keyword
https://read.qxmd.com/read/38487470/a-case-report-of-a-patient-with-recurrent-and-severe-infections-highlighting-the-importance-of-considering-inborn-errors-of-immunity
#1
Fajer Altammar, Mohammed Alshamali, Marwan Alqunaee, Ahmad J Alali, Reem M Elshafie, Waleed Al-Herz
Inborn errors of immunity (IEI) can often be misdiagnosed early in life due to their heterogenous clinical presentations. Interleukin-1 receptor-associated kinase 4 (IRAK-4) deficiency is one of the rare innate immunodeficiency disorders. We present the case of a patient who presented at the age of 15 days with meningitis and septic shock that responded to antibiotics. She was admitted again at the age of 45 days with pseudomonas aeruginosa bacteremia that was associated with increased inflammatory markers...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38467040/role-of-stereotactic-radiosurgery-for-recurrent-skull-base-acinic-cell-carcinoma-illustrative-case
#2
JOURNAL ARTICLE
Tomohiro Yoshihira, Motoyuki Umekawa, Yuki Shinya, Hirotaka Hasegawa, Masahiro Shin, Yodai Kikuchi, Yuki Saito, Kenji Kondo, Atsuto Katano, Aya Shinozaki-Ushiku, Nobuhito Saito
BACKGROUND: Acinic cell carcinomas (AcCCs), rare malignancies of the salivary glands, often recur and metastasize, particularly in the skull base. Conventional radical resection can be invasive for skull base AcCCs adjacent to cranial nerves and major vasculature, and the effectiveness of stereotactic radiosurgery (SRS) as an alternative is not well established. OBSERVATIONS: This case report details the application of SRS for recurrent skull base AcCCs. A 71-year-old male with a history of resection for a right mandibular AcCC 23 years earlier experienced tumor recurrence involving the right cavernous sinus and nasal cavity...
March 11, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38442482/combined-endoscopic-transorbital-and-transmaxillary-pterygoid-approach-for-a-recurrent-spheno-orbital-meningioma-2-dimensional-operative-video
#3
JOURNAL ARTICLE
Matteo Zoli, Giacomo Sollini, Arianna Rustici, Alessandro Carretta, Marcello Magnani, Federica Guaraldi, Sofia Asioli, Marco Faustini-Fustini, Ernesto Pasquini, Diego Mazzatenta
Spheno-orbital meningiomas are challenging invasive tumors, involving different cranial regions, requiring multiple surgical approaches and often with an unfavorable biological behavior characterized by multiple recurrences and possible escape from standard treatments.1 We present a case of a 57-year-old woman, already undergone a transcranial approach, an endoscopic transorbital surgery, and a radiosurgical treatment for a spheno-orbital meningioma. She presented a further tumoral recurrence, involving the orbit and the infratemporal and pterygopalatine fossa, and we proposed a combined fully endoscopic multistaged approach...
March 5, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38411128/pediatric-pterygopalatine-fossa-schwannoma-presenting-as-vision-loss-a-case-report-and-literature-review
#4
JOURNAL ARTICLE
Hua Cai, An-Qi Ren, Zhuo-Ya Zhang, Ming-Zhu Zhou, Ying-Jie Wu, Jian-Xin Yue, Liu-Qing Zhou, Yuan Tian, Tao Zhou
Neurosynovial tumors, originating from Schwann cells within nerve sheaths, are benign entities, with 25% to 45% manifesting in the head and neck region. However, occurrences in the pterygopalatine fossa (PPF) are exceptionally rare, and only a handful of cases have been documented. In this report, we present the unique case of a 6-year-old child exhibiting a sizable soft tissue mass in the left PPF, extending into the inferior orbital fissure. The patient underwent successful intranasal endoscopic removal of PPF schwannoma utilizing the prelacrimal recess approach, with postoperative pathology confirming the diagnosis of schwannoma...
February 27, 2024: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/38372441/snot-22-subdomain-outcomes-following-treatment-for-sinonasal-malignancy-a-prospective-multicenter-study
#5
JOURNAL ARTICLE
David R Grimm, Daniel M Beswick, Sabrina L Maoz, Eric W Wang, Garret W Choby, Edward C Kuan, Erik P Chan, Nithin D Adappa, Mathew Geltzeiler, Anne E Getz, Ian M Humphreys, Christopher H Le, Waleed M Abuzeid, Eugene H Chang, Aria Jafari, Todd T Kingdom, Michael A Kohanski, Jivianne K Lee, Jayakar V Nayak, James N Palmer, Zara M Patel, Carlos D Pinheiro-Neto, Adam C Resnick, Myung S Sim, Timothy L Smith, Carl H Snyderman, Maie A John, Phillip Storm, Jeffrey D Suh, Marilene B Wang, Peter H Hwang
BACKGROUND: Patients with sinonasal malignancy (SNM) present with significant sinonasal quality of life (QOL) impairment. Global sinonasal QOL as measured by the 22-item Sinonasal Outcomes Test (SNOT-22) has been shown to improve with treatment. This study aims to characterize SNOT-22 subdomain outcomes in SNM. METHODS: Patients diagnosed with SNM were prospectively enrolled in a multi-center patient registry. SNOT-22 scores were collected at the time of diagnosis and through the post-treatment period for up to 5 years...
February 19, 2024: International Forum of Allergy & Rhinology
https://read.qxmd.com/read/38369793/-the-imaging-presentations-of-the-fallopian-canal-cerebrospinal-fluid-leaking
#6
JOURNAL ARTICLE
L S Wang, L L Zhang, S F Liu, N Hu, J Y Li, S Z Hao, R Z Gong
Objective: To summarize the imaging presentations of the fallopian canal cerebrospinal fluid leaking (FCCFL). Methods: The high resolution CT (HRCT)and MRI materials of 4 patients (4 ears) with FCCFL confirmed by surgery between August 2016 to November 2023 were retrospectively analyzed. Among these, there were 2 males and 2 females, their ages ranged from 6 to 69 years. Results: All of the FCCFL were unilateral, including 2 on the left and 2 on the right.Clinically, the patients with FCCFL suffered from clear nasal fluid flow, ear tightness, and hearing loss...
February 7, 2024: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://read.qxmd.com/read/38344986/imaging-features-of-invasive-fungal-rhinosinusitis-a-systematic-review
#7
REVIEW
Anni Chen, James Pietris, Stephen Bacchi, WengOnn Chan, Alkis J Psaltis, Dinesh Selva, WanYin Lim
Fungal rhinosinusitis (FRS) includes non-invasive and invasive subtypes with the latter having significant morbidity and mortality. This systematic review aims to identify the imaging features most correlated with invasive fungal rhinosinusitis (IFRS) and present a checklist of these features to aid diagnosis. PubMed, Embase, CENTRAL, and Science Direct were searched from inception to May 2023, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines...
February 12, 2024: Canadian Association of Radiologists Journal
https://read.qxmd.com/read/38319149/combined-endoscopic-transmaxillary-approach-for-resection-of-an-extracranial-v3-schwannoma-2-dimensional-operative-video
#8
JOURNAL ARTICLE
Frédérick Rault, Gianpaolo Jannelli, Mohamad Yazbeck, Timothée Jacquesson, Emmanuel Jouanneau
Tumours of the pterygopalatine (PPF) and infratemporal fossa (ITF) are rare tumours and are difficult to access. The lateral cervical approach is hampered by the mandibular angle and the vascular nervous elements.1 The classic endonasal endoscopic medial maxillectomy approach has been developed over the past 2 decades but does not allow good control of the most lateral and inferior part of the ITF.2 The surgical video presents a 68-year-old woman with trigeminal neuralgia. The radiologic workup showed a trigeminal V3 schwannoma (TS) into the PPF and ITF...
February 6, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38285088/a-novel-classification-for-guiding-the-surgical-approach-for-cranio-orbital-lesions-a-single-institution-case-series-of-45-cases-and-a-literature-review
#9
REVIEW
Bo Xie, Chaoying Qin, Sen Zhang, Chi Zhang, Yi He, Guodong Tang, Xiangyu Wang, Qing Liu
We aim to share our experience of the removal of cranio-orbital lesions (COLs) and propose a novel classification to guide the tailored approach selection. We retrospectively reviewed 45 consecutive patients with COLs who underwent surgery performed by the same neurosurgeon between November 2010 and November 2022. The surgical approach was selected according to the anatomical region classification of the COLs. For lesions limited to space A (lateral superior orbital fissure, SOF), the pterion or extended pterion approach (PA or EPA) was used...
January 29, 2024: Neurosurgical Review
https://read.qxmd.com/read/38274480/anatomical-step-by-step-dissection-of-complex-skull-base-approaches-for-trainees-surgical-anatomy-of-the-endoscopic-endonasal-and-endoscopic-assisted-transmaxillary-transpterygoid-approaches
#10
JOURNAL ARTICLE
Edoardo Agosti, Natália Cerqueira Rezende, Luciano C P C Leonel, A Yohan Alexander, Carlos D Pinheiro-Neto, Maria Peris-Celda
Introduction  The endoscopic endonasal transpterygoid approach (EETPA) with or without the addition of the endoscopic-assisted sublabial anterior transmaxillary approach (ESTA) has become increasingly utilized for lesions posterior to the pterygopalatine fossa (PPF), including infratemporal fossa (ITF), lateral recess of the sphenoid sinus, Meckel's cave, petrous apex, and parapharyngeal space. The main goal of this study is to develop an educational resource to learn the steps of the EETPA for trainees...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38268453/a-superficial-dissection-approach-to-the-sphenopalatine-pterygopalatine-ganglion-to-emphasize-osteopathic-clinical-relevance
#11
JOURNAL ARTICLE
Olivia C Matz, Laura J Rudberg-Post, Hannah C Gustafson, Donald G Matz
The sphenopalatine (pterygopalatine) ganglion (SPG) is the most superficial ganglia to manipulate from the oral cavity. It has parasympathetic and sensory fibers directly affecting the paranasal sinuses as well as the palatine, nasal, pharyngeal, and lacrimal glands. The SPG can be manipulated intraorally by students and physicians utilizing osteopathic manipulative treatment (OMT) to relieve congestion associated with sinusitis, allergies, headaches, and upper respiratory infections. Within osteopathic medical education programs, students have anecdotally had difficulty identifying this ganglion due to its deep anatomic location and lack of direct visualization...
January 24, 2024: Journal of osteopathic medicine
https://read.qxmd.com/read/38252537/the-maxillary-artery-loops-dangerously-approaching-the-mandible-s-lingula-and-inferior-orbital-fissure
#12
JOURNAL ARTICLE
Mugurel Constantin Rusu, Cătălin Constantin Dumitru, Alexandra Diana Vrapciu
The maxillary artery (MA) leaves from the external carotid artery and further courses through the infratemporal fossa to reach the pterygopalatine fossa. It typically has an ascending course either on the lateral or on the medial side of the inferior bundle of the lateral pterygoid muscle. While studying retrospectively, the computed tomography angiogram of an adult male case with peculiar tortuosities of the MA was documented. The left MA described a large inferior sagittal loop applied on the mandible's ramus's inner cortical in the pterygomandibular space's upper part...
January 22, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38236559/clinically-relevant-morphometric-analysis-of-pterygopalatine-fossa-and-its-volumetric-relationship-with-adjacent-paranasal-sinuses-a-ct-based-study
#13
JOURNAL ARTICLE
Betül Digilli Ayaş, Aynur Emine Çiçekcibaşı, Ahmet Safa Gökşan, Gülay Açar, Demet Aydoğdu
OBJECTIVES: This study aimed to perform morphometric measurements of the pterygopalatine fossa (PPF), the transition zone to critical neurovascular structures. The second aim was to investigate the relationship between the volumes of the PPF and the paranasal sinuses and the effect of nasal septum deviation (NSD) types on all these measurements. METHODS: We performed PPF's morphometry and all volume measurements on the CT images of 260 patients (130 male and 130 female, age range 18-79)...
January 18, 2024: Oral Radiology
https://read.qxmd.com/read/38230421/the-effect-of-injection-of-epinephrine-1-100-00-solution-in-pterygopalatine-fossa-on-intraoperative-bleeding-during-endoscopic-sinonasal-surgeries-in-chronic-sinusitis-a-blinded-clinical-trial
#14
JOURNAL ARTICLE
Sevil Nasirmohtaram, Mirmohammad Jalali, Ali Faghih Habibi, Maliheh Akbarpour
No abstract text is available yet for this article.
January 17, 2024: Journal of Laryngology and Otology
https://read.qxmd.com/read/38215465/transorbital-endoscopic-approach-to-the-foramen-rotundum-for-infraorbital-nerve-stripping
#15
JOURNAL ARTICLE
Jessica Y Tong, Jeffrey Sung, WengOnn Chan, Rowan Valentine, Alkis J Psaltis, Dinesh Selva
PURPOSE: To develop and evaluate a transorbital endoscopic approach to the foramen rotundum to excise the maxillary nerve and infraorbital nerve branch. METHODS: Cadaveric dissection study of 10 cadaver heads (20 orbits). This technique is predicated upon 1) an inferior orbital fissure release to facilitate access to the orbital apex and 2) the removal of the posterior maxillary wall to enter the pterygopalatine fossa (PPF). Angulations along the infraorbital nerve were quantified as follows: the first angulation was measured between the orbitomaxillary segment within the orbital floor and the pterygopalatine segment suspended within the PPF, while the second angulation was taken between the pterygopalatine segment and maxillary nerve as it exited the foramen rotundum...
January 12, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38087873/endoscopic-endonasal-transpterygoid-approach-and-the-need-for-myringotomy
#16
JOURNAL ARTICLE
Mark A Damante, Stephen T Magill, Daniel Kreatsoulas, Ben G McGahan, Douglas Hardesty, Ricardo L Carrau, Daniel M Prevedello
OBJECTIVE: The expanded endonasal transpterygoid approach (EETA) is used to access the middle and posterior fossa through the pterygoid process. Traditionally, the eustachian tube (ET) was resected during EETA, which often required subsequent myringotomy for inner ear drainage. Anterolateral transposition of the ET was proposed to decrease potential morbidity associated with resection. However, a comparison of resection versus transposition regarding the need for subsequent myringotomy has not been reported...
December 12, 2023: Laryngoscope
https://read.qxmd.com/read/38033534/an-endoscopic-transnasal-prelacrimal-recess-transmaxillary-approach-to-the-pterygopalatine-fossa-and-infratemporal-fossa
#17
JOURNAL ARTICLE
Jian Liu, Zhijun Yang, Bin Lu, Zhiyong Bi, Pinan Liu
OBJECTIVE: In this paper, the goal of the authors is to present the anatomic nuances and their clinical experience with lesions of the pterygopalatine fossa and infratemporal fossa using an endoscopic transnasal prelacrimal recess transmaxillary approach (PLRMA). METHODS: An endoscopic anatomical dissection of three fresh cadaveric heads was performed bilaterally to evaluate the feasibility of the PLRMA. Prior to dissection, stereotactic computed tomography scans were obtained for each head to obtain anatomical measurements...
2023: Frontiers in Surgery
https://read.qxmd.com/read/38031416/a-pterygopalatine-fossa-abscess-caused-by-streptococcus-constellatus-with-ptosis-as-initial-presentation-case-report
#18
JOURNAL ARTICLE
Yuting Wu, Jing Ye, Mang Xiao
Pterygopalatine fossa (PPF) abscess is an exceedingly rare occurrence. Typically, it has been reported in association with odontogenic infections or hematogenous dissemination. In this report, we present the first case of PPF abscess where no obvious underlying cause or primary infection was evident. The patient initially presented with a 2-week history of left ptosis and persistent headaches, which were subsequently accompanied by fever and limited mouth opening. Based on elevated inflammatory markers and imaging findings, the diagnosis of a PPF abscess was established...
November 29, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37999914/operative-management-of-trigeminal-schwannomas-based-on-a-modified-classification-in-a-study-of-93-cases
#19
REVIEW
Jie Yin, Yihao Wu, Zhe Zhang, Yu Zhang, Junhua He, Zhijun Yang, Bo Wang, Xinchao Wang, Gemingtian Liu, Zhixu Bie, Pinan Liu
BACKGROUND: Advances in microscopic and endoscopic surgical techniques have outpaced traditional classification and transcranial surgical strategies, especially with reference to the treatment of trigeminal schwannomas (TSs). A modified TS classification is proposed and appropriate surgical strategies are discussed. METHODS: The cases of 93 patients who underwent surgical treatment in Beijing Tiantan Hospital in the previous 6 years were analyzed retrospectively, and a literature review was conducted...
December 2023: Acta Neurochirurgica
https://read.qxmd.com/read/37995150/transorbital-endoscopic-approach-to-the-pterygopalatine-fossa-a-less-invasive-alternative-to-traditional-access
#20
JOURNAL ARTICLE
Ethan A Osias, Kelsey A Roelofs, Steven Leibowitz, Robert A Goldberg, Daniel B Rootman
PURPOSE: The purpose of this article and accompanying video is to demonstrate a transorbital endoscopic approach for accessing the pterygopalatine fossa (PPF). This technique does not require a skin incision, avoids dissection of critical neurovascular structures, and utilizes a comparatively small osteotomy. The 2 cases presented in this article highlight the utility of a transorbital endoscopic approach for accessing an anatomic region that has traditionally required more invasive techniques to reach...
November 23, 2023: Ophthalmic Plastic and Reconstructive Surgery
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