Quality-of-life evaluation for patients submitted to nasal endoscopic surgery for resection of pituitary tumours

Eur Arch Otorhinolaryngol. 2021 May;278(5):1411-1418. doi: 10.1007/s00405-020-06381-1. Epub 2020 Sep 28.

Abstract

Purpose: This study aimed to evaluate the pre- and post-operative quality-of-life of patients submitted to the resection of pituitary adenoma via endoscopic transsphenoidal.

Methods: This was a prospective study on patients submitted to endoscopic transsphenoidal pituitary surgery with the harvest of a nasoseptal flap who responded to the questionnaires FV-36 and SNOT-22 in the pre-operative and in months 1, 3 and 6 following the surgical procedure.

Results: A total of 42 patients submitted to pituitary adenoma resection surgery via endoscopic transsphenoidal with a nasoseptal flap were recruited. In all of the physical and mental domains (SF-36) evaluated, there was an improvement in the long-term evaluation (6 months), compared to the pre-operative, as well as in the site-specific evaluation (SNOT-22).

Conclusion: The global and site-specific questionnaires in the 6th post-operative month follow-up presented an important improvement in all the physical and mental domains evaluated, as well as in nasal function in the perception of the patients submitted to pituitary adenoma resection via endoscopic transsphenoidal, demonstrating the safety and efficiency of the procedure.

Keywords: Hypophyse; Patient health questionnaire; Pituitary adenoma; Quality-of-life; Skull base.

MeSH terms

  • Endoscopy
  • Humans
  • Pituitary Neoplasms* / surgery
  • Prospective Studies
  • Quality of Life
  • Treatment Outcome