Abstract
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To the Editor:— We compliment Drs. Hardy and Ciric for their intersting technique of anterior pituitary ablation (203:73, 1968). We were unaware of their earlier publication when we published our description of the transseptal, transsphenoidal approach. The general technique had been described still somewhat earlier. We have not found it necessary to use either televised radio fluoroscopic image intensification or the binocular operating microscope. It is infrequent that we cannot recognize the variations in the sphenoid sinus and the anterior wall of the sella turcica from their gross appearances, and their radiographic appearance on routine x-ray films, including a mentovertex view. When some rare uncertainty does exist, a metal probe held against the presumed anterior sellar wall can be localized with a single lateral view. Identification of the cleavage plane between anterior and posterior lobe of the hypophysis is difficult by direct vision, but we have noted no particular
JAMA – American Medical Association
Published: Apr 8, 1968
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