Endoscopic transnasal transsphenoidal surgery

Endoscopic transnasal transsphenoidal surgery removes pituitary tumours through the nose, avoiding opening the skull.

Category
surgery
Reviewed by
Hussein Imran Mousa, consultant neurosurgeon
Reading time
1 min read

At a glance

What it is

A surgical instrument is passed through the nostril and alongside the nasal septum to reach and remove a pituitary tumour — entirely endoscopic, without craniotomy.

What it treats

Pituitary adenomas and other sellar lesions (tumours at the base of the skull near the pituitary gland).

What to expect

Minimally invasive compared to open cranial surgery. No external incisions. Recovery is typically shorter than traditional brain surgery approaches.

Endoscopic transnasal transsphenoidal surgery at Alimran Medical Center

Endoscopic transnasal transsphenoidal surgery is a minimally invasive technique for accessing and removing tumours of the pituitary gland and adjacent sellar region. A surgical instrument and endoscope are passed through the nostril alongside the nasal septum, traversing the sphenoid sinus to reach the pituitary fossa — entirely avoiding the need for a craniotomy or external facial incisions.

This approach offers significant advantages over traditional open skull base surgery: no visible scarring, reduced risk of complications from extensive brain retraction, shorter hospital stay, and faster recovery. It is the standard-of-care approach for pituitary adenomas (both secretory and non-secretory) and other sellar lesions including craniopharyngiomas and Rathke's cleft cysts.

High-definition endoscopic imaging provides excellent intraoperative visualisation of the tumour and critical surrounding structures, including the carotid arteries and optic nerves, enabling safe and complete tumour removal.

Treatment options at Alimran Medical Center

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This page describes a treatment offered at Alimran Medical Center and is not a substitute for individual medical assessment. Suitability is decided in consultation.