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Skull base jc

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5 papers 0 to 25 followers
Thomas S Higgins, Peter H Hwang, Todd T Kingdom, Richard R Orlandi, Heinz Stammberger, Joseph K Han
OBJECTIVE: The objective of this study is to systematically review the literature and examine the safety for the use of topical vasoconstrictors in endoscopic sinus surgery. STUDY DESIGN: Systematic review clinical trials. METHOD: A systematic literature search was performed in MEDLINE, EMBASE, The Cochrane Library, and National Guideline Clearinghouse, and references in the selected articles. RESULTS: The search criteria captured 42 manuscripts with relevant titles...
February 2011: Laryngoscope
Sahar Nadimi, Nadieska Caballero, Patrick Carpenter, Lauren Sowa, Ryan Cunningham, Kevin C Welch
BACKGROUND: Postoperative imaging is frequently performed to assess for intracranial complications following anterior skull base (ASB) surgery. However, there is little data to suggest that radiologic studies change the management of complications. In this study, the utility of postoperative imaging within 72 hours after uncomplicated ASB surgery was examined. METHODS: A retrospective review was conducted of 143 patients who underwent endoscopic ASB surgery between 2007 and 2013 at Loyola University Medical Center...
December 2014: International Forum of Allergy & Rhinology
Duc A Tien, Janalee K Stokken, Pablo F Recinos, Troy D Woodard, Raj Sindwani
Before the vascularized pedicled nasoseptal flap was popularized, lumbar drains (LDs) were routinely used for cerebral spinal fluid (CSF) diversion in endoscopic skull base reconstruction. LDs are not necessary in most CSF leaks encountered during skull base surgery. In this article, the use is considered of an LD in select high-risk settings in which a high-flow leak is anticipated and the patient has significant risk factors that make closure of the leak more challenging. Evidence for the use of LDs in preventing postoperative after endoscopic skull base reconstruction is reviewed and a rational framework for their use is proposed...
February 2016: Otolaryngologic Clinics of North America
Christopher F Thompson, Jeffrey D Suh, Yuan Liu, Marvin Bergsneider, Marilene B Wang
Background/Objective Our institution previously showed that patients experience significant postoperative sinonasal symptoms for the first few months after endoscopic transnasal transsphenoidal skull base surgery (eTNTS). Since our initial study we have modified our technique, discontinuing routine resection of the middle turbinate, maxillary antrostomies, and nasoseptal flaps. In this study, we analyze whether these technical modifications decrease postoperative sinonasal morbidity after eTNTS. Methods A retrospective review was performed of 93 consecutive patients who underwent eTNTS at a tertiary academic medical center from August 2011 to August 2012...
February 2014: Journal of Neurological Surgery. Part B, Skull Base
Gurston G Nyquist, Vijay K Anand, Seth Brown, Ameet Singh, Abtin Tabaee, Theodore H Schwartz
Endoscopic endonasal skull base surgery is a growing field in which the nasal corridors are used to address skull base lesions. Whether the middle turbinates must be removed for adequate exposure is controversial and not well addressed in the literature. This is a prospective, observational study of 163 consecutive cases of purely endoscopic endonasal transsphenoidal surgeries performed at a single tertiary care institution. The primary study outcome measurement is the feasibility of middle turbinate preservation in endoscopic transsphenoidal skull base surgery...
September 2010: Skull Base: Official Journal of North American Skull Base Society ... [et Al.]
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