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Pituitary Surgery, An Issue of Otolaryngologic Clinics of North America
- 1st Edition, Volume 55-2 - April 4, 2022
- Editors: Jean Anderson Eloy, Christina H. Fang, Vijay Agarwal
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 9 1 9 7 7 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 1 9 7 8 - 4
In this issue of Otolaryngologic Clinics, guest editors Drs. Jean Anderson Eloy, Christina H. Fang, and Vijay Agarwal bring their cons… Read more
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Request a sales quoteIn this issue of Otolaryngologic Clinics, guest editors Drs. Jean Anderson Eloy, Christina H. Fang, and Vijay Agarwal bring their considerable expertise to the topic of Pituitary Surgery. The management of pituitary lesions has evolved significantly in recent decades, and practice patterns vary considerably depending on location, setting, and surgeon preference. In this issue, top experts in the field consider topics such as new advances in endoscopic techniques, current understanding of skull base anatomy, and the performance of extended approaches in a safe and efficient manner—all timely and valuable information to the practicing rhinologist, neurosurgeon, and comprehensive otolaryngologist, particularly those seeking to learn more about developing an integrated pituitary surgical practice.
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Contains 21 relevant, practice-oriented topics including anatomic considerations in endoscopic pituitary surgery; preoperative workup for patients with pituitary lesions; differential diagnosis and radiographic imaging of pituitary lesions; anesthetic considerations in endoscopic pituitary surgery; pediatric pituitary surgery; non-surgical interventions for pituitary lesions; and more.
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Provides in-depth clinical reviews on pituitary surgery, offering actionable insights for clinical practice.
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Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Overview of Pituitary Surgery
- Key points
- Introduction
- Anatomic considerations for endoscopic pituitary surgery
- Diagnosis and work-up
- Imaging
- Indications for surgery
- Surgical considerations
- Giant pituitary adenomas
- Reconstruction of skull base defects
- Postoperative care and complications
- Anesthetic considerations
- Pituitary gland emergencies
- Microscopic transsphenoidal pituitary surgery
- Summary
- Clinics care points
- Anatomic Considerations in Endoscopic Pituitary Surgery
- Key points
- Introduction
- Nasal cavity
- Sphenoid Sinus
- Pituitary gland
- Cavernous Sinus
- Suprasellar space
- Summary
- Clinics care points
- Preoperative Workup for Patients with Pituitary Lesions
- Key points
- Introduction
- Acromegaly
- Prolactinomas
- Rare functioning adenomas
- Nonfunctioning adenomas
- Imaging
- Computed tomography
- Sleep apnea
- Summary
- Clinics care points
- Differential Diagnosis and Radiographic Imaging of Pituitary Lesions: An Integrated Approach
- Key points
- Introduction
- Primary lesions of the pituitary gland
- Craniopharyngeal duct lesions
- Lesions of the surrounding tissues
- Infectious and inflammatory lesions
- Ectodermal inclusion cysts
- Vascular lesions
- Summary
- Clinics care points
- Conflicts of interest
- Disclosure of funding
- Histopathology of Pituitary Lesions
- Key points
- Introduction
- Pituitary carcinoma
- Pituitary blastoma
- Tumors of the neurohypophysis
- Other neoplasms, cysts, and tumorlike lesions
- Other miscellaneous and secondary lesions
- Summary
- Clinics care points
- Non-surgical Interventions for Pituitary Lesions
- Key points
- Introduction
- Areas of investigation
- Radiotherapy
- Summary
- Clinics care points
- Prolactinoma: Medical and Surgical Considerations
- Key points
- Introduction
- Clinical presentation
- Diagnostic workup
- Medical considerations
- Surgical considerations
- Important clinical scenarios
- Summary
- Clinics care points
- Cushing Disease: Medical and Surgical Considerations
- Key points
- Introduction
- Preoperative evaluation of Cushing disease
- Surgical treatment of Cushing disease
- Persistent or recurrent Cushing disease
- Case examples
- Summary
- Clinics care points
- Supplementary data
- Acromegaly: Medical and Surgical Considerations
- Key points
- Introduction
- Evaluation of acromegaly
- Discussion: therapeutic options
- Indications for surgery
- Surgical techniques: endoscopic versus microsurgical transsphenoidal surgery
- Therapeutic options: medical therapy
- Therapeutic options: radiosurgery
- Summary
- Clinics care points
- Nonfunctioning Pituitary Lesions
- Key points
- Introduction
- Silent lactotroph
- Silent somatotroph
- Silent thyrotroph
- Silent corticotroph
- Silent gonadotroph
- PIT1-positive plurihormonal adenoma
- Null-cell adenoma
- Clinical evaluation
- Nonoperative management
- Operative management
- Postoperative considerations
- Summary
- Clinics care points
- Giant Pituitary Adenoma – Special Considerations
- Key points
- Introduction
- Discussion
- Summary
- Clinics care points
- Surgical Considerations in Endoscopic Pituitary Approaches for the Otolaryngologist
- Key points
- Introduction
- Summary
- Clinics care points
- Surgical Considerations in Endoscopic Pituitary Dissection for the Neurosurgeon
- Key points
- Introduction
- Positioning
- Sphenoid sinus/sella
- Tumor resection
- Sella reconstruction
- Complication considerations
- Summary
- Clinics care points
- Pituitary Gland Surgical Emergencies: The Role of Endoscopic Intervention
- Key points
- Introduction
- Summary
- Clinics care points
- Microscopic Transsphenoidal Surgery in the Era of Endoscopy: Are There Any Advantages?
- Key points
- Introduction
- Goals of transsphenoidal surgery
- Technical considerations
- Current evidence
- Summary
- Clinics care points
- Anesthesia for Pituitary Surgery
- Key points
- Introduction
- Preoperative assessment
- Acromegaly
- Cushing disease
- Thyroid-stimulating hormone
- Prolactin
- Intraoperative management
- Maintenance of anesthesia
- Emergence
- Postoperative management
- Summary
- Clinics care points
- Complications in Endoscopic Pituitary Surgery
- Key points
- Introduction
- Preoperative evaluation and case setup
- Intraoperative complications
- Postoperative complications
- Case illustration
- Summary
- Reconstruction of Skull Base Defects in Pituitary Surgery
- Key points
- Introduction
- Discussion
- Summary
- Clinics care points
- Postoperative Care from the Rhinologic and Neurological Perspectives
- Key points
- Introduction
- Hyponatremia and diabetes insipidus
- Hypopituitarism
- Cerebrospinal fluid leak and meningitis
- Pneumocephalus
- Visual complications
- Sinonasal morbidity and quality of life
- Other postoperative complications
- Practical considerations
- Summary
- Disclosures
- Developing an Integrated Multidisciplinary Pituitary Management Team
- Key points
- Introduction
- Who is on the team?
- Benefits of teamwork
- Setting expectations and principles for communication and decision-making
- Coordination of time and space
- Other considerations: documentation and billing, research, onboarding
- Sustainability
- Summary
- Pediatric Pituitary Surgery
- Key points
- Introduction
- Background
- Pathologic conditions
- Preoperative evaluation and perioperative management
- Treatment paradigms and techniques
- Controversies: pediatric craniopharyngioma
- Future directions
- Summary
- Clinics care points
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 55-2
- Published: April 4, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323919777
- eBook ISBN: 9780323919784
JE
Jean Anderson Eloy
Professor and Vice Chairman; Director, Rhinology and Sinus Surgery
Affiliations and expertise
Professor and Vice Chairman; Director, Rhinology and Sinus Surgery; Director,,Otolaryngology Research; Co-Director, Endoscopic Skull Base Surgery Program,,Department of Otolaryngology - Head and Neck Surgery, Center for Skull Base and, Pituitary Surgery, Neurological Institute of New Jersey; Professor of Neurological Surgery, Professor of Ophthalmology and Visual Science, Departments of Neurological Surgery,and Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, New JerCF
Christina H. Fang
Affiliations and expertise
Rhinology & Endoscopic Skull Base Surgery, Department of Otolaryngology – Head and , Neck Surgery , Rutgers New Jersey Medical School, Newark, New Jersey, USAVA
Vijay Agarwal
Affiliations and expertise
Assistant Professor, Leo M. Davidoff Department of Neurological Surgery, Assistant Professor, Department of Otorhinolaryngology – Head and Neck Surgery, Chief, Division of Skull Base and Minimally Invasve Neurosurgery, Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine , New York, New York, USA