Transsphenoidal pituitary surgery

After Horsley's successful transcranial pituitary resection in 1898, Schloffer underwent extranasal surgery from 1906 to 1907, but severely affected the function of the nasal cavity and produced scars on the face. In 1909, cushing first reported a case of partial pituitary resection through the nasal septum to the sphenoid sinus. In 1912, chjari underwent pituitary resection through the ethmoid sinus and sphenoid sinus. It was only accepted by an otolaryngologist in 1950, and introduced the operation through the ethmoid sinus, maxillary sinus, and palate. So far, the surgical methods of pituitary tumors are divided into two categories: one is surgery on the sphenoidal saddle, which is a craniotomy pituitary tumor resection, which is handled by a neurosurgeon. The other is pituitary tumor resection from the subsphenoidal surgery, which is performed by the extranasal sieve and sphenoid sinus, and is mostly handled by an otolaryngologist. Coordinated by neurosurgery and ENT physicians.