Transsphenoidal hypophysectomy (endoscopic)

Case contributed by Frank Gaillard
Diagnosis certain

Patient is held in a Mayfield headrest, with an endoscope at the anterior wall of the sphenoid sinus. A sucker has been placed in the pituitary fossa. 

Case Discussion

This image has been obtained during endoscopic transsphenoidal hypophysectomy for a pituitary macroadenoma. 

Image and explanation courtesy of Mr James King, Royal Melbourne Hospital. 

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