Overview of Pituitary Surgery

Christina H Fang; Vijay Agarwal; James K Liu; Jean Anderson Eloy

doi:10.1016/j.otc.2022.01.001

Overview of Pituitary Surgery

Otolaryngol Clin North Am. 2022 Apr;55(2):205-221. doi: 10.1016/j.otc.2022.01.001.

Authors

Christina H Fang¹, Vijay Agarwal², James K Liu³, Jean Anderson Eloy⁴

Affiliations

¹ Department of Otorhinolaryngology - Head and Neck Surgery, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, 3400 Bainbridge Street, 3rd Floor, Bronx, NY 10467, USA.
² Department of Otorhinolaryngology - Head and Neck Surgery, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, 3400 Bainbridge Street, 3rd Floor, Bronx, NY 10467, USA; Department of Neurological Surgery, Montefiore Medical Center, The University Hospital of Albert Einstein College of Medicine, Bronx, NY, USA; Division of Skull Base and Minimally Invasive Neurosurgery, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, 3316 Rochambeau Avenue, Bronx, NY 10467, USA.
³ Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA.
⁴ Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Otolaryngology and Facial Plastic Surgery, Saint Barnabas Medical Center - RWJBarnabas Health, Livingston, NJ, USA. Electronic address: jean.anderson.eloy@gmail.com.

PMID: 35365311
DOI: 10.1016/j.otc.2022.01.001

Abstract

Management of patients with pituitary lesions is complex given the delicate nature of the surrounding anatomy and complexity of underlying disease. The care of these patients ideally involves a multidisciplinary team composed of endocrinologists, neuroradiologists, otolaryngologists, neurosurgeons, critical care physicians, and anesthesiologists. The endoscopic endonasal approach to the skull base has revolutionized pituitary and anterior skull base surgery and has gained popularity worldwide. This article presents an overview of the diagnosis, work-up, and management of patients with pituitary lesions, with an emphasis on surgical, perioperative, and postoperative considerations.

Keywords: Endoscopic surgery; Pituitary; Pituitary adenoma; Pituitary surgery; Sella; Skull base surgery; Transsphenoidal surgery.

Publication types

Review

MeSH terms

Humans
Neurosurgical Procedures
Nose / surgery
Otolaryngologists
Skull Base Neoplasms* / surgery
Skull Base* / anatomy & histology
Skull Base* / surgery