What is TNTS (Trans Nasal Trans Sphenoidal) Endoscopic Surgery?

Transnasal transsphenoidal surgery (TNTS) is a popular minimally invasive procedure used to remove tumors from the pituitary gland situated at the base of the skull through the nasal cavity with the help of an endoscope. The major advantages of this procedure are  less bleeding and faster recovery. To approach the hardest area of the brain, which otherwise will require an open surgery (Craniotomy).

With world-class facilities and ultra-modern equipment, India has some of the best hospitals with the highest  success rate of TNTS surgery at one tenth cost of its western counterparts.

Know Your TNTS Procedure

• Procedure is performed under general anesthesia.
• Then, your surgeon prepares the nasal cavity, and with the help of the 3D image-guiding system, he inserts the endoscope.
• To wide open the front of the sinus wall, the doctor takes away a small portion of the nasal septum.
• The surgeon may remove Sella’s tiny bone to increase the visibility further.
• Then with the help of the dura opening, the surgeon reaches the pituitary gland and tumor.
• The tumor is then removed from the other nostril with the help of a special tool called a curette.

What is the recovery from endonasal endoscopy?

As this procedure involves an almost negligible incision, therefore, there is not at all any defragment of the patient’s face. As a result, it offers faster recovery time. Generally, the patients leave the hospital within a day or two.

General precautions include avoiding straining, heavy lifting, and nose blowing for at least a week. You may also be deprived of using asteroids or nasal spray. The use of aspirin and anti-inflammatory medicines is totally prohibited up to two weeks after surgery. If everything goes normal, then it may take two weeks to return to a normal routine.

Top Neurosurgeons Carrying out TNTS in India

• Dr VP Singh – Chairman Neurosurgery at Medanta the Medicity
• (Col.) Dr. Bipin Walia. Principal Director and Head – of Neurosurgery for Max Saket Complex. Neurosciences, Neurosurgery, Spine Surgery.
• Sudheer Kumar Tyagi -MBBS, MS – General Surgery, MCh – Neuro Surgery, Neurosurgeon Indraprastha Apollo Hospitals
• Rana Patir, MS (General Surgery), MCh (Neurosurgery), CONSULTANT NEUROSURGERY, Fortis Memorial Research Institute, Gurugram
• Dr Aditya Gupta – Chief at Artemis Hospital (Neurosurgery & CNS Radiosurgery) Co-Chief (Cyberknife Centre) Artemis Hospital in Gurugram.

Top Neurosurgery hospitals in India for TNTS Surgery

• Indraprastha Apollo Hospital
• Max Super Speciality Hospital, Saket
• Fortis Memorial Research Institute, Gurugram
• Medanta the Medicity
• Artemis Hospital

The approximate cost

USD $7000 – USD $8000

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