Use of balloon-assisted nasal access to augment endoscopic endonasal transsphenoidal approach: illustrative case

Nolan Winslow; Jonathan Garst; James J Klemens; Andrew J Tsung

doi:10.3171/CASE22276

Use of balloon-assisted nasal access to augment endoscopic endonasal transsphenoidal approach: illustrative case

J Neurosurg Case Lessons. 2022 Sep 5;4(10):CASE22276. doi: 10.3171/CASE22276. Print 2022 Sep 5.

Authors

Nolan Winslow¹, Jonathan Garst¹, James J Klemens², Andrew J Tsung¹

Affiliations

¹ 1Department of Neurosurgery, OSF Saint Francis Medical Center, Peoria, Illinois; and.
² 2Department of Otolaryngology, Peoria Ear, Nose, & Throat Center, Peoria, Illinois.

Abstract

Background: Pituitary adenoma is a neurosurgical pathology commonly resected via endoscopic endonasal approach. Septal and nasal passage anatomy can affect the surgical corridor and may require septoplasty or other techniques for expansion.

Observations: The authors presented a case of pituitary macroadenoma with septal deviation with use of balloon-assisted nasal access for surgery.

Lessons: This technique enhanced surgical width of field and instrument maneuverability via septal medialization for successful tumor resection.

Keywords: assisted nasal access; endoscopic endonasal approach; pituitary; septal deviation; transsphenoidal.