TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS
The objective of the research is to optimize the method of transnasal endoscopic plasty of liquor fistulas in patients with prolactinomas, who got nasal liquorrhea against the background of treatment with dopamine agonists.Material and methods. Transnasal endoscopic approach was performed in 7 cases...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Pavlov First Saint Petersburg State Medical University
2018-06-01
|
| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/908 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849772929897725952 |
|---|---|
| author | A. V. Polezhaev V. Yu. Cherebillo D. V. Svistov U. A. Tsoy D. V. Voitsekhovsky |
| author_facet | A. V. Polezhaev V. Yu. Cherebillo D. V. Svistov U. A. Tsoy D. V. Voitsekhovsky |
| author_sort | A. V. Polezhaev |
| collection | DOAJ |
| description | The objective of the research is to optimize the method of transnasal endoscopic plasty of liquor fistulas in patients with prolactinomas, who got nasal liquorrhea against the background of treatment with dopamine agonists.Material and methods. Transnasal endoscopic approach was performed in 7 cases with prolactinomas. There were 9 operations including 2 interventions caused by liquorrhea relapse. Plasty with Tachocomb and biological adhesives were used in 2 cases. The other 7 cases demanded additional use of an adipose tissue fragment.Results. Complete arrest of liquorrhea was achieved in 5 cases. It resumed in 2 patients who had undergone plasty with Tachcomb and biological adhesives. They needed into the reoperations with use of autoadipose tissue.Conclusion. Using of CTcisternography is necessary for revealing exact localization of liquor fistula. It is expedient to apply Tachocomb and a fragment of autoadipose tissue fixed with biological adhesives. Discontinuation of treatment with Cabergoline for a month is recommended after the operation. |
| format | Article |
| id | doaj-art-e11ed4d11ec040a9af9310fe246cb9b8 |
| institution | DOAJ |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2018-06-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-e11ed4d11ec040a9af9310fe246cb9b82025-08-20T03:02:11ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-06-011773141810.24884/0042-4625-2018-177-3-14-18860TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGSA. V. Polezhaev0V. Yu. Cherebillo1D. V. Svistov2U. A. Tsoy3D. V. Voitsekhovsky4Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S. M. Kirov» of the Ministry of Defence of the Russian Federation; Federal State Budgetary Institution «Almazov National Medical Research Centre» of the Ministry of Health of the Russian FederationFederal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S. M. Kirov» of the Ministry of Defence of the Russian Federation; Federal State Budgetary Institution «Almazov National Medical Research Centre» of the Ministry of Health of the Russian FederationFederal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S. M. Kirov» of the Ministry of Defence of the Russian FederationFederal State Budgetary Institution «Almazov National Medical Research Centre» of the Ministry of Health of the Russian FederationFederal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S. M. Kirov» of the Ministry of Defence of the Russian FederationThe objective of the research is to optimize the method of transnasal endoscopic plasty of liquor fistulas in patients with prolactinomas, who got nasal liquorrhea against the background of treatment with dopamine agonists.Material and methods. Transnasal endoscopic approach was performed in 7 cases with prolactinomas. There were 9 operations including 2 interventions caused by liquorrhea relapse. Plasty with Tachocomb and biological adhesives were used in 2 cases. The other 7 cases demanded additional use of an adipose tissue fragment.Results. Complete arrest of liquorrhea was achieved in 5 cases. It resumed in 2 patients who had undergone plasty with Tachcomb and biological adhesives. They needed into the reoperations with use of autoadipose tissue.Conclusion. Using of CTcisternography is necessary for revealing exact localization of liquor fistula. It is expedient to apply Tachocomb and a fragment of autoadipose tissue fixed with biological adhesives. Discontinuation of treatment with Cabergoline for a month is recommended after the operation.https://www.vestnik-grekova.ru/jour/article/view/908prolactinomadopamine agonistscomplicationsnasal liquorrheatranssphenoidal surgeryplasty of liquor fistula |
| spellingShingle | A. V. Polezhaev V. Yu. Cherebillo D. V. Svistov U. A. Tsoy D. V. Voitsekhovsky TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS Вестник хирургии имени И.И. Грекова prolactinoma dopamine agonists complications nasal liquorrhea transsphenoidal surgery plasty of liquor fistula |
| title | TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS |
| title_full | TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS |
| title_fullStr | TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS |
| title_full_unstemmed | TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS |
| title_short | TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS |
| title_sort | transsphenoidal surgery of nasal liquorrhea as a complication after treatment of prolactinomas with drugs |
| topic | prolactinoma dopamine agonists complications nasal liquorrhea transsphenoidal surgery plasty of liquor fistula |
| url | https://www.vestnik-grekova.ru/jour/article/view/908 |
| work_keys_str_mv | AT avpolezhaev transsphenoidalsurgeryofnasalliquorrheaasacomplicationaftertreatmentofprolactinomaswithdrugs AT vyucherebillo transsphenoidalsurgeryofnasalliquorrheaasacomplicationaftertreatmentofprolactinomaswithdrugs AT dvsvistov transsphenoidalsurgeryofnasalliquorrheaasacomplicationaftertreatmentofprolactinomaswithdrugs AT uatsoy transsphenoidalsurgeryofnasalliquorrheaasacomplicationaftertreatmentofprolactinomaswithdrugs AT dvvoitsekhovsky transsphenoidalsurgeryofnasalliquorrheaasacomplicationaftertreatmentofprolactinomaswithdrugs |