Endoscopic transsphenoidal pituitary surgery in children

Publication date: Available online 26 January 2019

Source: Operative Techniques in Otolaryngology-Head and Neck Surgery

Author(s): Edward C. Kuan, Phillip B. Storm, James N. Palmer, Nithin D. Adappa

With increasing adoption of endoscopic techniques and improved knowledge of skull base anatomy and approaches, transsphenoidal pituitary surgery is now being performed on patients of all ages. Surgical principles are similar between pediatric and adult patients, but there are special considerations for the pediatric population in terms of instrumentation, surgical anatomy, and postoperative care. Wide exposure to the sella, oftentimes to accommodate multiple instruments and the endoscope, is frequently necessary. Persistent collaboration among the otolaryngology, neurosurgery, and anesthesiology teams is of critical importance to ensure optimal outcomes.

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