2025 Proffered Presentations
V125: EXPANDED ENDOSCOPIC ENDONASAL APPROACH FOR RESECTION OF RESIDUAL PARASELLAR GROWTH HORMONE SECRETING PITUITARY ADENOMA IN A PATIENT WITH KISSING INTERNAL CAROTID ARTERIES: TECHNICAL NUANCES
Mustafa Motiwala1; Patricio Gimenez2; Muhammad W Baqai2; Adam Williams2; Faisal Hasan2; Karin Bradley2; Alison Evans2; Warren Bennett2; Jahangir Sajjad2; Kumar Abhinav2; 1University of Tennessee Health Science Center; 2Southmead Hospital
A 43-year-old male presented with acromegaly after a lack of biochemical remission from a previous surgery. Key endoscopic endonasal steps including wide bilateral sphenoidotomies, right middle clinoidectomy to access the clinoidal carotid and the retrogenu compartment, identification of the top of the paraclival carotid by drilling across the sella floor, division of the sellar floor dura to increase the intercarotid distance, and transcavernous mobilization of medial wall.