol Kim, MD1, Man Ik Kim, MD1, You Bo Moon, MD1, Young Min Park, MD1, Young Cho Koh, MD2, and Won Shik Lee, MD3 |
| 1;Department of Otorhinolaryngology-Head & Neck Surgery, 2;Neurosurgery & 3;Family Medicine, College of Medicine, Hallym University, Seoul, Korea |
| 뇌하수체 종양의 경비중격 - 경접형동 수술후 접형동의 변화 |
| 김익태1 · 김태철1 · 김만익1 · 문유보1 · 박영민1 · 고영초2 · 이원식3 |
| 한림대학교 의과대학 이비인후과학교실1;신경외과학교실2;가정의학교실3; |
|
|
|
|
|
| ABSTRACT |
|
Transseptal
transsphenoidal approach (TSA) is the most common procedure used to remove the small sized tumor of
pituitary fossa. However, few has been reported about the sphenoid sinus changes after TSA. We studied the postoperative magnetic resonance imaging (MRI) of sphenoid sinuses for
measuring the dimensions and evaluating changes of musosa. Follow-up MRI of 22 patients were analyzed, who had
received TSA from July, 1991 to April, 1995 at Kang Nam Sacred Heart Hospital. The results were as follows : 1) Dimensions of the sphenoid sinuses after TSA were significantly decreased in transverse and
anteroposterior axes. 2) Sphenoid sinus contraction was found in 5 cases (63%) who had postoperative scans after 1 year. 3) Mucosal
thickening was found in 2 cases (25%) who had postoperative scans after 1year. These results suggest that
abnormal changes probably developed in sphenoid sinuses after TSA.
|
| Keywords:
Magnetic resonanceㆍSphenoid sinus contractionㆍMucosal change. |
|
PDF Links
Full text via DOI 
Download Citation 
