Includes index.

Preface; Contents; Contributors; 1: Evolution of Pituitary Surgery and the Transsphenoidal Approach; Introduction; Early Approaches to the Pituitary; Endoscopy in Transsphenoidal Surgery; Extended Transsphenoidal Approaches; Conclusions; References; 2: The History of Trans-sphenoidal Surgery for Pituitary Tumours; Understanding and Diagnosis of Pituitary Tumours; Surgical Approaches; Transcranial Surgery; Trans-sphenoidal Surgery; Oscar Hirsch; Harvey Cushing; Norman Dott; Gerard Guiot; Jules Hardy; Image Guidance and Intraoperative MRI; Endoscopic Pituitary Surgery

Disorders of Water Balance: Diabetes Insipidus (DI) and Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Conclusion; References; 4: Operative Indications and Pitfalls in Patient Selection for Surgery of Pituitary Tumors; Preoperative Evaluation; Radiological Diagnosis; Rhinological Evaluation; Endocrinology Evaluation; Neuro-ophthalmology; Surgical Indications by Lesion; Prolactinomas; Acromegaly; Cushing's Disease; Thyrotropic Adenoma; Nonfunctioning Tumors; Pituitary Apoplexy; Craniopharyngiomas; Meningiomas; Infundibular/Hypothalamic Tumors; Cysts; Metastasis

Extended Trans-sphenoidal Surgery Conclusion; References; 3: Principles and Pitfalls of Anesthesia for Transsphenoidal Surgery; Background; Preoperative Assessment; Prolactinomas; Acromegaly; Cushing's Disease; Thyrotropic Adenomas; Nonfunctioning Adenomas; Intraoperative Management; Surgical Factors; Airway Management; Positioning and Preparation for Surgery; Monitoring; Maintenance of Anesthesia; Postoperative Considerations; Pain; Nausea and Vomiting; CSF Leak, Cranial Nerve Injury, and Visual Field Deficits; Hypopituitarism and Postoperative Hormone Screening

Reoperations Conclusion; References; 5: The Perioperative and Postoperative Care for Pituitary Patients; Introduction; Preoperative Hormonal Analysis; Disorders of Water Metabolism: Diabetes Insipidus and SIADH; Diabetes Insipidus; Incidence; Diagnosis; Postoperative Clinical Course of DI and Possible SIADH Phase; Indications for Treatment in DI; Adrenal Insufficiency; Special Considerations in Patients with Cushing's Disease; Conclusions; References; 6: Neuro-ophthalmology of Pituitary Tumors; Neuro-anatomy of the Optic Chiasm and Relation to Visual Symptoms

The Neuro-ophthalmic Examination Perimetric Assessment of the Visual Fields; Patterns of Visual Field Loss; Structural Assessment of the Optic Pathways; Fundus Examination; Optical Coherence Tomography; Management of Visual Loss; Postoperative Visual Loss; Efferent Neuro-ophthalmic Complications of Sellar Tumors; Special Considerations; Conclusion; References; 7: Rhinologic Evaluation of Patients Undergoing Transsphenoidal Surgery; Historical Perspective; Nasal Functions and Physiology; Paranasal Sinus Function and Physiology; Preoperative Considerations/Workup; Imaging

This work details contemporary clinical knowledge on the multidisciplinary management of pituitary and other sellar/parasellar tumors, with a focus on surgical techniques and a particular emphasis on complication avoidance and management. International experts provide guidance on natural history, radiologic and clinical aspects, surgical indications, and resection techniques.In addition, case presentations and clinical photographs help the reader reduce the risk of error and advance their own surgical skills. Readers also have access online to streaming videos of key procedures to help them provide the best possible outcomes for every patient. Transsphenoidal Surgery: Complication Avoidance and Management Techniques will be of great value to Neurosurgeons, Otolaryngologists, Endocrinologists, Radiation Oncologists, and residents and fellows in these specialties.

Online resource; title from PDF title page (SpringerLink, viewed September 26, 2017).