• Bonita Springs 239-947-FACE
  • Marco Island 239-394-6637
  • Fort Myers 239-947-3223

Transphenoidal Approach For Pituitary Tumors

Dr. Gregory Casey is highly trained in Pituitary Tumor Surgery and has worked for over a decade with neurosurgeon Dr. Eric Eskioglu out of Physicians hospital in Naples helping improve lives of patients from all over the country.

We offer a package that offers exam, surgery and hotel accommodations prior to surgery for out of town patients. Please contact us for a consult.


Treatment for pituitary tumors depends on the tumor type and size, its proximity to the eye nerves, and the patient’s age and overall health. Most pituitary tumors are noncancerous. Nonfunctioning pituitary tumors do not produce hormones; functioning pituitary tumors cause overproduction of hormones.Observation,surgery and medications are the main treatments for pituitary tumors. Surgical & technological advances have allowed surgeons now to perform an endoscopic through-the-nose surgical technique that is highly successful when the tumor is small. Most smaller, nonfunctioning tumors are carefully monitored and observed over time and do not require surgical treatment.

Dr. Gregory Casey is highly trained in the sublabial approach

Dr. Casey uses the sublabial approach and utilizes the state-of-art Brain Lab navigation technology. The sublabial approach for pituitary surgery goes through the upper lip to open a path between the hard palate in the roof of the mouth and the nose. Although there are several approaches to the sphenoid sinus, the sublabial transseptal and transnasal transseptal approaches are presently the most widely accepted standard techniques. Although the transnasal approach has several advantages in comparison with the sublabial approach, it is difficult to accomplish in the small nostril without an alotomy incision or external rhinoplasty incision, which may lead to noticeable scarring or nasal deformity. Therefore, the sublabial approach [which is less invasive] still remains the optimal method, especially for patients with small nostrils.

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