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Pituitary Surgery

I will give you a brief overview of the history of pituitary surgery.

Sir Victor Horsley was the first surgeon to operate on a pituitary adenoma 1889
This is his drawing of the middle fossa approach that was used.Later he also used a subfrontal approach.His mortality rate was 20 % which should be compared to the results of other contemporary surgeons with mortality between 50-80 %

The first successful transsphenoidal removal of a pituitary adenoma was performed a hundred years ago by Herman Schloffer an Austrian ENT surgeon using an extended lateral rhinotomy incision

The transsphenoidal approach as we know it today was initiated by Harvey Cushing .He used an incision under the upper lip get access to nasal septum

The sella was reached through tunnel under the mucosa of the septum

He performed 231 procedures with a mortality of 5,6 % .He returned to the trans cranial approach in spite of this comparatively low mortality figure.
He believed that the......


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Approximate Word Count: 1093
Approximate Pages: 5 (250 words per double-spaced page)

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