What is Sublabial approach?

A sublabial transnasal degloving approach to the mid-face, nasal cavity, septum, paranasal sinuses, and nasopharynx is described. This approach provides adequate exposure and ample facility for management of tumors in these areas.

What is Sublabial transsphenoidal pituitary surgery?

The procedure consists of unilateral dissection of the septal mucosa through a sublabial route, and retraction of the entire nasal septum with its upper attachment as a hinge. For mobilization of the septum, an L-shaped osteotomy is made along the base of the septum and along the anterior wall of the sphenoid sinus.

Do benign pituitary tumors need to be removed?

Surgical removal of a pituitary tumor usually is necessary if the tumor is pressing on the optic nerves or if the tumor is overproducing certain hormones. The success of surgery depends on the tumor type, its location, its size and whether the tumor has invaded surrounding tissues.

How successful is pituitary tumor surgery?

The success rate is about 60% with growth-hormone secreting macroadenomas [2]. Some pituitary tumors remain surgically incurable due to invasion of the cavernous sinuses and other important structures. Radiosurgery can be used to treat unresectable tumor remnants with very good long-term control rates (Fig.

What kind of surgery is used to remove a pituitary tumor?

Endoscopic pituitary surgery, also called transsphenoidal endoscopic surgery, is the most common surgery used to remove pituitary tumors. The pituitary gland is located at the bottom of your brain and above the inside of your nose.

Can a nonfunctional pituitary tumor cause symptoms?

Not all pituitary tumors cause symptoms. Pituitary tumors that make hormones (functioning) can cause a variety of signs and symptoms depending on the hormone they produce. The signs and symptoms of pituitary tumors that don’t make hormones (nonfunctioning) are related to their growth and the pressure they put on other structures.

What is the endoscopic transnasal pituitary tumor removal code?

Endoscopic Transnasal Pituitary Tumor Removal. The codes, 61580 and 61600, are skull base codes which require an open approach and are not used to report transnasal procedures. So there is a code for the procedure you describe and that is 62165. Remember to append modifier 62 (two surgeons) if the approach is performed by the otolaryngologist…

What kind of tumor is pressure on pituitary gland?

Smaller tumors are called microadenomas. Because of the size of macroadenomas, they can put pressure on the normal pituitary gland and nearby structures. Signs and symptoms of pressure from a pituitary tumor may include: Large tumors could cause hormonal deficiencies.