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medicine otorhinolaryngology hypophysectomy pitutary adenoma pitutary tumours bitemporal hemianopia pitutary gland skull base surgery anterior skull nase surgery trans-septal approach graves disease thyroid eye disease hyperthyroidsm graves ophthalmopathy thyroid assosiated eye disease orbital decompression proptosis thyroid thyroid scan sphenoidectomy optic nerve decompression ethmoidectomy orbital fibroblasts ct pns anatomical varients in ct pns haller cells odonti cells supraorbital cell