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A Contribution to Pituitary SurgeryAbstract
FREDERICK M. TURNBULL, JR., MD
Arch Otolaryngol. 1965;81(4):421.
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IN RECENT years the whole field of skull base surgery, formerly a no-man's-land, has come increasingly into the foreground. Research and development in the field of narcosis, together with the use of antibiotics and replacement hormonal therapy and the development and use of the operating microscope, have provided the surgeon with better aids for operation and postoperative care. These have made possible a new look at the approach to the pituitary from below. The risk of infection, earlier one of the chief objections, is regarded to have decreased to a negligible level as a result of new therapeutic resources and surgical refinements as application of the septal mucosal flap to seal the sella-sphenoid dehiscence. Hypophysectomy has been utilized as palliation for metastatic carcinoma of the breast and prostate. There is increasing evidence that intractable diabetes with progressive retinopathy is benefited by this procedure. Also, malignant exophthalmos has responded to hypophysectomy,
. . . [Full Text PDF of this Article]
Author Affiliations
LOS ANGELES
Footnotes
Submitted for publication Aug 10, 1964.
Read before the Section on Laryngology, Otology, and Rhinology at the 113th Annual Meeting of the American Medical Association, San Francisco, June 23, 1964.
Reprint requests to 1127 Wilshire Blvd, Los Angeles, Calif 90017.
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