Bogoyavlensky Subfrontal Hypophysectomy

Bogoyavlensky subfrontal hypophysectomy, first described by Bogoyavlensky in 1926, is also called a surgical method for the treatment of acromegaly. This operation is the only effective way to conservatively eliminate acromegalic gigantism and allows you to restore facial proportions in a short time.

The operation has a number of indications and contraindications, but its effectiveness is noted in most cases. In especially severe situations, when the face is very swollen due to the enlarged pituitary gland, exophthalmos develops, and a visible increase in the mid-frontal line of the head is observed. Treatment should be started in a timely manner to restore the musculoskeletal system, cardiovascular and other important systems of the body. A subfrontal approach to the pituitary tumor can help relieve pain in the neck, particularly when there is soft tissue compression.

Thus, Epiphany subfrontal hypophysectomy is a modern method of surgical treatment of acromegaly, which is indicated for patients with acromegaly disease - a disease of the 3rd type of endocrine disorders, manifested by excessive growth of bones and tissues of the body. Helps the patient become more attractive.

Subfrontal pituitary gland removal is a surgical procedure in which the gland is removed without opening the dura mater. This significantly speeds up the patient’s rehabilitation process after surgery. It is done only when the doctor is clearly confident that the operation will help the patient cope with the disease. The pituitary gland, located on the anterior wall of the sella turcica in the hypothalamosellar region, is removed using an incision passing between the pial plate and the hemispheres of the plate of the cerebral bone of the posterior wall of the frontal sinus, and then from the neck of the anterior horn to the bottom of the pituitary gland. A suprasphenoidal incision is made by the surgeon above the eye, he removes the orbit and brings it to the pia mater of the brain, where a puncture is made through the cribriform plate of the anterior pole.