A piezoelectric device for bone work in endoscopic anterior skull base surgery - a feasibility study in 15 patients

Abstract

Over the last two decades endoscopic transsphenoidal pituitary surgery has become the gold standard in the surgical treatment of most pituitary lesions ¹. Despite excellent results, postoperative CSF-leaks and skull base reconstructions are still considerable issues. Reconstruction as in transcranial craniotomies with osseous flaps cannot be achieved due to the resection of the bone when entering the sella.

Piezoelectric surgery could be implied in endoscopic transsphenoidal pituitary surgery and endoscopic skull base surgery in general if adapted instruments were provided.

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