Transsphenoidal Surgery

For the majority of pituitary tumors, some form of transsphenoidal surgery is the most appropriate route (3-4). Usually this is a standard microsurgical submu-cosal transseptal transsphenoidal procedure. There are many virtues of the transsphenoidal approach. Most importantly, it is the least traumatic route of surgical access to the sella, providing excellent visualization of the pituitary gland and adjacent pathology. The lack of visible scars, lower morbidity and mortality as compared with transcranial procedures, the necessity of only a brief hospital stay, the relatively brief recuperative period, and the overall safety of the procedure add to the procedure's appeal.

Mayfield Horseshoe Headrest

Fig. 2. (A) Positioning of patient for transsphenoidal surgery. 1, Right shoulder at the top of right edge of table. 2, Mayfield headrest. 3, Horseshoe support for head angled to the left. 4, Head parallel to the walls of the room. 5, C-arm image intensifier perpendicular to the walls of the room. 6, Bridge of nose parallel to floor. 7, Thorax elevated 20-30°. 8, Right lower quadrant of abdomen exposed and "prepped'' for fat graft.

Fig. 2. (A) Positioning of patient for transsphenoidal surgery. 1, Right shoulder at the top of right edge of table. 2, Mayfield headrest. 3, Horseshoe support for head angled to the left. 4, Head parallel to the walls of the room. 5, C-arm image intensifier perpendicular to the walls of the room. 6, Bridge of nose parallel to floor. 7, Thorax elevated 20-30°. 8, Right lower quadrant of abdomen exposed and "prepped'' for fat graft.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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