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CHARLES S. GIFFIN, MD; EMIL H. BERGENDAHL, MD; GEORGE C. MANNING, MD; SANFORD C. SNYDERMAN, MD

Arch Otolaryngol. 1965;82(1):32-37.

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

OUR PURPOSE is to present a technique of cryogenic hypophysectomy which has proven to be easier for the surgeon and safer for the patient than some other methods, while still achieving the desired result: ablation of pituitary function. The technique is transeptal-transphenoidal hypophysectomy using a cryogenic probe.

Techniques for Hypophysectomy

The most common approach to the pituitary gland has been by anterior craniotomy. Hirsch¹ and Cushing² were the first to approach the gland by the transeptal method. They attempted to remove pituitary tumors.

In 1952 Olivecronia⁴ first described the treatment of metastatic breast cancer by hypophysectomy. He advocated a transcranial approach. The extensive series by Ray and his associates^4-6 has provided much of the present knowledge concerning the relevant physiology of hypophyseal surgery.

Recent improvements in surgical instruments and techniques, by both neurosurgeons and otorhinolaryngologists, have brought about a reassessment of hypophysectomy via extracranial approaches.

Besides . . . [Full Text PDF of this Article]

Author Affiliations
FT. WAYNE, IND

Footnotes
Submitted for publication Oct 19, 1964.

Diplomates American Board of Otolaryngology (Drs. Giffin, Bergendahl, and Snyderman); diplomate American Board of Neurosurgery (Dr. Manning).

Reprint requests to 102 Medical Center, Ft. Wayne, Ind (Dr. Giffin).

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