Asymptomatic radiographic sinonasal inflammation does not affect pituitary surgery outcomes

Chronic rhinosinusitis is a proposed risk factor for meningitis and other intracranial complications following the endoscopic endonasal transsphenoidal approach

Edward C. Kuan

2019

Scholarcy highlights

  • Chronic rhinosinusitis is a proposed risk factor for meningitis and other intracranial complications following the endoscopic endonasal transsphenoidal approach
  • The objective of this study is to determine whether asymptomatic sinonasal inflammation on preoperative computed tomography scans, without clinical CRS, is associated with postoperative complications following TSA
  • All consecutive TSA cases performed at a single tertiary care institution from January 1, 2009, to December 31, 2017, were reviewed for patient demographics, prior surgery, presence of RSNI on preoperative computed tomography scan based on Lund-Mackay score, intraoperative cerebrospinal fluid leak, and postoperative complications
  • The association between preoperative RSNI and postoperative complications was analyzed via multivariate logistic regression

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