transsfenoidalne

Transsfenoidalne refers to a surgical approach used to access the pituitary gland and surrounding structures within the skull. The term itself is derived from "trans-" meaning through, "sphenoid" referring to the sphenoid bone, a butterfly-shaped bone at the base of the skull, and "-al" indicating related to. Therefore, a transsfenoidal approach means going through the sphenoid bone.

This minimally invasive surgical technique typically involves entering the nasal cavity and dissecting through the sphenoid sinus to reach the sella turcica, a bony cavity that houses the pituitary gland. Surgeons use specialized instruments and often an endoscope, a small camera, to visualize the surgical field.

The transsfenoidal approach is primarily employed for the removal of pituitary adenomas, which are benign tumors of the pituitary gland. It is also used to treat other pituitary disorders, such as craniopharyngiomas, and can be used for cerebrospinal fluid leak repair in certain cases. The advantages of this approach include a shorter recovery time and reduced pain compared to traditional open surgery, as well as avoiding external incisions on the face or scalp. Potential risks, though generally low, can include bleeding, infection, and damage to surrounding structures.