How I do it - endoscopic endonasal approach for pituitary tumour

Background Endoscopic endonasal surgery to access the anterior skull base has evolved in many centres worldwide and provides a minimally invasive alternative, with better patient experience, to open techniques. Method We present a basic approach to a midline lesion that is the fundamental starting point for wider access to the skull base. Conclusion The nuances of this technique illustrated here have been developed in many centres to provide a safe procedure that has a low incidence of complications and excellent potential.