The Endoscopic Approach to the Pituitary Gland

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Abstract
We present the use of the rigid sinus endoscope for the removal of two benign pituitary neoplasms. After a search of the relevant literature it appears that the use of the rigid endoscope has been confined to surgical procedures on the paranasal sinuses. With the addition of the techniques of endoscopic sinus surgery to this interface of otolaryngology and neurosurgery, we believe an alternative to transseptal or traditional transsinal procedures has been introduced. Both patients who underwent pituitary gland resection for benign adenoma presented with visual complaints prompting discovery of the tumors. Appropriate endocrinologic consultation was obtained before surgery. Septoplasty was not required in either patient. The procedures were performed with the patients under general anesthesia with the use of topical and injectable anesthetic solutions as with other endoscopic procedures. The first patient developed a cerebrospinal fluid rhinorrhea on the third postoperative day that was repaired with endoscopic application of

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