Korean J Otolaryngol-Head Neck Surg.  2000 May;43(5):520-522.

Postoperative Nasal Symptoms after Transseptal Transsphenoidal Hypophysectomy

• Ahn JH
• Lee BJ
• Kim JH
• Kim YJ

Abstract

BACKGROUND AND OBJECTS: Transseptal transsphenoidal hypophysectomy with nasal columellar flap is now a widely used method with acceptable morbidity, However, a considerable number of patients complain of nasal symptoms after the operation and postoperative complications are continuously reported. The authors analyzed the different types of postoperative symptoms and their incidences. OBJECTS AND METHODS: We interviewed 105 patients (39 male and 66 female) via telephone who have been followed up for more than 1 year. Interviews were proceeded by questionnaires.
RESULTS
Among the postoperative symptoms, the most frequent symptom was nasal obstruction (19.0%), followed by hyposmia (17.1%), nasal crust (15.2%), rhinorrhea/headache (12.4%), and upper lip numbness (10.5%).
CONCLUSION
On the basis of these clinical experiences, it would be necessary, before undergoing transeptal transsphenoid hypophysectomy, to let patients know and prepare themselves of possible postoperative nasal spnptoms.

Keyword

Transseptal transsphenoidal hypophysectomy; Postoperative symptom

MeSH Terms

Humans
Hypesthesia
Hypophysectomy*
Incidence
Linear Energy Transfer
Lip
Male
Nasal Obstruction
Postoperative Complications
Surveys and Questionnaires
Telephone