A 30-year-old female was referred to our clinic complaining a deviation prognathism of the mandible with malocclusion
1) The patient had already undergone an adenoectomy through oronasal rhinoseptal transsphenoidal approach at a clinic of neurosurgery of another university hospital, but the tumor was not removed completely. The histopathological diagnosis was enosinophilic adenoma.
2) On the lateral cephalogram, the area of the patient's sella turcica was about three times larger than the mean value of normal subjects. The serum GH level was slightly high after the adenoectomy as it was under treatment.
3) Sagittal splitting of the mandibular ramus with partial glossectomy was performed. The patient's postoperative course was satisfactory. No skeletal and occlusal relapse were observed up to date.
