Endoscopic Endonasal Approach for Pituitary Adenoma Recurrency
Clinical Presentation
A 48-year-old male presented with bitemporal hemianopsia and visual acuity decline. MRI revealed a recurrent pituitary macroadenoma with suprasellar extension.
Surgical Approach
Transnasal transsphenoidal endoscopic approach. Fully resected with preservation of the pituitary stalk and optic chiasm.
Key Takeaways & Learning Points
- ✓Gland dissection without mucosal injury
- ✓Identification of carotid canal & cavernous sinus landmarks
- ✓Skull base reconstruction using nasoseptal flap
