Nasoseptal Double Flap Versus Rescue Flap in Endoscopic Transsphenoidal Pituitary Surgery

Nasoseptal Double Flap Versus Rescue Flap in Endoscopic Transsphenoidal Pituitary Surgery

This paper investigates the outcomes of two surgical techniques-nasoseptal double flap and nasoseptal rescue flap-used in endoscopic transsphenoidal surgery for pituitary tumors. The nasoseptal flap technique has significantly reduced the incidence of postoperative Cerebrospinal Fluid (CSF) leaks but can cause nasal morbidity.

The study aims to compare nasal morbidity and function between the two techniques in patients undergoing this type of surgery. Each patient's nasal morbidity, olfaction, and postoperative complications will be assessed using various tools.

Inclusion Criteria:

• All consecutive patients with symptomatic pituitary macroadenoma
• Tumor size ≥ 2 cm

Exclusion Criteria:

• -Absent sphenoid pneumatization.
• Temporal or frontal extension.
• Recurrent pituitary tumor after previous surgery.
• Previous nasal surgery.
• Associated nasal disease e.g. rhinosinusitis.
• Unfit for general anesthesia.
• Refusal of surgical intervention or signing consent.