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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(9); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(9): 1417-22.
CT & MRI Evaluation of the Sphenoid Sinus after Transseptal Transsphenoidal Approach to the Pituitary Fossa
Yu-Sung Won, MD, Eun-Ju Jeon, MD, Jin-Hee Cho, MD, He-Ro Yoon, MD, and Byung-Do Suh, MD
Department of Otolaryngology, Catholic University Medical College, Seoul, Korea
경비중격 경접형동 뇌하수체 수술후 접형동의 CT 및 MRI 소견 변화
원유성 · 전은주 · 조진희 · 윤희로 · 서병도
가톨릭대학교 의과대학 이비인후과학교실
ABSTRACT

Transsphenoidal approach(TSA) is the most safe and effective approach to the pituitary lesion3). This technique inevitably provokes mucosal damage of the sphenoid sinus and results in postoperative change in the sphenoid sinus. There has been few report about postoperative sphenoid sinus change in Korea. We analyzed CT and MRI findings of the 51 patients who had undergone transseptal transsphenoidal surgery at the Kangnam St. Mary's Hospital from 1990 to 1995 retrospectively and compared the postoperative radiological findings with the preopertative findings. We divided the subjects into three group. Group 1 is scans that were checked within four weeks postoperatively. Group 2 is those checked between four weeks and six months postoperatively and group 3 is those after 6 months postoperatively. All 37 scans of group 1 were abnormal, 16 of 19 were abnormal in group 2 and 25 of 39 were abnormal in group 3.

Keywords: CTMRITranssphenoidal approachSphenoid sinus
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