Surgical Approach

The transsphenoidal approaches are the only rational approaches for microadenomas and usually suffice for tumors with suprasellar extension. They include:

• sub-labial trans-septal approach, as described by Cushing and, later, Hardy

• direct trans-nasal apparoach

• endonasal approach. This approach utilizes elements of both of the above. It was first described by Landolt.

• trans-ethmoidal approach. This approach remains popular in the UK with some otolaryngologists.

• endoscope-assisted surgery.

Transcranial approaches are required for those tumors with complex suprasellar extension, and for those rare tumors with normal fossae but suprasellar extension.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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