Understanding Endoscopic Pituitary and Skull Base Surgery
Pituitary tumors and skull base lesions often sit near critical nerves and blood vessels. Endoscopic endonasal surgery uses the natural nasal corridor to reach these areas without external incisions. This approach reduces brain retraction, lowers pain, and speeds recovery while keeping precision high.
At Ajuda Hospitals, neurosurgeons and ENT surgeons operate together. This combined expertise improves access and safety for complex sellar and skull base lesions.
Common Reasons for Referral
- Visual field loss or blurred vision from optic nerve compression
- Headaches with hormonal changes
- Incidental pituitary lesions found on MRI
- Recurrent tumor after earlier surgery
- CSF leak or skull base defects needing repair
How We Diagnose and Plan Surgery
We start with endocrine panels and vision testing, then obtain a dedicated pituitary MRI. ENT nasal endoscopy evaluates the corridor. A multidisciplinary team reviews imaging and symptoms to decide if endoscopic surgery, medical therapy, or observation is best.
Treatment Pathway
Most cases are treated with endoscopic endonasal resection. When tumor extends beyond the sella, an extended approach with angled scopes and neuronavigation is used. If residual tumor remains or hormones are overproduced, we coordinate medication or focused radiation.
Recovery and Follow-Up
Patients are monitored in the neuro ICU after surgery. Nasal care and hormone checks are done in the first week, with most returning to light activities within two weeks. Follow-up imaging and endocrine reviews guide long-term plans.
Take the Next Step
If you have vision changes, hormonal symptoms, or a pituitary lesion on MRI, schedule a consultation. Our team will outline the safest, most effective treatment plan for you.