Endoskopie 2012; 21(1): 20-23

Use of perioperative endonasal ultrasound in evaluation of radicality of endoscopic transnasal resection of sellartumors

MUDr.Radim Lipina, Ph.D.^1,4, MUDr.Petr Matoušek, Ph.D.^2,4, MUDr.Tomáš Krejčí^1,4, MUDr.Jan Krajča³, doc.MUDr.Pavel Komínek, Ph.D., MBA^2,4

¹ Neurochirurgická klinika, Fakultní nemocnice Ostrava

² Otorinolaryngologická klinika, Fakultní nemocnice Ostrava

³ Ústav radiodiagnostický, Fakultní nemocnice Ostrava

⁴ Centrum endoskopické chirurgie baze lební, Fakultní nemocnice Ostrava

Introduction: The objective of our work is to introduce our first experience using the perioperative ultrasound in evaluation of radicality

of endoscopic transnasal resection of sellartumors.

Methods: BetweenSeptember and October 2011 weperformed 13 endoscopic endonasal operation for intrasellar tumor. There was macro

adenoma in 12 patients and meningeoma in one patient. In all patients an intraoperative in trashpenoidal ultrasound examination was

performed. Postoperative MR findings were compared with perioperative ultrasound findings.

Results: We concluded radical resection in 11patientsafterultrasoundexamination and partial resection in 2 patients. On post operative

MR we confirmed radical resection in 9 patients. In 2 patient we were unsuccesful in evaluation of the perioperative ultrasoud examination.

Conclusion: Intraoperative ultrasound is a relatively cheap and available method how to determine the resection radicality in endonasal

endoscopic surgery. Long- term results are necessary for conclusion if the perioperative ultrasoundin evaluation of radicality of operation

is comparable with magnetic resonance.

Keywords: endonasal ultrasound, transnasal endoscopic surgery, pituitary adenoma

Published: December 1, 2012  Show citation