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New Message on Pituitary Chat

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From: MinnieChat
Message 1 in Discussion

http://www.popsci.com/popsci/technology/dd73062104c45110vgnvcm1000004eecbccdrcrd/3.html
   Medi-Mation

Pulling Out Tumors Through Your Nose
Brain surgery involves actually cracking open skulls, which often leads to 
post-op complications and a lengthy recovery. But Amin Kassam, chairman of the 
department of neurological surgery at the University of Pittsburgh Medical 
Center and director of its Minimally Invasive Endoneurosurgery Center, has 
found a way to leave your melon intact: He performs brain surgery through the 
nose.  
Kassam, who helped pioneer the technique in the late 1990s, enters the nostril 
and goes into the sinus cavity, where he drills a small "keyhole" into the base 
of the skull. He then carefully peels away the three membranes that encase the 
brain to access the entire bottom half of the organ, a region that extends 
between the forehead to the top of the spine and from ear to ear. 
Using angled endoscopes he designed himself and guided by a GPS-like system 
that tracks the scopes and maps the brain in near real time, Kassam cuts up and 
suctions out tumors or repairs aneurysms in an otherwise conventional manner. 
He then patches the keyhole with a flap of tissue from the nostril, leaving no 
visible scars and only a minor incision to heal. In many cases, patients are 
back on their feet in a matter of days, instead of weeks. 
To date, Kassam has performed more than 750 procedures (in one notable case, he 
removed a baseball-size tumor from a young boy's head) and teaches the 
technique to surgeons every year. He is one of only a handful of surgeons in 
the U.S. who perform the surgery, but he thinks that number will grow as more 
surgeons realize the benefits. "As long as the important stuff—like nerves and 
major blood vessels—is on the outside," he says, "I'll come from the 
inside."—Jason Daley 
At left: By going through the nose, what were once incredibly invasive 
procedures now leave no visible scar. 


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