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KMID : 0361020000430050520
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 5 p.520 ~ p.522
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Postoperative Nasal Symptoms after Transseptal Transsphenoidal Hypophysectomy
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Ahn Joong-Ho
Lee Bong-Jae
Kim Jae-Ho
Kim Yong-Jae
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Abstract
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Background and Objectives : 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 symptoms.
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KEYWORD
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Transseptal transsphenoidal hypophysectomy, Postoperative symptom
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