Transnasal Endoscopic Surgery of the Pituitary Gland: Technical Note

Abstract
An approach to transnasal transsphenoidal debulking of pituitary tumors using endoscopic guidance is presented. Technical details of this approach using an endoscope inserted through one nostril and operating instruments inserted through a submucosal tunnel created via the other nostril are discussed. Ten patients who had operations are tabulated. Illustrative cases are presented. Endoscopic debulking of pituitary tumors can provide good results with minimal operative morbidity.