Analyses and Treatments of Postoperative Nasal Complications After Endonasal Transsphenoidal Resection of Pituitary Neoplasms

Overview

Journal Medicine (Baltimore)

Specialty General Medicine

Date 2017 Apr 14

PMID 28403108

Citations 12

Authors

You Cheng

Fei Xue

Tian-You Wang

Jun-Feng Ji

Wei Chen

Zhi-Yi Wang

Li Xu

Chun-Hua Hang

Xin-Feng Liu

Affiliations

Soon will be listed here.

Abstract

In this study, we analyze and discuss the treatments of postoperative nasal complications after endonasal transsphenoidal resection of pituitary neoplasms (PNs). We performed 129 endonasal transsphenoidal resections of PNs and analyzed and treated cases with nasal complications. After endonasal transsphenoidal resection of PNs, there were 26 cases of postoperative nasal complications (20.1%), including nasal hemorrhage (4.8%), cerebrospinal fluid rhinorrhea (6.9%), sphenoid sinusitis (2.3%), atrophic rhinitis (1.6%), olfactory disorder (1.6%), perforation of nasal septum (0.8%), and nasal adhesion (2.3%). All patients clinically recovered after therapy, which included treatment of the cavity through nasal endoscopy, intranasal corticosteroids, and nasal irrigation. We propose that regular nasal endoscopic review, specific nasal medications, and regular nasal irrigation can effectively clear nasal mucosal hyperemia-induced edema and nasal/nasoantral secretions, as well as promote regeneration of nasal mucosa, prevent nasal adhesion, maintain the sinus cavity drainage, and accelerate the recovery of the physiological function of the paranasal sinus. Timely treatment of patients with nasal complications after endonasal transsphenoidal resections of PNs could greatly relieve the clinical symptoms. Nasal cleaning is very beneficial to patients after surgery recovery.

Citing Articles

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Risk Factors for Isolated Sphenoid Sinusitis after Endoscopic Endonasal Transsphenoidal Pituitary Surgery.

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Application of expanding bilateral sphenoid sinus plasty in the treatment of sphenoid sinus diseases.

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