Transsphenoidal surgery refers to a specialized surgical approach used primarily to remove tumours from the pituitary gland, which is located at the base of the brain behind the nasal cavity. This minimally invasive procedure accesses the pituitary gland through the sphenoid sinus, eliminating the need for a craniotomy (opening the skull). Below, the best neurosurgeon in Kolkata has discussed when this procedure is recommended.
Main indications for Transsphenoidal Surgery: Explained by the top neurosurgeon
Transsphenoidal surgery effectively treats tumours originating from the pituitary gland, a pea-sized organ nestled at the base of the brain, just above the nasal cavity. This vital gland governs the body’s hormone production, regulating numerous physiological processes.
Usually benign, these pituitary tumours, known as adenomas, differ from malignant growths in that they don’t metastasize. Nonetheless, if left unaddressed, they can induce a series of complications. Adenomas fall into two categories: functioning and nonfunctioning tumours.
Functioning tumours secrete hormones, leading to conditions such as acromegaly and Cushing’s disease due to hormone overproduction. Conversely, nonfunctioning tumours, while hormone-inactive, can expand and exert pressure on neighbouring brain structures, manifesting as symptoms like headaches and vision impairment, says the best neurosurgeon in Kolkata.
Regardless of their hormone-secreting status, prompt treatment of pituitary tumours, often through transsphenoidal surgery, is crucial for managing symptoms and preserving neurological function.
Criteria for Surgical Recommendation
The best neurosurgeon in Kolkata has explained the different criteria for recommending transsphenoidal surgery.
- Severity of Symptoms: Transsphenoidal surgery is recommended when the tumour or cyst causes significant symptoms that affect the patient’s quality of life. Symptoms like severe headaches, vision problems, hormonal imbalances and neurological deficits are strong indications for surgery.
- Tumour Size and Growth: The size of the tumour and its rate of growth are critical factors. Large tumours that compress nearby structures or show evidence of rapid growth usually necessitate surgical removal to prevent the risk of further complications.
- Hormonal Activity: Tumours that secrete excess hormones often require surgical intervention to control hormone levels and mitigate the associated clinical syndromes.
Final Words
Transsphenoidal surgery is considered to be a highly effective, minimally invasive approach for treating various pituitary gland tumours and related conditions. The best neurosurgeon in Kolkata evaluates the aforementioned criteria to determine the best course of action and ensure optimal outcomes for patients requiring intervention for pituitary gland issues.