Endonasal trans sphenoidal endoscopic excision of pituitary adenoma with and without sellar floor reconstruction and nasal packing. A comparative study

Postoperative cerebrospinal fluid (CSF) leaks still occur in patients without intraoperative CSF leaks after endoscopic endonasal pituitary adenoma surgery. We propose a reconstructive technique, the sellar floor flap (SFF), for universal sellar anatomical reconstruction. A total of 113 patients without intraoperative CSF leaks after endoscopic endonasal pituitary adenoma surgery from July 2013 to June 2016 were reviewed: 43 underwent sellar reconstruction with the SFF (the SFF group) and 70 underwent sellar packing only (the nonreconstruction group). No case of postoperative CSF leak was reported in the SFF group, whereas 7 cases were reported in the nonreconstruction group ( P < .05). The SFF is suitable for universal reconstruction after endoscopic endonasal pituitary adenoma surgery and may decrease postoperative CSF leak.

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Comparison of septoplasty with and without packing and splints.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.04.6175 ◽

2021 ◽

Vol 28 (04) ◽

pp. 459-463

Author(s):

Amrat Kumar ◽

Ashok Kumar ◽

Shabir Mehar ◽

Dileep Kumar ◽

Muhammad Wasi Ullah Khan

Keyword(s):

Comparative Study ◽

Nasal Packing ◽

Treatment Results ◽

New Techniques ◽

Before And After ◽

Group A ◽

Vas Scores ◽

The Mean ◽

Group B ◽

Study Setting

Objective: During septoplasty, nasal packing is routinely used by surgeons for hemostasis and balancing the cartilage and bony skeleton of the nose. However, these new techniques are not totally mild and therefore new ways are adopted to check their efficiency and reason their value. The study was performed to compare the use of plastic intranasal splints with or without anterior nasal packing to determine the need of nasal packing after septoplasty. Study Design: Comparative Study. Setting: ISRA University Hyderabad. Period: March 2018 to April 2019. Material & Methods: A total of 50 patients presenting with nasal septum in this period were prospectively examined. For the purpose of comparative study, we divided the patients into two groups: Group A –Patients who underwent septoplasty with packing and Group-B –Patients who underwent septoplasty without packing. We recorded the pain felt using Visual analogue scale before and after the surgery and also noted the Mean Age gender wise and recorded treatment results for statistical analysis using SPSS Version-20. Results: In our data, a total fifty (50) patients comprising 28 Males (68%) and 22 Females (32%) were listed in the study. The mean± standard deviation VAS scores of Group-A was at 5.2 ±0.9 and Group-B is 2.9±0.61 showing less pain in Group B-without splints and packing. However the complication rate in patients without Splints and packing was only 18%. Conclusion: Thus we find septoplasty without nasal splints and packing is more effective and cause lesser bleeding and pain to patients.

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Segmented retinal analysis in pituitary adenoma with chiasmal compression: A prospective comparative study

Indian Journal of Ophthalmology ◽

10.4103/ijo.ijo_2086_20 ◽

2021 ◽

Vol 69 (9) ◽

pp. 2378

Author(s):

Kumudini Sharma ◽

Rachna Agarwal ◽

VaibhavK Jain ◽

Shalini Singh ◽

Akshata Charlotte ◽

...

Keyword(s):

Pituitary Adenoma ◽

Comparative Study ◽

Chiasmal Compression ◽

Prospective Comparative Study

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Prediction of the consistency of pituitary adenoma: A comparative study on diffusion-weighted imaging and pathological results

Journal of Neuroradiology ◽

10.1016/j.neurad.2015.09.003 ◽

2016 ◽

Vol 43 (3) ◽

pp. 186-194 ◽

Cited By ~ 14

Author(s):

Lu Yiping ◽

Xiong Ji ◽

Geng Daoying ◽

Yin Bo

Keyword(s):

Pituitary Adenoma ◽

Comparative Study ◽

Diffusion Weighted Imaging ◽

Diffusion Weighted

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POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v70i6.3696 ◽

2020 ◽

Vol 70 (6) ◽

pp. 1629-33

Author(s):

Muhammad Fahad Wasim ◽

Naeem Riaz ◽

Sohail Aslam ◽

Syed Muhammad Asad Shabbir Bukhari ◽

Humza Mumtaz ◽

...

Keyword(s):

Comparative Study ◽

Surgical Procedure ◽

Nasal Septum ◽

Final Analysis ◽

Nasal Packing ◽

Septal Perforation ◽

Deviated Nasal Septum ◽

Chi Square ◽

Chi Square Test ◽

The Difference

OBJECTIVE To compare the possibility of Post-operative hemorrhage in septoplasty with and without nasal packing among the patients operated at PNS SHIFA hospital Karachi STUDY DESIGN: Comparative Study SETTING: PNS SHIFA hospital Karachi DURATION OF STUDY: Six months, 21-04-2019 to 20-10-2019 PATIENTS AND METHODS: Ninety two patients who underwent septoplasty due to deviation of nasal septum at ENT department of PNS SHIFA were included in the analysis. Patients were randomly divided into two groups. Group one did not undergo nasal packing after the surgery and group two underwent nasal packing after the surgical procedure. Chi-square was used to see the difference in post-operative hemorrhage, headache, discomfort and septal perforation between the two groups. RESULTS Out of 92 patients included in the final analysis 61 were male and 31 were female. Pot operative bleeding was found in three patients in group one while thirteen patients in group two had bleeding after the procedure. With Pearson chi-square test, we found that post-operative bleeding, headache and discomfort was significantly more in the patients with nasal packing after the procedure of septoplasty due to deviated nasal septum. CONCLUSION Nasal packing emerged as a procedure linked with more complications rather than benefits among the patients undergoing septoplasty in our study. Not only post-operative hemorrhage but also headache and discomfort were more common among the patients with nasal packing as compared to those without nasal packing. Nasal packing after septoplasty should be discouraged without any obvious indication in the patients undergoing septoplasty.

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A prospective comparative study assessing the efficacy of endoscopic and microscopic excision of noninvasive pituitary adenoma

International Journal of Surgery Science ◽

10.33545/surgery.2021.v5.i2d.685 ◽

2021 ◽

Vol 5 (2) ◽

pp. 198-200

Author(s):

Dr. Manoj Poptani ◽

Dr. Adarsh Trivedi

Keyword(s):

Pituitary Adenoma ◽

Comparative Study ◽

Prospective Comparative Study

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Comparative study on the effect of various anterior nasal packing on ear compliance and ear canal volume

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20200635 ◽

2020 ◽

Vol 6 (3) ◽

pp. 558

Author(s):

Jayeeta Pandit ◽

Vignesh Kumar ◽

Amlanjyoti Nath ◽

Abhinandan Bhattacharjee

Keyword(s):

Comparative Study ◽

Eustachian Tube ◽

Nasal Packing ◽

Nasal Surgery ◽

Ear Canal ◽

Nasal Pack ◽

Compliance Level ◽

Number Of Patients ◽

Better Than

Background: Anterior nasal packing (ANP) is a commonly used procedure by otorhinolaryngologist for the control of post-operative bleeding post septoplasty and nasal surgery. However there remains an ambiguity regarding the effect of various nasal packings on the Eustachian tube dysfunctions. The present study intends to compare and evaluate the effects of ribbon gauge nasal packing (RNP), merocel nasal packing (MNP) and merocel with airway packing (MAP) on the eustachian dysfunction such as changes in the compliance and ear canal volume.Methods: Ninety patients were selected for the study, and randomly divided into 3 groups of 30 patients each where the patients were treated with RNP, MNP and MAP. The pack was kept insitu for 48 hrs and the compliance and ear canal volume was measured at before pack is applied (pre pack), with ANP insitu at 48 hrs (with pack), and after removal of the nasal pack at 5th day (post pack). Results: The percentage of patients with abnormal compliance level as well as ear canal volume was found to be the highest among the patients in RNP group followed by patients from the MNP group. The least number of patients with abnormal compliance and ear canal volume was observed among the patients in the MAP groups.Conclusions: MAPs are better than ribbon gauge and MNPs in terms of maintaining the compliance level and ear canal volume.

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