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WILLIAM W. MONTGOMERY, MD

Arch Otolaryngol. 1963;78(1):68-77.

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

During recent years the various rhinological approaches to the pituitary gland by way of the sphenoid have offered increasing competition to the anterior craniotomy route. The popularity of the transsphenoid technique is a result of its being a more direct route, allowing for a lower morbidity and mortality rate. There is less chance for injury to the optic chiasm. Postoperative complications such as seizures, extradural hematoma, brain damage, and cerebral edema are rare. The convalescent period following the transsphenoidal route for hypophysectomy is usually quite short.

There are a number of routes and modifications for the transsphenoidal hypophysectomy.

1. Trans-Septal-Sphenoidal Hypophysectomy.— This operation was pioneered by Oscar Hirsch in 1910. Cushing later used a sublabial modification of this route. Heck was the first in this country to use the transseptal approach for the treatment of advanced carcinoma of the breast. The main objection to this route is that it . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

Associate Surgeon, Massachusetts Eye and Ear Infirmary and Massachusetts General Hospital; Clinical Instructor, Harvard Medical School.

Footnotes
Submitted for publication Nov 14, 1962.

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