Drainage or Packing of the Sella? Transsphenoidal Surgery for Primary Pituitary Abscess : Report of Two Cases
Joint Authors
Oya, Soichi
Kumai, Junichiro
Shigeno, Taku
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-12-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The detailed surgical procedure of the transsphenoidal surgery for pituitary abscess has scarcely been described previously because it is a very rare clinical entity.
The authors reported two cases of primary pituitary abscess.
In case 1, the anterior wall of the sella turcica was reconstructed with the vomer bone after irrigating the abscess cavity, but the sella was not packed by fat for fear of the persistent infection by devascularized tissues.
This led to the postoperative meningocele, the cerebrospinal fluid leak, and bacterial meningitis despite the successful abscess drainage.
In case 2, tight sellar packing and reconstruction of the sellar wall were performed to avoid these postoperative complications, which resulted in complete drainage and uneventful postoperative course.
Although accumulation of more cases is obviously needed to establish the definitive surgical technique in pituitary abscess surgery, our experience might suggest that packing of the sella is not impeditive for postoperative sufficient drainage.
American Psychological Association (APA)
Oya, Soichi& Kumai, Junichiro& Shigeno, Taku. 2009. Drainage or Packing of the Sella? Transsphenoidal Surgery for Primary Pituitary Abscess : Report of Two Cases. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-453061
Modern Language Association (MLA)
Oya, Soichi…[et al.]. Drainage or Packing of the Sella? Transsphenoidal Surgery for Primary Pituitary Abscess : Report of Two Cases. Case Reports in Medicine No. 2009 (2009), pp.1-3.
https://search.emarefa.net/detail/BIM-453061
American Medical Association (AMA)
Oya, Soichi& Kumai, Junichiro& Shigeno, Taku. Drainage or Packing of the Sella? Transsphenoidal Surgery for Primary Pituitary Abscess : Report of Two Cases. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-453061
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-453061