Term
The pituitary gland is located at the base of the brain within the _____ _______?
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Definition
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Term
The stalk that connects the pituitary gland to the hypothalamus is known as?
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Definition
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Term
The sella turcica is easily approached through which sinus?
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Definition
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Term
True or false, the transsphenoidal approach to pituitary tumor removal requires the cranium to be opened?
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Definition
| False, the cranium is not opened |
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Term
What is the nasal mucosa injected with for hemostasis?
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Definition
| Lidocaine and epinephrine |
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Term
What two types of surgeons may be working on this case together?
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Definition
| And ENT surgeon and a neurosurgeon |
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Term
What are the two different approaches the surgeon may take to gain access to the sella turcica?
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Definition
| An incision in the upper gum margin or through the nasal cavity |
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Term
What fluid should the fascial graft be kept in?
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Definition
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Term
True or false, all nasal instruments are considered contaminated and are kept isolated on a separate mayo stand?
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Definition
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Term
What instruments may be used to punch the sella turcica with?
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Definition
| The Kerrison rongeur and ostetome |
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Term
What is the wound classification for this case?
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Definition
| Class II: Clean-contaminated |
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Term
Where might a graft be taken during this procedure?
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Definition
| A fascial graft from the thigh |
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Term
What are some of the instruments used to remove the tumor?
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Definition
| A pituitary curette, dissector, enucleator, and suction |
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Term
What procedure would be necessary if the tumor is large and pressing against the optic nerve?
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Definition
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Term
What are some complications associated with this procedure?
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Definition
| Wound infection, CSF leakage, meningitis |
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