Endoscopic Endonasal Surgery is one of the most common operations performed at the Pacific Pituitary Disorders Center, Providence Saint John's Health Center. Here, we provide comprehensive care and minimally invasive surgery for patients with brain, pituitary and skull base tumors
at the ST jOHN's brain tumor center and pituitary disorders program. Our neurosurgeons and E. N. T. Surgeons as well as endocrinologists have helped lead the way in developing and refining and on nasal endoscopic surgery and comprehensive care for patients with pituitary and skull based tumors. Transfer nodal surgery, which means operating through the nasal cavity and the solenoid air sinus behind the nose to reach the pituitary gland has been practiced for over a century. Not surprisingly, the techniques and the technology used to perform pituitary surgery have evolved dramatically. These refinements in the approach were facilitated largely by advances in visualization. The major reason most neurosurgeons have switched from using the microscope to the endoscope for indo nasal surgery is that we can simply see better HD endoscopes provide a higher resolution magnified image with a more panoramic view and the ability to look around corners. That's simply not possible with the tunnel vision of the microscope. With these advances as well as surgical navigation techniques. The Doppler probe for carotid artery localization and a better anatomical understanding of the pituitary, skull based region. The endo nasal endoscopic route is now our preferred approach for virtually all pituitary adenomas as well as many other midline skull base and brain tumors. The operation is performed with two surgeons a neurosurgeon and an E. And T surgeon working as a team using both nostrils as our surgical corridor as the ear nose and throat physician and head and neck surgeon myself or my partner dr keon Karimi will perform the initial approach through the nostrils to reach the solenoid sinus and then we drive the endoscope to provide the surgical view so that dr kelly or dr bark Adrian can safely and effectively remove the tumor and then we close the surgical opening in the skull base, ultimately seeing better translates into patients doing better with greater degrees of tumor removal and a higher chance of preserving normal pituitary gland function. This team approach extends beyond R. E. N. T. And endocrine colleagues and includes our highly experienced anesthesiologists and operating room nurses who help ensure that surgery goes smoothly and efficiently, as well as our outstanding nurses in the recovery room. I see you and other patient wards ST john's pituitary disorders program, one of the largest and a nasal pituitary surgery series worldwide treating all types of pituitary adenomas and related skull based tumors and extensive academic record of publications, courses and fellowship training in endo nasal endoscopic surgery and a state of the art facility with a highly experienced multidisciplinary team, mm hmm.