TRANSNASAL TRANSSEPTAL ENDOSCOPIC APPROACH TO THE SPHENOID SINUS

A modified transseptal approach to the sphenoid sinus and pituitary gl and utilizing rigid endoscopy has been developed by the Departments of Otolaryngology, Plastic Surgery, and Neurosurgery at The Cleveland Cl inic Foundation. When compared with alternate approaches or the nonend oscopic transseptal procedure, the modified approach provides better v isualization and increased illumination of the surgical sites. Other a dvantages include a decrease in operating time, dissection, bleeding, and postoperative morbidity without compromising nasal function in the postoperative period.