Postoperative precautions and review instructions for transnasal pituitary tumors

The most common symptoms after transnasal pituitary tumor surgery are nasal symptoms: a lot of secretions, small amount of blood, loss of smell, etc. These are all manifestations of postoperative nasal inflammation. Sudden massive bleeding is mostly due to rupture of small nasal arteries, please go to the rhinology department for filling and compression treatment, rhinology endoscopy clinic specializes in treating rhinorrhea, and also interventional embolization of external neck branches. After discharge from the hospital, there is a large amount of nasal fluid flow, like tap water non-stop, some combined with fever, this is cerebrospinal fluid nasal leakage, please come back to consult, but in our group of cases is very rare.

2. 1-2 weeks after pituitary tumor surgery, if dizziness, nausea, vomiting, low urine and other symptoms occur, they are caused by increased secretion of the so-called antidiuretic hormone, low sodium and low chloride, which simply means that water cannot be excreted, so we have to rely on dehydration instead of just replenishing sodium and chloride, and at the same time, we should supplement glucocorticoids. 3. If the pituitary tumor is low before and after surgery, mainly hypothyroidism and cortisol, serious cases should be treated with long-term hormone replacement according to the doctor’s prescription. 4. The postoperative MRI report will report a lot of abnormalities, so please ask the book writer to make an explanation which is more realistic.