Which surgical specialist might be asked to assist in providing exposure for the neurosurgeon in a transsphenoidal hypophysectomy (TSH) procedure?

Question

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Otorhinolaryngologic surgeons can be consulted to assist the neurosurgeon with this approach through the sphenoid sinus into the pituitary fossa. Endocrine pituitary disorders (e.g., Cushing's syndrome, acromegaly, malignant exophthalmos, and hypopituitarism resulting from intrasellar tumors), as well as nonpituitary disorders (e.g., advanced metastatic carcinoma of the breast and prostate, diabetic retinopathy, and uncontrollable severe diabetes), have been successfully treated by TSH. Complete extracapsular enucleation of the pituitary in cases of hypophysectomy and possible complete removal of small pituitary tumors, with the remaining normal portion of the gland left intact, can be achieved.

Which Surgical Specialist Might Be Asked to Assist in Providing