[Prevention and treatment of sinusitis complicated by surgical treatment of pituitary adenoma].

Objective

The aim of this study is to study the reason,prevention and cure measures of sinusitis complicated by frontal craniotomy or endoscopic transnasal approach in surgical treatment of pituitary adenoma.Method:A total of 10 patients with sinusitis complicated by surgical treatment of pituitary adenoma were admitted.Five sphenoid sinusitis patients and 2 frontal sinusitis patients weretreated with nasal endoscopic surgery,while 3 cases frontal sinusitis patients were received nasal endoscopic surgery combined with surgery outside nose.Result:The following up for 5 to 20 months showed that 9 cases were cured and 1 case was improved.There were no cerebrospinal fluid leak and other complications.

Conclusion

The sinusitis after frontal craniotomy or endoscopic transnasal approach in surgical treatment of pituitary adenoma may be related to the mishandling of frontal sinus or sphenoid sinusitis and the existence of the foreign matter such as bone wax and fascia.We should clear the foreign matter and inflammatory granulation tissue to ensure that sinus drainage.According to the specific situation of the patients,good prognosis can be obtained by nasal endoscopic surgery merely or combined with surgery outside nose.