Keys on endoscopic sinus surgery

Written by: Dr. Alfredo García Allut
Published: | Updated: 18/03/2019
Edited by: Top Doctors®

La endoscopia ha supuesto una revolución en el tratamiento de los tumores de la glándula pituitaria. Discover all about this technique " data-cke-saved-src =" src =" / files / Image / large / 55754ae8-0660-4d53-9828-24090a81047f.jpg "style =" float:. Left "/> <strong><em>The endoscopic sinus surgery is an innovative technique of <a  data-cke-saved-href=Neurosurgery . It has brought a revolution in the treatment of diseases affecting the skull base, thanks to access them avoid having to perform craniotomy, because the approach is performed through a natural cavity, which they are the nostrils.

The conditions to which this technique is applied are very diverse, from benign tumor pathology, causing compressive effect of brain structures as could be the visual pathway or brain stem; a malignancy in which it is intended to implement resection maximize the benefits of cancer therapies adjuvants. Also within the sphere endocrine tumor of the main indications of such techniques would be tumors of the pituitary gland.

The surgical procedure involves making an approach through the nasal injuries settle on the roof of the fossa, which can develop in the extradural or intracranial compartment.

Onsite postoperative is practically painless, assuming only for the patient in more complex approaches, having to take out a nasal blockage of 3-5 days, besides having to keep moderate rest. Ignoring this small handicap, you can not say that patients learn they have been operated.

The risks of such approaches thanks to the excellent visualization of anatomical structures that provide modern endoscopes with high-definition cameras and instrumental support are minimized specifically created to work through the nasal corridor. By using neuronavegadores safety of the surgical technique is implemented.

We can say that endoscopic surgery is no longer considered today a complement to traditional surgery, but itself has opened a field where excision is achieved (extractions) comparable lesion than those charged by traditional surgery using a minimally invasive approach which means comfort and safety for patients.

With regard to the range of conditions to which we offer treatment, and what has been discussed above; stand within the sphere susceptible intraventricular endoscopic lesions of the minimally invasive procedure, and the support given this technique in maximizing resection of lesions located deep in inaccessible areas, such as some posterior fossa tumors-angle pontocerebeloso. Implementation moving into surgery pain in the trigeminal vascular microdecompression in cases of facial neuralgia and spinal periradicular fibrosis using the epiduroscopy.

We extend our expertise to the management of degenerative spinal tumor pathology, with the practice of spinal instrumentation navigated with TAC. And finally, it is already brewing endoscopic surgery of the cervical and lumbar herniated disc.

*Translated with Google translator. We apologize for any imperfection

By Dr. Alfredo García Allut
Neurological Surgery

A pioneer in Spain in the use of nasal endoscopic surgery, Dr. Garcia Allut is Head of Neurosurgery and the Unit of Endoscopic Surgery of the Skull Base of the University Hospital of A Coruña. He is also the author of numerous investigations of the specialty, as well as other national and international publications.

*Translated with Google translator. We apologize for any imperfection

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