Image of Edward Aulisi, MD (Neurosurgery) and Stanley Chia, MD (ENT) working closely together to perform complex pituitary tumor procedures.

Edward Aulisi, MD (Neurosurgery) and Stanley Chia, MD (ENT) work closely together to perform complex pituitary tumor procedures.

We may recommend pituitary surgery to remove your tumor. Having performed hundreds of surgeries, we are the most experienced facility in the Washington, D.C., region. This high volume has led to excellent outcomes for our patients. 

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Our team has extensive experience in all types of surgical approaches, including open and endoscopic. We will choose the technique that offers you the best outcome. Our skilled surgeons are able to perform surgery that results in no visible scar.

Leading our neurosurgery program is Edward Aulisi, MD, one of the country’s leading experts in pituitary surgeries. Dr. Aulisi has been working with many members of his surgical team—including ENT specialists—for more than 10 years. This close collaboration leads to seamless care for our patients.

In addition to our experienced neurosurgeon, your surgical team will include an:

  • Otolaryngologist (ENT), who helps access the tumor and provides follow-up care.
  • Endoscopic skull base surgeon, who brings a unique level of expertise to pituitary tumor surgeries.

Types of Pituitary Tumor Surgery

We use Brainlab in our operating rooms, providing our surgeons with detailed, high-resolution image guidance during your procedure. This gives us the most precise results possible. Our surgeons have a depth of expertise with Brainlab, having performed our first upgrade before other hospitals even started using it.

Our surgical team will determine the surgical approach that will offer you the optimal results, based on your specific needs.

Surgeries we perform:

  • Transsphenoidal surgery: We remove the tumor through the sphenoid sinus, located behind your nasal passages. Your neurosurgeon makes a small incision in your nose or under the upper lip, cutting along the nasal septum (the cartilage separating the two sides of the nose). We access the pituitary gland and remove the tumor.
  • Neuroendoscopic surgery: The surgery is similar, but your neurosurgeon uses an endoscope, a thin, flexible tube with a camera at the end. We do not need to make an incision in the nose or lip. Instead, we make a small incision in the back of the nasal septum. Your surgeon passes the instruments through your nose and accesses the gland to remove the tumor.
  • Craniotomy: Rarely, when the tumor is larger or more complicated, we may need to use a craniotomy approach. For this surgery, your surgeon makes an incision in the front and side of your skull to access the tumor.

Pituitary Tumor Surgery Recovery

After your surgery, you will typically need to stay in the hospital for three days to monitor your recovery and progress. Our ENT guides you during your postoperative period.

  1. Immediately following surgery, you go to the intensive care unit (ICU).
  2. Then, we transfer you to our step-down unit, where you continue your recovery while under the care of our expert nursing staff.
  3. If we made an incision in your nasal septum, then you will have splints inside the nose to support the nasal cavity. We remove the splints one week after the surgery.

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