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Complications Of Trans-sphenoidal Surgery: The Wellington Experience by A. C. Woollons; V. Balakrishnan; M. K. Hunn; Y. R. Rajapaske is a Medicine article available to read on EtoBox.

What is Complications Of Trans-sphenoidal Surgery: The Wellington Experience about?

**Background**: All patients who underwent trans‐sphenoidal surgery between January 1984 and December 1998 were reviewed to assess morbidity resulting from this operation. **Methods**: There were 185 operations on 165 patients. The operative approach was sublabial in 80 cases and transnasal in 105. One surgeon (VB) performed the vast majority of operations. **Results**: Complications included nasal perforation (7.6%), transient diabetes insipidus (4.9%), permanent diabetes insipidus (3.8%), cerebrospinal fluid fistula (4.3%), donor site haematoma (2.2%) and residual tumour haemorrhage (1.6%) causing ophthalmoplegia (1.1%) and loss of vision (1.1%). Other complications included epistaxis (1.1%), meningitis (0.5%) and sinusitis (0.5%). Injury to the anterior superior alveolar nerve also occurred in the sublabial approach in 6.3% of patients. There were no perioperative deaths. **Conclusions**: There is a small but significant risk of a number of complications that should be considered for informed consent of this procedure.

Who reads Complications Of Trans-sphenoidal Surgery: The Wellington Experience?

Author

A. C. Woollons; V. Balakrishnan; M. K. Hunn; Y. R. Rajapaske

Publisher

John Wiley and Sons; Blackwell Publishing; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 1445-1433)

Published

2000

Language

EN

Field

Medicine (Health Sciences)