Bi-nostril transseptal endoscopic approach to the sphenoidal gate. A new technique

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Ihsan Abbas Al-Baldawi

Neuroscience Hospital, Iraq

: J Otol Rhinol

Abstract

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Abstract: There are multiple approaches to reach the sellar region using microscope or endoscope, which are the old sublabial, with its post-operative morbidities, or the uni-nostril transseptal, which has a limited working field. Another technique is the direct transnasal, which is associated with tissue sacrifice, and lastly the bi-nostril (one side transseptal-other side transnasal), aiming to preserve one of the septal flaps. Method: We have 27 case studies using a new technique in which we access the sphenoid endoscopicaly through the nasal septum from both nostrils under the mucoperichondrial-periosteal flap. Conclusion: This new technique provides easy way of wide exposure to the sphenoidal gate, with easier closure of the operative field. Recent Publications : 1. Al-Baldawi IA (2017). Bi-nostril transseptal endoscopic approach to the sphenoidal gate. A new technique. Acta Neurochirurgica (Wien) Jul; 159(7): 1247-1252.

Biography

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Dr. Ihsan Abbas Al-Baldawi born in Baghdad, Iraq in 1963. A graduate of collage of medicine/ University of Mosul/ Iraq M.B.Ch.B. in 1987. He worked as obligatory military services doctor 1988-1992, then became resident in otolaryngology from 1997 till 2004. Diploma in Otorhinolaryngology from Baghdad medical collage in 2006. -Fellow of the European Board of Otorhinolaryngology-Head and Neck surgery in Vienna 2014. ENT surgeon in AL-Kindy teaching hospital \Baghdad from 2006 till now. ENT-Skullbase surgeon in Neurosciences hospital \Baghdad from 2009 till now. Member of the Arab Association of otorhinological surgeons’ society since 2011. drihsanabbas@yahoo.com