SÉQUELLES ENDONASALES APRÈS HYPOPHYSECTOMIE

Abstract

Keywords: Summary : Each year, 15 transvestibular transseptal transsphenoidal hypophysectomies areperformed in Lausanne , The aim of the study was to determine the complications rate of ourprocedure and their influence on the life quality of patients , Questionnaries were sent to178 patients, operated between 1984 and 1995 , 125 questionnaries were returned , Out of those, 73 patients accepted to undergo a control rhinoscopy , The most frequentcomplains were nasal obstruction and crusting (38 % each), whistling while breathingthrough the nose (12 %), and stuffiness of the upper lip or teeth (7 %) , Endoscopically, we detected an anterior septal perforation in 10 cases (13,7 %),8 (80 %) of which were symptomatic and a posterior septal perforation in6 cases, all of them being asymptomatic , Finally, 36 % of the patients had nocomplains and 19 % of them had an improvement of respiration after the operation , Ofthe whole series of 178 patients, only 5 % had complications requiring an ENTfollow-up for longer than 6 months after having been operated

Vol 115 - N° 2

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