Understanding Acromegaly and Its Causes
Acromegaly is a condition characterized by the overproduction of growth hormone (GH), leading to distinctive physical changes such as coarse facial features, enlarged hands, and jaw alterations. This condition is primarily caused by a GH-secreting pituitary adenoma, a type of benign tumor located at the base of the brain.
The Role of GH and IGF-1 in Acromegaly
The pituitary adenoma secretes excess GH, which the liver converts into insulin-like growth factor 1 (IGF-1). IGF-1 is the active form responsible for the physical manifestations of acromegaly. While injections can suppress this hormonal pathway, they rarely offer a cure, as they only manage the symptoms externally.
Endoscopic Transnasal Surgery: A Path to Cure
The definitive treatment for acromegaly involves the surgical removal of the pituitary adenoma. Dr. Kalyan Bommakanti, in collaboration with ENT specialist Dr. Vyshnavi Bommakanti, performs endoscopic transnasal surgery. This minimally invasive technique involves accessing the tumor through the nose, eliminating the need for a skull incision. Once the adenoma is removed, GH production ceases, leading to a normalization of IGF-1 levels within weeks and halting further progression of physical changes.
Precision and Expertise in Tumor Removal
Surgery for acromegaly is particularly challenging due to the size and consistency of the tumor, which is often larger and softer compared to other adenoma types. The procedure demands precise dissection and expert handling, skills that Dr. Kalyan Bommakanti has honed over the course of 7,500+ surgeries. The use of a 4K camera combined with a Joimax HD endoscope ensures high-definition visualization, aiding in the meticulous removal of the tumor.
Advanced Techniques in Spine Surgery
In addition to pituitary surgery, Dr. Kalyan Bommakanti is renowned for his expertise in spine surgery. Utilizing keyhole or monoportal endoscopic techniques, he performs muscle-sparing procedures through an 8mm incision. These advanced methods minimize recovery time and reduce postoperative discomfort, offering a significant advantage to patients.
Ensuring Patient Safety with Functional Dynamic EMG
To further enhance surgical outcomes, Dr. Kalyan employs Functional Dynamic EMG during procedures. This technology provides real-time feedback on nerve function, ensuring patient safety and optimal surgical precision.
Read more: the full Pituitary Adenoma patient guide.
📱 WhatsApp Dr. Kalyan’s team on 85200 03683 for an appointment.