Transsphenoidal Hypophysectomy
A transsphenoidal hypophysectomy is a minimally invasive procedure used to treat pituitary masses or tumors. Advances in technology have revolutionized the way these types of surgeries are done. Using a nasal endoscope and special instruments, we are now able to access the pituitary gland (and other parts of the brain) directly through the nose. This procedure is typically performed by an otolaryngologist (ENT surgeon) and a neurosurgeon working in conjunction with each other - I most commonly work with Justin Fraser, M.D. when performing these procedures at the University of Kentucky.
In order to safely access the pituitary gland, a number of your sinus cavities need to be opened. Additionally, you might require a septoplasty if you have a significantly deviated nasal septum. Doing these things allows me to create a path directly to the pituitary gland and makes sure that nothing in your nose is impeding access to this area of the brain.
As a rhinologist, I am quite concerned about the health of the nose and sinuses. So, I spend extra time during the procedure trying to optimize your sinus and nasal cavities in an attempt to prevent your from developing any sinus or nasal issues after the surgery. It is far too common that I treat patients who have developed nasal and sinus disease after having this type of surgery elsewhere.