Term
| What is the job of the pituitary gland? |
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Definition
| Secretes and produces hormones. (adrenal, thyroid, etc.) |
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Term
| Where is the pituitary gland located? |
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Definition
| At the base of the brain within the sella turcica. (a small bony depression in the sphenoid bone) |
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Term
| What is the pituitary gland often referred to as? |
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Definition
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Term
| If the tumor is too large for a transphenoidal hypophysectomy procedure, what procedure can be done instead? |
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Definition
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Term
| The transphenoidal approach offers advantages, name 2. |
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Definition
| Cranium isn't opened, less pain. |
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Term
| What position will the patient be placed in? |
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Definition
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Term
| Where is the incision made? |
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Definition
| Upper gum margin/under upper lip. |
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Term
| Why might there be a need to have 2 surgeons? What two specialties would they belong to? |
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Definition
ENT surgeon and neurosurgeon. /
ENT performs the part of the surgery that exposes the pituitary tumor, Neuro removes the tumor. |
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Term
| Where can the fascial graft be obtained from? |
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Definition
| Fatty part of body, specifically thigh, abdomen, etc. |
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Term
| What can be used to remove the tumor? |
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Definition
| Pituitary curette, dissector, enucleator, suction. |
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Term
| Nasal mucosa in injected with Lidocaine with epi for what reason? |
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Definition
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Term
| If the tumor were to reappear, how could it be treated? |
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Definition
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Term
True or false.
All nasal instruments are to be kept isolated on a separate mayo stand. |
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Definition
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Term
| The sella turcica can be "punched" out with what instrument? |
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Definition
| Kerrison rongeur or osteotome |
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Term
| Why might a fascial graft be taken? |
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Definition
(optional)
The graft will be used to fill the empty space that is left by the tumor that has been removed. |
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