{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-VV68S5TJ/abd6dd73-11ef-49ca-80a7-0dae0cc7633d/HTML","dcterms:extent":"17 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-VV68S5TJ/b843b54d-b503-4782-85b3-718149858cb7/PDF","dcterms:extent":"299 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-VV68S5TJ/65abb5ac-001e-4123-8627-5b36db3a925e/TEXT","dcterms:extent":"13 KB"}],"edm:TimeSpan":{"@rdf:about":"2005-2013","edm:begin":{"@xml:lang":"en","#text":"2005"},"edm:end":{"@xml:lang":"en","#text":"2013"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-VV68S5TJ","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-4BNUGDIJ"},{"@xml:lang":"sl","#text":"Endoskopska revija"}],"dcterms:issued":"2009","dc:creator":["Benedičič, Mitja","Boršoš, Imre","Bošnjak, Roman","Podboj, Jernej"],"dc:format":[{"@xml:lang":"sl","#text":"letnik:14"},{"@xml:lang":"sl","#text":"številka:30"},{"@xml:lang":"sl","#text":"str. 17-22"}],"dc:identifier":["ISSN:1318-8941","COBISSID:25732569","URN:URN:NBN:SI:doc-VV68S5TJ"],"dc:language":"en","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"en","#text":"Adenom"},{"@xml:lang":"sl","#text":"Adenoma"},{"@xml:lang":"en","#text":"Cavernous Sinus"},{"@xml:lang":"en","#text":"Endoscopy"},{"@xml:lang":"sl","#text":"Endoskopija"},{"@xml:lang":"sl","#text":"endoskopska kirurgija"},{"@xml:lang":"sl","#text":"hipofiza"},{"@xml:lang":"sl","#text":"Hipofizne novotvorbe"},{"@xml:lang":"sl","#text":"Kavernozni sinus"},{"@xml:lang":"sl","#text":"lobanjsko dno"},{"@xml:lang":"en","#text":"Microsurgery"},{"@xml:lang":"en","#text":"Middle Age"},{"@xml:lang":"sl","#text":"Mikrokirurgija"},{"@xml:lang":"en","#text":"Nasal Cavity"},{"@xml:lang":"sl","#text":"Nosna votlina"},{"@xml:lang":"sl","#text":"novotvorbe"},{"@xml:lang":"en","#text":"Paranasal Sinus Neoplasms"},{"@xml:lang":"sl","#text":"Paranazalni sinus, novotvorbe"},{"@xml:lang":"en","#text":"Pituitary Neoplasms"},{"@xml:lang":"sl","#text":"Sfenoidna kost"},{"@xml:lang":"en","#text":"Sphenoid Bone"},{"@xml:lang":"sl","#text":"Srednja leta"},{"@xml:lang":"en","#text":"Surgery"},{"@xml:lang":"en","#text":"tumor"},{"@rdf:resource":"http://www.wikidata.org/entity/Q977628"}],"dcterms:temporal":{"@rdf:resource":"2005-2013"},"dc:title":{"@xml:lang":"sl","#text":"Combined endoscopic and microscopic transnasal approach for removal of large pituitary macroadenomas extending to paranasal sinuses| Kombinirani endoskopsko-mikroskopski transnazalni pristop za odstranitev velikih hipofiznih makroadenomov s širjenjem v obnosne votline|"},"dc:description":{"@xml:lang":"sl","#text":"Introduction. Removal of large pituitary macroadenomas with extrasellar extension to paranasal sinuses is a challenging field of skull base surgery that neccesiates cooperation between a neurosurgeon and arinologist. Combined endoscopic and microscopic transnasal approach extends the classic exposure via the transsphenoidal approach for intra-and suprasellar macroadenomas and gains added exposure of the parasellar, ethmoid and clival regions. Methods and Patients. Three patients with large nonsecretory intra-extracranial macroadenomas and panhypopituitarism were operated on by combined microscopic and endoscopic approach. In all cases intranasal, intraethmoid and intrasphenoid parts of macroadenoma were removed first by endoscopic techniquefollowed by microscopic technique of removal of the intrasellar, suprasellar and parasellar parts of the tumor. One patient had a previous transcranial surgery four years ago. Other two patients had tumors of similar large size, but underwent only one-staged transnasal surgery. Results. In all cases, the tumor was gross-totally removed from all extrasellar parts, except from parasellar space where incomplete removal was revealed by postoperative MRI scan. Visual symptoms were improved in all patients. Intraoperative CSF leak occured in one patient and was succesfully treated by lumbar drainage. She also had a mild transient diabetes insipidus. There were no additional neurological deficits and no rhinological problems"},"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-VV68S5TJ","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-VV68S5TJ"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-VV68S5TJ/b843b54d-b503-4782-85b3-718149858cb7/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo, Združenje za endoskopsko kirurgijo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-VV68S5TJ/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-VV68S5TJ"}}}}