JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (1): 54-57.doi: 10.6040/j.issn.1673-3770.0.2015.454

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Clinical analysis and treatment of sphenoid sinusitis after transsphenoidal pituitary adenoma resection.

CHENG You1, XUE Fei1, WANG Tianyou1, CHEN Wei1, JI Junfeng1, WANG Zhiyi1, XU Li1, HANG Chunhua   

  1. 1. Department of Otolaryngology-Head and Neck Surgery;2. Department of Neurosurgery, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, Jiangsu, China
  • Received:2015-10-31 Online:2016-02-16 Published:2016-02-16

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Abstract: Objective To exlpore the prevention and therapy methods of sphenoid sinusitis after transsphenoidal pituitary adenomas resection. Methods Totally 129 patients underwent transsphenoidal pituitary adenomas resection. The postoperative sphenoid sinusitis was observed and analyzed. Results A total of 6 cases(4.6%)complicated with sphenoid sinusitis in all 129 cases. All of them were cured after the corresponding specialized subject treatment under nasal endoscope, like regular surgical cavity cleanning, nasal steroid spray, and nasal irrigation. Conclusion The complication of sphenoid sinusitis after transsphenoidal pituitary adenomas resection should be timely disposal under nasal endoscopy so as to effectively improve the patients clinical symptoms.

Key words: Complication, Pituitary adenomas, Transsphenoidal ectomy, Sphenoid sinusitis

CLC Number: 

  • R736.4
[1] 邬祖良, 谭启富, 史继新. 垂体腺瘤经蝶窦显微手术432例[J]. 中华外科杂志, 1999, 37(6):350-352. WU Zuliang, TAN Qifu, SHI Jixin. The treatment of 432 patients with pituitary adenomas via transsphenoidal approach[J]. Chin J Surg, 1999, 37(6):350-352.
[2] Berker M, Hazer D B, Yücel T, et al. Complications of endoscopic surgery of the pituitary adenomas: analysis of 570 patients and review of the literature[J]. Pituitary, 2012, 15(3):288-300.
[3] 杜奇勇, 任林强, 胡永光, 等. 经蝶入路垂体瘤切除术临床效果及其并发症[J]. 齐齐哈尔医学院学报, 2012, 33(21):2924-2925. DU Qiyong, REN Linqiang, HU Yongguang, et al. Clinical effect and its complications for transsphenoidal pituitary tumor resection[J]. Journal of Qiqihar University of Medicine, 2012, 33(21):2924-2925.
[4] 中华耳鼻咽喉头颈外科杂志编委会. 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 慢性鼻-鼻窦炎诊断和治疗指南(2008年,南昌)[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(1):6-7.
[5] 韩德民, 周兵. 鼻内窥镜外科学[M]. 北京: 人民卫生出版社, 2001: 14.
[6] 严波, 张秋航, 吕海丽. 内镜下经鼻-蝶入路垂体腺瘤术后并发鼻窦炎的防治[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(8):353-355. YAN Bo, ZHANG Qiuhang, L(¨overU)Haili. Prevention and cure sinusitis complicated by endoscopic transnasal approach in surgical treatment of pituitary adenoma[J]. J Clin Otorhinolaryngol Head Neck Surg(China), 2010, 24(8):353-355.
[7] Batra P S, Citardi M J, Lanza D C. Isolated sphenoid sinusitis after transsphenoidal hypophysectomy[J]. Am J Rhinol, 2005, 19(2):185-189.
[8] Morioka M, Hamada J, Yano S, et al. Frontal skull base surgery combined with endonasal endoscopic sinus surgery[J]. Surg Neurol, 2005, 64(1):44-49.
[9] 王天友, 王秋萍, 吴昆旻, 等. 敏抗软膏在鼻腔填塞中的应用[J]. 医学研究生学报, 2005, 18(1):89-89.
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