Pituitary adenoma and other lesions of the pituitary can cause blindness and hormone disorders. Treatment options range from medications to radiation to surgery, and each has advantages and disadvantages and specific indications/contraindications. When surgery is indicated, a key concern should be whether or not the surgical approach will be effective and appropriate.
While craniotomy is appropriate for larger tumors that have spread beyond the sella turcica, a more conservative approach may be preferred for many patients.
Helping patients avoid craniotomy.
At Comprehensive Neurosurgery, E. Thomas Cullom, MD, is one of only a few neurosurgeons in the area removing pituitary tumors via transsphenoidal hypophysectomy. Using the sublabial approach, Dr. Cullom enters through an incision under the upper lip, elevates the lining of the nasal cavity and advances speculum retractors to the sphenoid sinus through the nasal passages. After entering the sella turcica, he gently removes the tumor, attempting to preserve normal pituitary tissue. He then packs the sphenoid sinus with fat harvested from the abdomen and inserts nasal tubes to assist with nasal breathing. Transsphenoidal hypophysectomy is a well-tolerated surgical procedure, including by older patients who may not be candidates for other treatments. The key benefit is that it does not require craniotomy, which increases patients’ potential risks and hospital stays and recovery times. Given that pituitary tumors are fairly common, many patients could potentially benefit from the transsphenoidal approach.
Trust your patients to experience, commitment & comprehensive capability.
Dr. Cullom is among the area’s most experienced neurosurgeons with transsphenoidal hypophysectomy — a procedure that most local neurosurgeons don’t offer. In addition, Dr. Cullom is able to treat residual or recurrent tumor with stereotactic radiosurgery. He also provides the focused, individualized attention your patients deserve and appreciate, and he remains committed to them from their first visit well through their recovery and follow-up, because it’s essential to optimal outcomes.
For more information about treatment for pituitary tumors and transsphenoidal hypophysectomy, call Comprehensive Neurosurgery at 601-664-1000. Your inquiries and referrals are welcome and encouraged.