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ANAND JOB, MS, DLO; SIDDARTHA GOSH, MS; THOMAS JOSEPH, MS
Vellore, South India

Arch Otolaryngol Head Neck Surg. 1991;117(3):340-341.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—The transseptal transsphenoidal approach for pituitary surgery, although an excellent route, produces the common rhinological complication, septal perforation.¹ Various authors have modified the technique to improve on exposure of the pituitary fossa, as well as to prevent cosmetic deformity, to avoid nasal septal perforation, to reduce operating time, and to facilitate technique. Some of the varied approaches that have been attempted are the external rhinoplasty approach,² the transseptal approach,³ and the columellar flap technique.⁴ However, in all of these techniques, septal perforation continues to pose a problem.

Our technique is a modification of the endonasal transseptal approach, wherein septal perforation is avoided.

Technique.—The patient is anesthetized, positioned, and draped. A Killian's incision is made on the left side after infiltration of the nasal septum. An anterior tunnel is made under the mucoperichondrium of the septal cartilage. As the dissection proceeds, the anterior . . . [Full Text PDF of this Article]

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