Surgery for @entity5 at our institution was performed by rhinosurgical route by combined procedure by otolaryngologist and neurosurgeons. A retrospective review of case records of @entity1 who had endonasal endoscopic transphenoidal approach for @entity5 from September 1998 to December 2004 was performed. A total of 81 trans-sphenoidal surgeries were performed during this study period. Only 68 case records with adequate information were available for review, 56 @entity1 were included in the study and 12 were excluded. There were 24 males (42%) and 32 females (58%). The ethnic distribution, were 29 Malays, 24 Chinese, 2 Indian and 1 others. The age ranged from 16 years to 76 years, with a mean of 46 years. The majority of our @entity1 presented with @entity227 (38), @entity10 (28), menstrual cycle disturbance or @entity323 (14) and acromegalic features (16). Forty @entity1 had macroadenoma (71%) and 16 had microadenomas (29%). Thirty-six @entity1 out of 40 macro- @entity652 had suprasellar extensions (90%). Only eleven @entity1 had lumbar drain inserted prior to commencement of the surgery and the majority of these were macroadenomas. The common complications encountered were @entity2010 (4), @entity5173 (2), @entity693 (3), @entity1415 (2), septal perforation (2), intercavernous sinus @entity548 (3) and anterior @entity4614 (2). Our study reveals that endonasal trans-sphenoidal approach is a safe and effective method of management of @entity977 .

The role of endoscopic endonasal approach to XXXX : HUKM experience.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenomas'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual symptoms'] @entity323 :: ('MESH:D007172', 'Disease') :: ['impotence'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage'] @entity5 :: ('MESH:D009369', 'Disease') :: ['pituitary tumours'] @entity1415 :: ('MESH:D004844', 'Disease') :: ['epistaxis'] @entity693 :: ('MESH:D008581', 'Disease') :: ['meningitis'] @entity5173 :: ('MESH:D065634', 'Disease') :: ['cerebrospinal fluid leak'] @entity4614 :: ('MESH:D007018', 'Disease') :: ['pituitary insufficiency'] @entity977 :: ('MESH:D010911', 'Disease') :: ['pituitary adenomas'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity2010 :: ('MESH:D003919', 'Disease') :: ['diabetes insipidus']
@entity5 :: (MESH:D009369,Disease) :: ['pituitary tumours']
