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

Previous Articles     Next Articles

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

PDF (PC)

1358

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.
[1] LU Zhaoyang, ZHAI Zhaoxue, WANG Huikang, SHAO Liting, ZHANG Yu. COVID-19 treatment-induced diabetic ketoacidosis combined with rhino-orbital cerebral mucormycosis: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 90-94.
[2] MA Xin, DONG Lingkang, WU Hongmin, YI Hongliang, ZOU Jianyin. Modifications and applications of lateral expansion abduction suspension suture technique in the treatment of obstructive sleep apnea [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 81-88.
[3] MA Li, GAO Zhan, LI Pengqi, NI Qianwei. Current status of anatomical research on nasal orbital ethmoid and concurrent zygomatic bone fracture complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 126-130.
[4] LI Hao, YANG Liyuan, ZHANG Shoukai. Short-term clinical observation of drugsustained-release stent implantation in patients with refractory sinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 38-42.
[5] LU Huan, HE Benchao, LIAO Hongming. Acute sinusitis combined with orbital cellulitis and intracranial infection in a child: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(1): 46-50.
[6] YUE Tao, ZHUANG Dayong, ZHOU Peng, LI Xiaolei, XU Jing, ZHU Jian, HE Qingqing. The complications of tracheal injury in da Vinci robotic thyroidectomy: four case reports and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 46-50.
[7] CHAI Lina, LEI Chunyan, GAO Sheng, ZHANG Meixia. Isolated congenital retinal arteriovenous malformation with vitreous hemorrhage and sub-inner limiting membrane hemorrhage:a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 67-70.
[8] LUAN Guogang, CHEN Jinjin, YAN Tao. Two methods of vitreous silicone oil extraction with self-made simple devices [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 80-84.
[9] DONG Shuguang, GUO Fengfei, MENG Xuxia, YAN Shilong. Retrospective analysis of the causes of anterior capsular tear in early femtosecond laser-assisted cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 110-114.
[10] FENG Yiyuan, YANG Jing, YANG Hongbin. Clinical analysis of 220 cases of deep neck space infection [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 51-57.
[11] LI Ying. Importance of standardized methods in corneal refractive surgery and the prevention of complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 1-6.
[12] CIREN Qiongda, WU Yuan. A case of long-term ocular complications caused by toxic epidermal necrolysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 147-150.
[13] ZHAO Yaming, SHI Song. Three cases of diagnosis and treatment of cervical necrotizing fasciitis with a primary diagnosis of acute epiglottitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 12-16.
[14] SUN Chuan, LIU Yaqun, HE Shuangba, ZHANG Qingxiang. Cryogenic plasma-assisted nasal resection of seventeen cases of anterior and middle skull base tumors [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 55-59.
[15] FANG Zhongju, ZHANG Yongxia, ZHAO Jiandong, ZONG Liang, ZHAI Xingyou, LI Xinjian, PENG Xin, REN Nan, CHEN Liwei, LIU Mingbo. Combined treatment of chylous leakage after lymph node dissection for thyroid cancer [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(3): 64-68.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd