A comparison between collaborative and single surgeon approach in endoscopic endonasal surgery to sphenoid sinus

@article{Ismail2019ACB,
  title={A comparison between collaborative and single surgeon approach in endoscopic endonasal surgery to sphenoid sinus},
  author={Mostafa Ismail and Ahmed Abdelrahman Abdelaziz and Mohab Darwish},
  journal={European Archives of Oto-Rhino-Laryngology},
  year={2019},
  volume={276},
  pages={1095-1100}
}
PurposeEndoscopic endonasal transsphenoidal surgery (EETS) requires abundant collaborative work between neurosurgeon and ear, nose, and throat (ENT) surgeon. In low-volume centers, however, the surgery may be carried out completely and solely by a neurosurgeon. The current study evaluates the differences in both technique and complications in the approach to the sphenoid sinus for endoscopic endonasal approach (EEA) performed solely by a single neurosurgeon compared to collaborative effort… 
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Better olfactory outcomes were observed in patients who underwent surgery performed by a collaborative team of a neurosurgeon and an ENT surgeon, showing the need for collaboration between neurosurgeons and ENT surgeons in endoscopic pituitary surgery.
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There is no difference in the incidence of postoperative CSF leak and clinical ESS among both groups, indicating that tight sellar floor repair is more important than packing the sellar cavity with or without fat graft.
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