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1 results

  • Chapter 22 - Anesthesia for maxillary, salivary gland, mandibular and temporomandibular joint surgery

  • from Section 3 - Anesthesia for head and neck surgery
  • Edited by Basem Abdelmalak, John Doyle
  • Book:
    Anesthesia for Otolaryngologic Surgery
    Published online:
    05 November 2012
    Print publication:
    18 October 2012, pp 210-219

  • Summary

    Transsphenoidal pituitary resection is a common surgical procedure that offers unique challenges to the anesthesiologist. Generally, the transsphenoidal approach to the sella region can be divided into two techniques: (1) the sublabial approach which involves an incision made beneath the upper lip into the gum and subsequently through the septum and (2) the transnasal approach which involves dissection through the nasal cavity wall using microsurgical or endoscopic instruments inserted through the nostrils. The heterogeneity of the patient population and their medical condition requires a fundamental knowledge of the nature of pituitary disease and management. Understanding the specific demands of the surgical technique allows the anesthesia provider to facilitate the procedure and increase the efficacy of the intervention. Additionally, predicting and managing the peri- and postoperative complications allows the anesthesiologist to maximize the safety of the patient.