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Anatomical Considerations in Transsphenoidal Hypophysectomy

Anatomical Considerations in Transsphenoidal Hypophysectomy Abstract SINCE the turn of the century surgeons have proposed many procedures for exposure of the hypophysis cerebri. Of the operations proposed, two principal routes have been selected to reach the hypophysis, first the intracranial and second, the extracranial or transsphenoidal.1-5 By whatever method the operation is performed, it is evident that one must have not only an accurate anatomical knowledge of the region involved but also an acquaintance with any marked variations from the usual type which might be encountered. The hypophysis, or pituitary gland, is a small gland of dual origin. The adenohypophysis is derived from ectoderm of Rathke's pouch of the stomodeum. The neurohypophysis is derived from the neural ectoderm of the floor of the diencephalon. The neurohyphysis consists of three parts: the median eminence of the tuber cinereum; the infundibular stem; and the infundibular process or pars nervosa or posterior lobe of the older terminology. The References 1. Cushing, H.: The Pituitary and Its Disorders , Philadelphia: J.B. Lippincott Co., 1912, pp 295-301. 2. Green, H.T.: The Venous Drainage of the Human Hypophysis Cerebri , Amer J Anat 100:435-470, 1957.Crossref 3. Halstead, A.E.: Remarks on the Operative Treatment of Tumors of the Hypophysis: Report of Two Cases Operated on by an Oro-nasal Method , Surg Gynec Obstet 10:494-502, 1910. 4. Harris, G.W.: Neural Control of the Pituitary Gland , Baltimore: The Williams and Willkins Co., 1955. 5. Hirsch, O.: Symptoms and Treatment of Pituitary Tumors , Arch Otolaryng 55:268-306, 1952.Crossref 6. Schaeffer, J.P.: Some Points in the Regional Anatomy of the Optic Pathway, With Especial Reference to Tumors of the Hypophysis Cerebri and Resulting Ocular Changes , Anat Rec 28:243-279, 1924.Crossref 7. Wislocki, G.B.: The Meningeal Relations of the Hypophysis Cerebri: II. An Embryological Study of the Meninges and Blood Vessels of the Human Hypophysis , Amer J Anat 61:95-117, 1937.Crossref 8. Brander, J.: The Intraglandular Cleft of the Pituitary Body and Its Connections , J Anat 66:202-209 ( (Jan) ) 1931. 9. Wislocki, G.B.: The Meningeal Relations of the Hypophysis Cerebri: I. The Relations in Adult Mammals , Anat Rec 67:273-293, 1937.Crossref 10. Schwartz, H.G.: The Meningeal Relations of the Hypophysis Cerebri , Anat Rec 67:35-51, 1936.Crossref 11. Romeic, B.: in Mollendorff, W.V. (ed.): Handbuch Der Mikroskopischen Anatomie des Menschen , Berlin: Verlag von Julius Springer, 1940, VI-3: 48-64. 12. Fisher, C.; Ingram, W.R.; and Ranson, S.W.: Diabetes Insipidus and Neurohormonal Control of Water Balance Ann Arbor, Mich: Edwards Bros Inc., 1938. 13. McConnell, E.M.: The Arterial Blood Supply of the Human Hypophysis Cerebri , Anat Rec 115:175-203, 1953.Crossref 14. Stanfield, J.P.: The Blood Supply of the Human Pituitary Gland , J Anat 94:257-273, 1960. 15. Xuereb, G.P.; Prichard, M.M.L.; and Daniel, P.M.: (1) The Arterial Supply and Venous Drainage of the Human Hypophysis Cerebri, (2) The Hypophyseal Portal System of Vessels in Man , Quart J Exp Phys 39:199-218, 219-227, 1954. 16. Dixon, F.W.: A Comparative Study of the Sphenoid Sinus , Ann Otol 46:687-698, 1937. 17. Gibson, S.W.: The Topography of the Hypophysis Cerebri , Surg Gynec Obstet 15:199-205, 1912. 18. Hammer, G., and Radberg, C.: The Sphenoidal Sinus: An Anatomical and Roentgenologic Study With Reference to Transphenoid hypophysectomy , Acta Radiol 56:401-422, 1961.Crossref 19. Negus, V.: The Comparative Anatomy and Physiology of the Nose and Paranasal Sinuses , London: E. and S. Livingstone Ltd., 1958. 20. Peele, J.C.: Unusual Anatomical Variations of the Sphenoid Sinuses , Laryngoscope 67:208-237, 1957. 21. Diamant, M.: Hypophysectomy in a Nonpneumatized Sphenoid , Arch Otolaryng 74:9-10, 1961.Crossref 22. Hamberger, C.A., et al: Transantrosphenoidal Hypophysectomy , Arch Otolaryng 74:22-28, 1961.Crossref 23. Ezrin, C.: The Pituitary Gland , Clin Sympos 15:71-100 ( (July) -Sept) 1963. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Anatomical Considerations in Transsphenoidal Hypophysectomy

Archives of Otolaryngology , Volume 86 (3) – Sep 1, 1967

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References (28)

Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1967.00760050247002
Publisher site
See Article on Publisher Site

Abstract

Abstract SINCE the turn of the century surgeons have proposed many procedures for exposure of the hypophysis cerebri. Of the operations proposed, two principal routes have been selected to reach the hypophysis, first the intracranial and second, the extracranial or transsphenoidal.1-5 By whatever method the operation is performed, it is evident that one must have not only an accurate anatomical knowledge of the region involved but also an acquaintance with any marked variations from the usual type which might be encountered. The hypophysis, or pituitary gland, is a small gland of dual origin. The adenohypophysis is derived from ectoderm of Rathke's pouch of the stomodeum. The neurohypophysis is derived from the neural ectoderm of the floor of the diencephalon. The neurohyphysis consists of three parts: the median eminence of the tuber cinereum; the infundibular stem; and the infundibular process or pars nervosa or posterior lobe of the older terminology. The References 1. Cushing, H.: The Pituitary and Its Disorders , Philadelphia: J.B. Lippincott Co., 1912, pp 295-301. 2. Green, H.T.: The Venous Drainage of the Human Hypophysis Cerebri , Amer J Anat 100:435-470, 1957.Crossref 3. Halstead, A.E.: Remarks on the Operative Treatment of Tumors of the Hypophysis: Report of Two Cases Operated on by an Oro-nasal Method , Surg Gynec Obstet 10:494-502, 1910. 4. Harris, G.W.: Neural Control of the Pituitary Gland , Baltimore: The Williams and Willkins Co., 1955. 5. Hirsch, O.: Symptoms and Treatment of Pituitary Tumors , Arch Otolaryng 55:268-306, 1952.Crossref 6. Schaeffer, J.P.: Some Points in the Regional Anatomy of the Optic Pathway, With Especial Reference to Tumors of the Hypophysis Cerebri and Resulting Ocular Changes , Anat Rec 28:243-279, 1924.Crossref 7. Wislocki, G.B.: The Meningeal Relations of the Hypophysis Cerebri: II. An Embryological Study of the Meninges and Blood Vessels of the Human Hypophysis , Amer J Anat 61:95-117, 1937.Crossref 8. Brander, J.: The Intraglandular Cleft of the Pituitary Body and Its Connections , J Anat 66:202-209 ( (Jan) ) 1931. 9. Wislocki, G.B.: The Meningeal Relations of the Hypophysis Cerebri: I. The Relations in Adult Mammals , Anat Rec 67:273-293, 1937.Crossref 10. Schwartz, H.G.: The Meningeal Relations of the Hypophysis Cerebri , Anat Rec 67:35-51, 1936.Crossref 11. Romeic, B.: in Mollendorff, W.V. (ed.): Handbuch Der Mikroskopischen Anatomie des Menschen , Berlin: Verlag von Julius Springer, 1940, VI-3: 48-64. 12. Fisher, C.; Ingram, W.R.; and Ranson, S.W.: Diabetes Insipidus and Neurohormonal Control of Water Balance Ann Arbor, Mich: Edwards Bros Inc., 1938. 13. McConnell, E.M.: The Arterial Blood Supply of the Human Hypophysis Cerebri , Anat Rec 115:175-203, 1953.Crossref 14. Stanfield, J.P.: The Blood Supply of the Human Pituitary Gland , J Anat 94:257-273, 1960. 15. Xuereb, G.P.; Prichard, M.M.L.; and Daniel, P.M.: (1) The Arterial Supply and Venous Drainage of the Human Hypophysis Cerebri, (2) The Hypophyseal Portal System of Vessels in Man , Quart J Exp Phys 39:199-218, 219-227, 1954. 16. Dixon, F.W.: A Comparative Study of the Sphenoid Sinus , Ann Otol 46:687-698, 1937. 17. Gibson, S.W.: The Topography of the Hypophysis Cerebri , Surg Gynec Obstet 15:199-205, 1912. 18. Hammer, G., and Radberg, C.: The Sphenoidal Sinus: An Anatomical and Roentgenologic Study With Reference to Transphenoid hypophysectomy , Acta Radiol 56:401-422, 1961.Crossref 19. Negus, V.: The Comparative Anatomy and Physiology of the Nose and Paranasal Sinuses , London: E. and S. Livingstone Ltd., 1958. 20. Peele, J.C.: Unusual Anatomical Variations of the Sphenoid Sinuses , Laryngoscope 67:208-237, 1957. 21. Diamant, M.: Hypophysectomy in a Nonpneumatized Sphenoid , Arch Otolaryng 74:9-10, 1961.Crossref 22. Hamberger, C.A., et al: Transantrosphenoidal Hypophysectomy , Arch Otolaryng 74:22-28, 1961.Crossref 23. Ezrin, C.: The Pituitary Gland , Clin Sympos 15:71-100 ( (July) -Sept) 1963.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Sep 1, 1967

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