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Transsphenoidal Hypophysectomy (TSH)is Performed with the Patient Administered a General

Question 12

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Transsphenoidal hypophysectomy (TSH) is performed with the patient administered a general endotracheal anesthetic,combined with a local anesthetic.The surgical team places the patient in a semisitting position,with the head against the headrest.A transnasal or a sublabial incision can be used for rapid access to the sella turcica.Select the diad (2) of conditions that would be appropriate indications for TSH.


A) Acromegaly and hyperpituitarism
B) Advanced uncontrollable diabetes and retinal detachment
C) Endophthalmos and malignant exophthalmos
D) Hypopituitarism and small pituitary tumors

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