THE EXTERNAL RHINOPLASTY APPROACH FOR THE TREATMENT OF ACROMEGALY

Acromegaly produces a syndrome of physiological and physical derangeme nts. Patients afflicted with this disease are often as concerned with the changes in their appearance as with the pituitary tumor. The exter nal rhinoplasty approach to transphenoid hypophysectomy has recently b een shown to improve visualization and to have fewer complications com pared with the sublabial approach devised initially by Cushing. Three patients are presented in whom this approach was used to simultaneousl y treat the physiological derangement of acromegaly and to correct the nasal deformity.