Featured Research

from universities, journals, and other organizations

University Of Florida Neurosurgeon Pioneers Minimally Invasive Technique for Removing Pituitary Tumors

Date:
February 12, 1999
Source:
University Of Florida
Summary:
Surgery to remove pituitary tumors traditionally has required an incision at the top of the upper gum or in the front part of the nose. Surgeons then proceed through the sphenoid bone and the sphenoid sinus just below the pituitary gland. That route accounted for much of the postoperative pain and swelling. The new technique attacks tumors by going straight through a nostril and making a small hole at the back of the nose.

By Victoria White

GAINESVILLE, Fla.---Pauline David had steeled herself for a second devastating surgery. Her pituitary tumor had regrown, and she knew from experience what lay ahead: days in the hospital, severe pain and a face so bruised it would look like she had been beaten with a bat.

But University of Florida neurosurgeon Albert L. Rhoton Jr., had a surprise for her: Since her first surgery six years earlier, he had developed a new approach that shaved hours off the operating time and reduced the pain to just a fraction of what it had been before.

“I was sitting up in bed, chatting and laughing the first night after surgery. The next day, you would never have known I had had an operation,” David said of the procedure she underwent last April at Shands at UF. “I remember waking up after the first operation and being in so much pain. The second time, I thought, ‘This is it?’ I was almost joyful. It felt so good, I almost couldn’t believe it.”

The pituitary gland lies at the base of the brain just behind the nose. Pituitary tumors tend to be slow-growing and benign, but can result in the release of too much or too little of a variety of hormones that control growth, metabolism and reproduction. Tumors also can press on the optic nerve, interfering with vision.

Surgery to remove pituitary tumors traditionally has required an incision at the top of the upper gum or in the front part of the nose. Surgeons then proceed through the sphenoid bone and the sphenoid sinus just below the pituitary gland. That route accounted for much of the postoperative pain and swelling. But through his studies of anatomy and use of a surgical microscope, Rhoton discovered a more direct approach to the pituitary. For the past two years, he has been attacking tumors by going straight through a nostril and making a small hole at the back of the nose.

Rhoton, who has treated more than a thousand patients with pituitary tumors, has taught his technique at national conferences. At one such conference, he met a surgeon from Israel who independently had developed the same approach.

“Before, it often took 90 minutes from the beginning of the operation to expose the tumor. Now, with the endonasal approach, it usually takes about 15 minutes,” said Rhoton, a professor in the UF College of Medicine’s department of neurosurgery and a researcher affiliated with UF’s Brain Institute. “Before, it would take up to an hour to close up the lip or nasal septum and pack the nose to control the bleeding. Now, once you’ve removed the tumor and closed the area around it, you’re done. You don’t have that hour working on the nose.”

Hospital stays have been reduced to two or three days, compared to five or six days with surgery through the upper gum and three or four days for surgery through the nasal septum.

“Dr. Rhoton’s technique is a dramatic improvement in the speed, safety and efficacy of pituitary surgery,” said Dr. William A. Friedman, who recently succeeded Rhoton as chair of UF’s department of neurosurgery. “I have found his approach to be tremendously helpful in my own practice.”

For many weeks after her first operation, David was dizzy, couldn’t drive and suffered severe headaches. “But the second time it was amazing,” said David, who lives in Winter Park, Fla., with her husband and four children. “I was able to go back home and care for my newborn baby without any problem. It was like night and day compared to the first surgery.”

----------------------------------------

Links:

Dr. Rhoton: http://www.neurosurgery.ufl.edu/FacultyPage/ALR.html

Dr. Friedman: http://www.neurosurgery.ufl.edu/FacultyPage/Friedman.html

UF department of neurosurgery: http://www.neurosurgery.ufl.edu

University of Florida Brain Institute: http://www.ufbi.ufl.edu

Shands at UF: http://www.shands.org

Pituitary Tumor Network Association: http://www.pituitary.com

----------------------------------------

Recent UF Health Science Center news stories: http://www.health.ufl.edu/hscc/index.html

The UF Health Science Center topic/expert list: http://www.health.ufl.edu/hscc/experts.html


Story Source:

The above story is based on materials provided by University Of Florida. Note: Materials may be edited for content and length.


Cite This Page:

University Of Florida. "University Of Florida Neurosurgeon Pioneers Minimally Invasive Technique for Removing Pituitary Tumors." ScienceDaily. ScienceDaily, 12 February 1999. <www.sciencedaily.com/releases/1999/02/990211100130.htm>.
University Of Florida. (1999, February 12). University Of Florida Neurosurgeon Pioneers Minimally Invasive Technique for Removing Pituitary Tumors. ScienceDaily. Retrieved October 20, 2014 from www.sciencedaily.com/releases/1999/02/990211100130.htm
University Of Florida. "University Of Florida Neurosurgeon Pioneers Minimally Invasive Technique for Removing Pituitary Tumors." ScienceDaily. www.sciencedaily.com/releases/1999/02/990211100130.htm (accessed October 20, 2014).

Share This



More Health & Medicine News

Monday, October 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Microneedle Patch Promises Painless Pricks

Microneedle Patch Promises Painless Pricks

Reuters - Innovations Video Online (Oct. 18, 2014) Researchers at The National University of Singapore have invented a new microneedle patch that could offer a faster and less painful delivery of drugs such as insulin and painkillers. Video provided by Reuters
Powered by NewsLook.com
Raw: Nurse Nina Pham Arrives in Maryland

Raw: Nurse Nina Pham Arrives in Maryland

AP (Oct. 17, 2014) The first nurse to be diagnosed with Ebola at a Dallas hospital walked down the stairs of an executive jet into an ambulance at an airport in Frederick, Maryland, on Thursday. Pham will be treated at the National Institutes of Health. (Oct. 16) Video provided by AP
Powered by NewsLook.com
Raw: Cruise Ship Returns to US Over Ebola Fears

Raw: Cruise Ship Returns to US Over Ebola Fears

AP (Oct. 17, 2014) A Caribbean cruise ship carrying a Dallas health care worker who is being monitored for signs of the Ebola virus is heading back to Texas, US, after being refused permission to dock in Cozumel, Mexico. (Oct. 17) Video provided by AP
Powered by NewsLook.com
Spanish Govt: Four Suspected Ebola Cases in Spain Test Negative

Spanish Govt: Four Suspected Ebola Cases in Spain Test Negative

AFP (Oct. 17, 2014) All four suspected Ebola cases admitted to hospitals in Spain on Thursday have tested negative for the deadly virus in a first round of tests, the government said Friday. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins