Increased role of the otolaryngologist in endoscopic pituitary surgery: endoscopic hydroscopy of the sella
The aim of this study was to discuss the use of nasal irrigation and suction systems in endoscopic pituitary surgery to examine the sella and facilitate tumor removal. We describe a new technique of sellar exploration. Following the endoscopic approach to the pituitary by the otolaryngology team, pi...
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Veröffentlicht in: | American journal of rhinology 2005-03, Vol.19 (2), p.181-184 |
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creator | Senior, Brent A Dubin, Marc G Sonnenburg, Robert E Melroy, Christopher T Ewend, Matthew G |
description | The aim of this study was to discuss the use of nasal irrigation and suction systems in endoscopic pituitary surgery to examine the sella and facilitate tumor removal. We describe a new technique of sellar exploration.
Following the endoscopic approach to the pituitary by the otolaryngology team, pituitary masses are resected. Then, the ClearESS nasal irrigation and suction system is used by the otolaryngology team to visualize the sella ("hydroscopy"). The combination of this ClearESS technology and angled endoscopes is used to scrutinize previously inaccessible areas of the tumor bed.
Over 50 patients have undergone minimally invasive pituitary surgery via the endoscopic approach with postresection hydroscopy of the sella. The use of angled endoscopes in combination with the ClearESS technology greatly increased visualization of the sella, thereby facilitating complete tumor removal. There have been no complications associated with the use of hydroscopy.
The use of angled endoscopes in conjunction with hydroscopy increases visualization of the sella. The otolaryngologist plays a critical role in this examination with manipulation of the angled endoscopes. Therefore, the role of the otolaryngologist is extended beyond the approach to the pituitary. |
doi_str_mv | 10.1177/194589240501900211 |
format | Article |
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Following the endoscopic approach to the pituitary by the otolaryngology team, pituitary masses are resected. Then, the ClearESS nasal irrigation and suction system is used by the otolaryngology team to visualize the sella ("hydroscopy"). The combination of this ClearESS technology and angled endoscopes is used to scrutinize previously inaccessible areas of the tumor bed.
Over 50 patients have undergone minimally invasive pituitary surgery via the endoscopic approach with postresection hydroscopy of the sella. The use of angled endoscopes in combination with the ClearESS technology greatly increased visualization of the sella, thereby facilitating complete tumor removal. There have been no complications associated with the use of hydroscopy.
The use of angled endoscopes in conjunction with hydroscopy increases visualization of the sella. The otolaryngologist plays a critical role in this examination with manipulation of the angled endoscopes. Therefore, the role of the otolaryngologist is extended beyond the approach to the pituitary.</description><identifier>ISSN: 1050-6586</identifier><identifier>ISSN: 1945-8924</identifier><identifier>EISSN: 1539-6290</identifier><identifier>EISSN: 1945-8932</identifier><identifier>DOI: 10.1177/194589240501900211</identifier><identifier>PMID: 15921218</identifier><language>eng</language><publisher>United States: SAGE PUBLICATIONS, INC</publisher><subject>Endoscopes ; Endoscopy ; Humans ; Otolaryngology ; Physician's Role ; Pituitary Neoplasms - surgery ; Sella Turcica - surgery ; Sphenoid Bone - surgery</subject><ispartof>American journal of rhinology, 2005-03, Vol.19 (2), p.181-184</ispartof><rights>Copyright OceanSide Publications Mar 1, 2005</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-338d79f7b837b56bc250f06eb88f148cdca73cb5832c7aa20f83f6c1f0187d913</citedby><cites>FETCH-LOGICAL-c328t-338d79f7b837b56bc250f06eb88f148cdca73cb5832c7aa20f83f6c1f0187d913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15921218$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Senior, Brent A</creatorcontrib><creatorcontrib>Dubin, Marc G</creatorcontrib><creatorcontrib>Sonnenburg, Robert E</creatorcontrib><creatorcontrib>Melroy, Christopher T</creatorcontrib><creatorcontrib>Ewend, Matthew G</creatorcontrib><title>Increased role of the otolaryngologist in endoscopic pituitary surgery: endoscopic hydroscopy of the sella</title><title>American journal of rhinology</title><addtitle>Am J Rhinol</addtitle><description>The aim of this study was to discuss the use of nasal irrigation and suction systems in endoscopic pituitary surgery to examine the sella and facilitate tumor removal. We describe a new technique of sellar exploration.
Following the endoscopic approach to the pituitary by the otolaryngology team, pituitary masses are resected. Then, the ClearESS nasal irrigation and suction system is used by the otolaryngology team to visualize the sella ("hydroscopy"). The combination of this ClearESS technology and angled endoscopes is used to scrutinize previously inaccessible areas of the tumor bed.
Over 50 patients have undergone minimally invasive pituitary surgery via the endoscopic approach with postresection hydroscopy of the sella. The use of angled endoscopes in combination with the ClearESS technology greatly increased visualization of the sella, thereby facilitating complete tumor removal. There have been no complications associated with the use of hydroscopy.
The use of angled endoscopes in conjunction with hydroscopy increases visualization of the sella. The otolaryngologist plays a critical role in this examination with manipulation of the angled endoscopes. Therefore, the role of the otolaryngologist is extended beyond the approach to the pituitary.</description><subject>Endoscopes</subject><subject>Endoscopy</subject><subject>Humans</subject><subject>Otolaryngology</subject><subject>Physician's Role</subject><subject>Pituitary Neoplasms - surgery</subject><subject>Sella Turcica - surgery</subject><subject>Sphenoid Bone - surgery</subject><issn>1050-6586</issn><issn>1945-8924</issn><issn>1539-6290</issn><issn>1945-8932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNplkctOwzAQRS0EoqXwAyxQxIJdwONHbLNDFY9KldjAOkocu02VxsFOFvl7XFoEgtUdac5czZ1B6BLwLYAQd6AYl4owzDEojAnAEZoCpyrNiMLHsY6dNOMym6CzEDYYgyASTtEEuCJAQE7RZtFqb4pgqsS7xiTOJv06Su-awo_tyjVuVYc-qdvEtJUL2nW1Trq6H-o-AkkY_Mr48f53dz1W_qsev-2CaZriHJ3Yognm4qAz9P70-DZ_SZevz4v5wzLVlMg-pVRWQllRSipKnpWacGxxZkopLTCpK10IqksuKdGiKAi2ktpMg8UgRaWAztDN3rfz7mMwoc-3ddC7DVrjhpBnQgrBGI_g9R9w4wbfxt1yQrFkmHAWIbKHdMwUvLF55-ttjJ4DzndvyP-_IQ5dHZyHcmuqn5HD3eknStiDpA</recordid><startdate>20050301</startdate><enddate>20050301</enddate><creator>Senior, Brent A</creator><creator>Dubin, Marc G</creator><creator>Sonnenburg, Robert E</creator><creator>Melroy, Christopher T</creator><creator>Ewend, Matthew G</creator><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20050301</creationdate><title>Increased role of the otolaryngologist in endoscopic pituitary surgery: endoscopic hydroscopy of the sella</title><author>Senior, Brent A ; 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We describe a new technique of sellar exploration.
Following the endoscopic approach to the pituitary by the otolaryngology team, pituitary masses are resected. Then, the ClearESS nasal irrigation and suction system is used by the otolaryngology team to visualize the sella ("hydroscopy"). The combination of this ClearESS technology and angled endoscopes is used to scrutinize previously inaccessible areas of the tumor bed.
Over 50 patients have undergone minimally invasive pituitary surgery via the endoscopic approach with postresection hydroscopy of the sella. The use of angled endoscopes in combination with the ClearESS technology greatly increased visualization of the sella, thereby facilitating complete tumor removal. There have been no complications associated with the use of hydroscopy.
The use of angled endoscopes in conjunction with hydroscopy increases visualization of the sella. The otolaryngologist plays a critical role in this examination with manipulation of the angled endoscopes. Therefore, the role of the otolaryngologist is extended beyond the approach to the pituitary.</abstract><cop>United States</cop><pub>SAGE PUBLICATIONS, INC</pub><pmid>15921218</pmid><doi>10.1177/194589240501900211</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; SAGE Complete A-Z List |
subjects | Endoscopes Endoscopy Humans Otolaryngology Physician's Role Pituitary Neoplasms - surgery Sella Turcica - surgery Sphenoid Bone - surgery |
title | Increased role of the otolaryngologist in endoscopic pituitary surgery: endoscopic hydroscopy of the sella |
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