A transfrontal approach enables the surgeon to see both sides of the pituitary fossa easily but is a longer approach and usually requires a large incision.
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The first pituitary operation was likely performed by Sir [[Victor Horsley]] in [[1889]] via a [[transfrontal approach]] though he did not publish his results
((Pollock JR, Akinwunmi J, Scaravilli F, Powell MP. Transcranial surgery for pituitary tumors performed by Sir Victor Horsley. Neurosurgery. 2003 Apr;52(4):914–925)).