Cargando…

Oronasal complications in patients after transsphenoidal hypophyseal surgery

Transsphenoidal surgery is the most commonly used surgical procedure to handle the hypophyseal region, sometimes associated with oronasal complications. MATERIAL AND METHODS/AIM: To evaluate prospectively (specific questionnaire, clinical evaluation) undiagnosed chronic oronasal complications in pat...

Descripción completa

Detalles Bibliográficos
Autores principales: Petry, Carolina, Soares Leães, Carolina Garcia, Semmelmann Pereira-Lima, Julia Fernanda, Gerhardt, Katia D., Druck Sant, Geraldo, da Costa Oliveira, Miriam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445952/
https://www.ncbi.nlm.nih.gov/pubmed/19649482
http://dx.doi.org/10.1016/S1808-8694(15)30649-2
_version_ 1784783535989587968
author Petry, Carolina
Soares Leães, Carolina Garcia
Semmelmann Pereira-Lima, Julia Fernanda
Gerhardt, Katia D.
Druck Sant, Geraldo
da Costa Oliveira, Miriam
author_facet Petry, Carolina
Soares Leães, Carolina Garcia
Semmelmann Pereira-Lima, Julia Fernanda
Gerhardt, Katia D.
Druck Sant, Geraldo
da Costa Oliveira, Miriam
author_sort Petry, Carolina
collection PubMed
description Transsphenoidal surgery is the most commonly used surgical procedure to handle the hypophyseal region, sometimes associated with oronasal complications. MATERIAL AND METHODS/AIM: To evaluate prospectively (specific questionnaire, clinical evaluation) undiagnosed chronic oronasal complications in patients submitted to conventional transsphenoidal adenomectomy surgery, operated at different neurosurgery services more than 6 months ago. RESULTS: 49 patients were evaluated, 37/45 presented macroadenoma. 28,5% were submitted to more than one intervention, 2/5 transsphenoidally. Transsphenoidal approach 92.8% through sublabial route. No patient had spontaneous complaint. With the specific questionnaire 63.2% presented complaints. One patient presented an oronasal fistula, 1 stenosis of the nasal valve area with external nasal deformity. Rhinoscopy detected alterations in 77.5%, nasal endoscopy in 87.7%. Septal perforation was present in 10/12 patients with scabs and 2 with purulent secretion. All 4 patients submitted to 2 transsphenoidal approaches presented septal perforation and nasal synechiae. In the endonasal, synechiae (2), alteration in medium meatus (1) and stenosis of the nasal valve area (1) were observed. Only two patients presented normal evaluation. CONCLUSION: A high incidence of nasal complications after conventional transsphenoidal surgery observed through examination and not reported spontaneously point to the need of otorhinolaryngological investigation complemented by nasal endoscopy in patients submitted to procedures through this route.
format Online
Article
Text
id pubmed-9445952
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-94459522022-09-09 Oronasal complications in patients after transsphenoidal hypophyseal surgery Petry, Carolina Soares Leães, Carolina Garcia Semmelmann Pereira-Lima, Julia Fernanda Gerhardt, Katia D. Druck Sant, Geraldo da Costa Oliveira, Miriam Braz J Otorhinolaryngol Original Article Transsphenoidal surgery is the most commonly used surgical procedure to handle the hypophyseal region, sometimes associated with oronasal complications. MATERIAL AND METHODS/AIM: To evaluate prospectively (specific questionnaire, clinical evaluation) undiagnosed chronic oronasal complications in patients submitted to conventional transsphenoidal adenomectomy surgery, operated at different neurosurgery services more than 6 months ago. RESULTS: 49 patients were evaluated, 37/45 presented macroadenoma. 28,5% were submitted to more than one intervention, 2/5 transsphenoidally. Transsphenoidal approach 92.8% through sublabial route. No patient had spontaneous complaint. With the specific questionnaire 63.2% presented complaints. One patient presented an oronasal fistula, 1 stenosis of the nasal valve area with external nasal deformity. Rhinoscopy detected alterations in 77.5%, nasal endoscopy in 87.7%. Septal perforation was present in 10/12 patients with scabs and 2 with purulent secretion. All 4 patients submitted to 2 transsphenoidal approaches presented septal perforation and nasal synechiae. In the endonasal, synechiae (2), alteration in medium meatus (1) and stenosis of the nasal valve area (1) were observed. Only two patients presented normal evaluation. CONCLUSION: A high incidence of nasal complications after conventional transsphenoidal surgery observed through examination and not reported spontaneously point to the need of otorhinolaryngological investigation complemented by nasal endoscopy in patients submitted to procedures through this route. Elsevier 2015-10-19 /pmc/articles/PMC9445952/ /pubmed/19649482 http://dx.doi.org/10.1016/S1808-8694(15)30649-2 Text en . https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Petry, Carolina
Soares Leães, Carolina Garcia
Semmelmann Pereira-Lima, Julia Fernanda
Gerhardt, Katia D.
Druck Sant, Geraldo
da Costa Oliveira, Miriam
Oronasal complications in patients after transsphenoidal hypophyseal surgery
title Oronasal complications in patients after transsphenoidal hypophyseal surgery
title_full Oronasal complications in patients after transsphenoidal hypophyseal surgery
title_fullStr Oronasal complications in patients after transsphenoidal hypophyseal surgery
title_full_unstemmed Oronasal complications in patients after transsphenoidal hypophyseal surgery
title_short Oronasal complications in patients after transsphenoidal hypophyseal surgery
title_sort oronasal complications in patients after transsphenoidal hypophyseal surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445952/
https://www.ncbi.nlm.nih.gov/pubmed/19649482
http://dx.doi.org/10.1016/S1808-8694(15)30649-2
work_keys_str_mv AT petrycarolina oronasalcomplicationsinpatientsaftertranssphenoidalhypophysealsurgery
AT soaresleaescarolinagarcia oronasalcomplicationsinpatientsaftertranssphenoidalhypophysealsurgery
AT semmelmannpereiralimajuliafernanda oronasalcomplicationsinpatientsaftertranssphenoidalhypophysealsurgery
AT gerhardtkatiad oronasalcomplicationsinpatientsaftertranssphenoidalhypophysealsurgery
AT drucksantgeraldo oronasalcomplicationsinpatientsaftertranssphenoidalhypophysealsurgery
AT dacostaoliveiramiriam oronasalcomplicationsinpatientsaftertranssphenoidalhypophysealsurgery