FIBRIN SEALING OF MUCOPERICHONDRIAL FLAPS IN ENDONASAL-TRANSSPHENOIDAL PITUITARY SURGERY - TECHNICAL NOTE

DESCRIBE A simple technique that helps to avoid nasal septum perforati ons and the related complications after endonasal-transseptal transsph enoidal pituitary surgery. At the end of the Hirsch procedure, the muc operichondrium is fixed to the septal cartilage with a thin layer of f ibrin glue. Two silicone splints are applied to both sides of the sept um and left in place for 2 days. The technique is very useful in preve nting possible displacement of the mucoperichondrium, which may lead t o compression and ischemia of the doubled mucosa between the septal ca rtilage and the silicone splints. A firm fixing of the margins of a mu copepichondrial laceration to the septal cartilage creates conditions for optimal healing and reduces nasal-packing time and nasal-splinting time. The technique is recommended for all patients with and without mucosal tears and is also recommended for the transsphenoidal reoperat ions.