Introduction Intraoperative imaging has played a substantial role in the history of transsphenoidal surgery. Cushing’s discontinued his use of transnasal pituitary surgery mainly because of limited visibility during the operation….
Introduction Like many advances in medicine, the transsphenoidal procedure as we know it today is the result of a long, relentless process. Many bold and creative pioneer surgeons have contributed…
Introduction Modern transsphenoidal approaches began with the contributions of Jules Hardy, who built on the legacy of earlier transsphenoidal approaches from Cushing’s to Norman Dott to Gerard Guiot. Hardy introduced…
Introduction The approach to tumors of the pituitary gland has undergone a developmental evolution during the past century. While Sir Victor Horsley performed the first transcranial approach to the pituitary…
Introduction The main purpose of this chapter is to provide a practical review of the visual and oculomotor manifestations of pituitary tumors. The close anatomical relationship between the pituitary gland…
Introduction Patients having transsphenoidal surgery offer many unique challenges to the anesthesiologist. Because of the prominent role of the pituitary gland in the endocrine system, patients require meticulous preoperative assessment,…
Introduction The goals of definitive surgical treatment of pituitary lesions are the reversal of endocrinopathy and restoration of normal pituitary function; elimination of mass effect and restoration of normal neurological…
Jules Hardy Over the last 10 years, numerous articles have reviewed the historical background of the surgical treatment of pituitary tumors and confronted the challenge between the alternative of intracranial versus…
Introduction Various classifications of pituitary tumors have been proposed on the basis of size, radiographic appearance, cytogenesis, staining properties, and endocrine function. There is no consensus regarding the terminology to…
Anatomy If a thin endoscope (1 to 2 mm in diameter) is inserted into the nasal cavity and through the sphenoid ostium, it can reach the sellar floor without touching…
