Background : Surgeries of pituitary tumor and sella turcica are among the most common practice of otolaryngologists and neurosurgeons. The present article reviews the historical evolution in endoscopic approach to sellar lesions and of course, introduce a new safer and less invasive approach to sella turcica.

Materials and methods : We have searched the medical literature using several keywords regarding the surgical approaches to pituitary tumor and sella turcica since 1889. The weak and strong points of each technique are highlighted and our new approach is also explained.

Conclusion : We believe the new approach could significantly reduce the complications and associate with further patient's convenience.