Abstract
A concha non-pneumatized sphenoid is considered to be a contraindication for the transsphenoidal resection of a pituitary adenoma. Specifically, this anatomical variation makes it difficult to approach the sella turcica. However, in this report, an intra-operative navigational system was used as a guide to access the sella through the sphenoid sinus. This procedure was found to be both reasonable and safe.
MeSH terms
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Adenoma / surgery*
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Adult
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Angiography, Digital Subtraction
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Female
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Humans
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Male
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Middle Aged
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Neuronavigation / methods*
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Neurosurgical Procedures / methods*
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Oculomotor Nerve Diseases / surgery
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Pituitary Neoplasms / surgery*
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Sella Turcica / diagnostic imaging
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Sella Turcica / surgery
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Sphenoid Bone / diagnostic imaging
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Sphenoid Bone / surgery
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Sphenoid Sinus / diagnostic imaging
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Sphenoid Sinus / surgery*
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Tomography, X-Ray Computed