• Closure of spontaneous sphenoid sinus cerebrospinal fluid leaks can be challenging because of the relative inaccessibility of the lateral recess and the presence of intracranial hypertension. (nih.gov)
  • Eleven patients with spontaneous, laboratory confirmed, sphenoid sinus cerebrospinal fluid leaks were included. (nih.gov)
  • Long-lasting cerebrospinal fluid fistula sealing in the sphenoid sinus requires stable reconstruction of the defect in three layers or fat obliteration if the anatomy is unfavourable. (nih.gov)
  • CSF rhinorrhoea may be a complication of neurosurgery, such as functional endoscopic sinus surgery, and hypophysectomy (partial or complete removal of the pituitary gland). (wikipedia.org)
  • Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endoscopic approach sufficient? (rush.edu)
  • Endoscopic management of sphenoid sinus cerebrospinal fluid leaks. (rush.edu)
  • Management of frontal sinus mucoceles with posterior table erosion in the pretransplant cystic fibrosis population. (rush.edu)
  • Long-term revision rates for endoscopic sinus surgery. (shengsci.com)
  • abstract: BACKGROUND:Reported revision rates for endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) vary significantly. (shengsci.com)
  • In the 1990s, a distinct impulse came from the otorhinolaryngologists, with the use of the endoscope in functional endoscopic sinus surgery, disclosing the pathway to the sella turcica and the endoscopic approach for resection of pituitary tumors either alone or as an adjunct to the microneurosurgery. (scielo.br)
  • In the endoscopic technique, a rigid endoscope is used to get into the sphenoid sinus and the sella turcica through both nostrils. (scielo.br)
  • Frontal sinus osteoma inverted papilloma histopathology case report Although the surgical staff has a inverted papilloma histopathology of experience inverted papilloma histopathology doing the endoscopic transnasal approach, there are some cases where the transnasal route cannot safely solve certain pathologies. (pentru-bebe.ro)
  • Keywords frontal sinus, inverted papilloma nasal cavity histology, external endoscopic approach Rezumat Prezentăm cazul unui pacient, în vârstă de 62 de ani, cu o formaţiune tumorală voluminoasă de sinus frontal bilateral, cu sindrom cefalalgic sever şi distrucţia parcelară a laminei papiracee stângi şi a peretelui posterior al sinusului frontal drept. (pentru-bebe.ro)
  • Cuvinte cheie sinus frontal vaccino x papilloma virus abord endoscopic extern A year-old patient, S. Health Update - Inverted Papilloma Tumor and Squamous Cell Carcinoma human papillomavirus lecture Three years ago Mayin another ENT service, the patient underwent a curative surgery for bilateral fronto-ethmoido-sphenoidal rhinosinusitis. (pentru-bebe.ro)
  • He completed his internship and residency at Northwestern University Feinberg School of Medicine and then pursued fellowship training in rhinology, sinus surgery and endoscopic skull base surgery at the Cleveland Clinic. (rushentcourse.com)
  • His special clinical interests include management of refractory sinusitis and polyps, revision sinus surgery, management of CSF rhinorrhea, endoscopic orbital surgery, and minimally invasive skull base surgery for benign and malignant tumors. (rushentcourse.com)
  • He completed residency in Otolaryngology - Head and Neck Surgery at UCLA Medical Center, followed by a prestigious fellowship in rhinology, sinus surgery and endoscopic skull base surgery at the University of Pennsylvania, where he trained with leaders in the field of rhinology. (rushentcourse.com)
  • The use of prophylactic antibiotics in patients incurring skull base injuries during endoscopic sinus surgery has not been studied in a randomized controlled fashion. (medscape.com)
  • Dr. Del Signore's specific clinical interests include medical and surgical management of chronic sinusitis , paranasal sinus and skull base tumors , orbital tumors, encephalocele repair, cerebrospinal fluid leaks (CSF) , balloon sinuplasty , Eustachian tube dilation and allergic disease. (mountsinai.org)
  • The fellowship is a 1 year comprehensive experience in Rhinology, advanced Endoscopic Sinus Surgery and Endoscopic Skull Base Surgery. (endoscopicskullbasesurgery.com)
  • Upon completion of the program, the fellow will be trained to develop academic, tertiary sinus and endoscopic skull base program. (endoscopicskullbasesurgery.com)
  • The foundation of the fellowship experience includes the medical and surgical management of both routine and complex sino-nasal disorders including chronic sinusitis, allergic fungal sinusitis, advanced nasal polyposis, frontal sinus disease, sphenoid sinus disease and anterior skull base neoplasms. (endoscopicskullbasesurgery.com)
  • The surgical experience encompasses primary and revision endoscopic sinus surgery, surgical management of the frontal sinus, cerebrospinal fluid leak closure, endoscopic resection of sino-nasal neoplasms and endoscopic skull base surgery. (endoscopicskullbasesurgery.com)
  • Select revision endoscopic sinus surgery. (endoscopicskullbasesurgery.com)
  • The surgical experience involves a graduated approach to primary, complex and revision endoscopic sinus surgery. (endoscopicskullbasesurgery.com)
  • BACKGROUND: Appropriate indications for endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) are currently poorly defined. (keyopinionleaders.com)
  • It remains unknown whether the treatment effect of endoscopic sinus surgery (ESS) for CRS results in appreciable sleep quality improvements. (keyopinionleaders.com)
  • Dr Scaccia wrote one of the first book chapters in the world on how to perform rhinoplasty and endoscopic sinus surgery at the same time. (riversideface.com)
  • Orbital injury and complications are commonly encountered in endoscopic sinus surgery (ESS) despite advances in techniques and instrumentation. (scirp.org)
  • Upon completion of his residency, he received additional fellowship training in advanced endoscopic sinus and minimally invasive skull base surgery at Johns Hopkins. (hopkinsmedicine.org)
  • He maintains a very busy clinical practice primarily focused on complex revision endoscopic sinus surgery, endoscopic approaches to the orbit (DCR), and the endoscopic management of sinonasal and skull base tumors including inverted papilloma, esthesioneuroblastoma, and pituitary tumors. (hopkinsmedicine.org)
  • Endoscopic sinus surgery - nose surgery which can relieve a number of problems including recurrent sinus infections, headaches and facial pain due to blocked sinuses. (svph.org.au)
  • Our surgeons are specialists in the areas of ear surgery, endoscopic sinus and nose surgery, laser surgery of the larynx, skull base surgery and all head and neck cancer related surgery. (svph.org.au)
  • It is the first sinus to develop and is filled with fluid at birth. (medscape.com)
  • Objectives Postoperative cerebrospinal fluid (Po-CSF) leak is still a challenging complication of endoscopic endonasal skull base surgery. (thieme-connect.de)
  • p = 0.010) are strong independent risk factors of Po-CSF leak in pure endoscopic endonasal pituitary surgery. (thieme-connect.de)
  • 7.5 cm 3 is the most remarkable risk factor for Po-CSF leak in pure endoscopic pituitary surgery. (thieme-connect.de)
  • Preoperative risk factors for postoperative complications in endoscopic pituitary surgery: a systematic review. (thieme-connect.de)
  • However, it is also excellent for the practitioner who wants to get a succinct update on the latest, cutting-edge knowledge in rhinology, allergy, and endoscopic skull base surgery. (pluralpublishing.com)
  • In particular, chapters on radiology, sinonasal manifestations of systemic disease, complications of endoscopic surgery and allergen immunotherapy, stand out in presenting complex information concisely and clearly. (pluralpublishing.com)
  • With the development of Endoscopic Skull Base Surgery, this specialized field became a vital part of contemporary healthcare, providing minimally invasive treatments to a wide range of patients. (medcare.ae)
  • Endoscopic Skull Base Surgery stands out as a groundbreaking advancement in the realm of medical interventions. (medcare.ae)
  • PURPOSE: Cerebrospinal fluid (CSF) leakage is a frequent complication after spinal surgery. (bvsalud.org)
  • We conducted a systematic review and meta-analysis of randomized and non-randomized controlled trials that compared pure endoscopic with microscopic transsphenoidal surgery (TSS) in the resection of pituitary tumors. (scielo.br)
  • Some experienced neurosurgeons and otorhinolaryngologists have changed to the endoscopic surgery, claiming that this procedure is safer, less invasive, and allows a wider view of the sella turcica, improving tumor resection rates ( 1 1. (scielo.br)
  • Comparative inpatient resource utilization for patients undergoing endoscopic or microscopic transsphenoidal surgery for pituitary lesions. (scielo.br)
  • Endoscopic endonasal transsphenoidal approach: an additional reason in support of surgery in the management of pituitary lesions. (scielo.br)
  • Cho D-Y, Liau W-R. Comparison of endonasal endoscopic surgery and sublabial microsurgery for prolactinomas. (scielo.br)
  • Navigation Techniques in Endoscopic Spine Surgery. (nih.gov)
  • Introduction: Endoscopic spine surgery. (nih.gov)
  • Full endoscopic cervical spine surgery. (nih.gov)
  • This is the reason why the authors wish to illustrate the need of using an approach inverted papilloma nasal cavity histology will ensure a proper management of any kind of complications that can occur during surgery, specific to these tumors bleeding, cerebrospinal fluid leak. (pentru-bebe.ro)
  • An interest in lateral skull base disease management led him to Gruppo Otologico in central Italy, where he worked closely with Mario Sanna, MD, a leader in the field of lateral skull base surgery. (rushentcourse.com)
  • Written and edited by world-renowned experts in the field, Benzel's Spine Surgery: Techniques, Complication Avoidance and Management, 5th Edition, provides expert, step-by-step guidance on the evaluation and management of disorders of the spine. (acco.be)
  • Cerebrospinal Fluid Leak Rate after Vestibular Schwannoma Surgery via Middle Cranial Fossa Approach. (uc.edu)
  • 2016. Sensitivity and specificity of intrathecal fluorescein and white light excitation for detecting intraoperative cerebrospinal fluid leak in endoscopic skull base surgery: a prospective study. . (cornell.edu)
  • Performance of endonasal surgery for TS meningioma, method of bony defect plastic surgery, which significantly reduces the percentage of CSF leak was described in our article. (theunj.org)
  • Anthony G. Del Signore, MD, PharmD is Assistant Professor in the Department of Otolaryngology and Director of Rhinology and Endoscopic Skull Base Surgery at Mount Sinai Beth Israel. (mountsinai.org)
  • He then went on to pursue a fellowship in Advanced Rhinology and Endoscopic Skull Base Surgery at University of North Carolina, training with some of the preeminent leaders in the field. (mountsinai.org)
  • The combined Advanced Endoscopic Skull base surgery cases will be jointly performed with Dr.Theodore Schwartz who is on the Neurological Surgery faculty. (endoscopicskullbasesurgery.com)
  • Monitoring of complications after endoscopic skull base surgery is necessary in order to standardize protocols of management and improve our surgical techniques. (neurosurgery.directory)
  • Cerebrospinal fluid leakage after endoscopic skull base surgery remains a challenge despite multilayer reconstruction including nasoseptal flap (NSF) has become a standard technique . (neurosurgery.directory)
  • Between March 2018 and November 2022, 41 patients who experienced intraoperative high - flow CSF leakage following endoscopic endonasal surgery at two independent tertiary institution s were enrolled. (neurosurgery.directory)
  • Technique s to prevent postoperative cerebrospinal fluid fistula remain controversial in transsphenoidal surgery . (neurosurgery.directory)
  • In patients with large dural defects of the anterior and ventral skull base after endonasal skull base surgery, there is a significant risk of a postoperative cerebrospinal fluid leak after reconstruction. (upmc.com)
  • Its use has resulted in a sharp decrease in the incidence of postoperative cerebrospinal fluid leaks after endonasal skull base surgery and is recommended for the reconstruction of large dural defects and when postoperative radiation therapy is anticipated. (upmc.com)
  • R Fang, Z., Treatment of Cerebrospinal Fluid Lead After Spine Surgery. (expressextension.com)
  • The team also specialises in the management of salivary gland and thyroid tumours (St Vincent's is usually the only centre in Victoria performing minimally invasive surgery for salivary calculi). (svph.org.au)
  • Our objectives were to determine the frequency of COVID-19 in patients treated in general surgery, identify the circumstances of COVID-19 discoveries in surgery, describe the post-operative complications in patients operated on COVID-1919 and describe the reorganization of post-operative COVID-19 diagnosis management.Materials and methods: We conducted a prospective descriptive study from March 2020 to August 2021 (18 months). (bvsalud.org)
  • It can have devastating complications in some patients, as the communication between the nasal cavity, the cerebrospinal fluid and the central nervous system can result in severe bacterial infections. (wikipedia.org)
  • Extracted data includes patient demographics, tumor pathology, surgical approach, and postoperative outcomes including incidence of cerebrospinal fluid (CSF) leak and other postoperative complications, length of stay (LOS), and readmission and reoperation rates. (bvsalud.org)
  • Background: Cerebrospinal fluid (CSF) rhinorrhea, when left untreated, can lead to meningitis and other serious complications. (ochsner.org)
  • During management of hemorrhagic complications bullet and bone fragments removal is indicated when feasible. (surgicalneurologyint.com)
  • Long-term complications (i.e., cerebrospinal fluid (CSF) leakage, infections, pseudoaneurism, carotid-cavernous fistula formation) should be considered and prevented after patient's stabilization. (surgicalneurologyint.com)
  • The main complications of endonasal interventions are: intraoperative damage of neurovascular structures, CSF leak, meningitis, necrosis of the nasoseptal flap, hemorrhages in the tumour bed, overpacking with a fat graft which leads to decreased vision in the early postoperative period and anosmia. (theunj.org)
  • Spinal cerebrospinal fluid (CSF) leak is an under-diagnosed cause of disabling daily headache with other neurological symptoms and complications that can happen to anyone. (expressextension.com)
  • Ventriculo-peritoneal (VP) shunt and endoscopic third ventriculostomy (ETV), both are well-established therapeutic modalities for the management of hydrocephalus. (iospress.com)
  • What is the success rate of revision endoscopic third ventriculostomy (ETV) after the failure of an initial ETV with choroid plexus cauterization, and does revision ETV compare favorably or outpace outcomes of ventriculoperitoneal shunt after initial surgical failure? (upmcphysicianresources.com)
  • Risk factors and management of intraoperative cerebrospinal fluid leaks in endoscopic treatment of pituitary adenoma: analysis of 492 patients. (thieme-connect.de)
  • Clinical utility of intraoperative volume computed tomography scanner for endoscopic sinonasal and skull base procedures. (rush.edu)
  • His clinical practice includes management of cranial base tumors as well as traditional head and neck oncology, and he has a special interest in reconstructive problems of the skull base, especially with regard to the use of using endoscopic and minimally invasive techniques to treat cerebrospinal fluid leaks and encephaloceles presenting in the sino-nasal tract. (lsuhsc.edu)
  • A fully endoscopic approach is used for a variety of skull base lesions including pituitary tumors, encephaloceles, cerebrospinal fluid leaks, craniopharyngiomas, Chordomas and meningiomas. (endoscopicskullbasesurgery.com)
  • 2. Zhang C, Ding J, Liu Y, Tuoheti M, Yang X, Wang J, Wu Y. Endoscopic Endonasal Approach for Resection of Tuberculum Sellae Meningioma: A Promising Surgical Approach. (theunj.org)
  • However, data describing the predictive factors of Po-CSF leak in pure pituitary adenomas is lacking. (thieme-connect.de)
  • Aim of this study is to determine the risk factors of Po-CSF leak in a pituitary adenoma group operated via pure transsellar endoscopic approach. (thieme-connect.de)
  • All patients undergoing craniotomy or endoscopic endonasal removal of a brain, skull base or pituitary tumor were included during two non-overlapping periods: March 2019-January 2020 (pre-pandemic epoch) versus March 2020-January 2021 (pandemic epoch with streamlined care protocol implemented). (plos.org)
  • 6 8 16 17 20 - 25 ] To our knowledge, intracranial bullet extraction through an endoscopic transnasal craniectomy (ETC) has never been reported before, which is also related to the low frequency of favorable positioning of the bullet and to the high mortality rate. (surgicalneurologyint.com)
  • This change has occurred over the past couple of decades, during which time the evolution of endoscopic tools and techniques has made possible extracranial rather than intracranial repair. (enttoday.org)
  • OBJECTIVE: To report our outcomes with the repair of spontaneous cerebrospinal fluid (CSF) leaks and to demonstrate how management of underlying intracranial hypertension improves outcomes. (keyopinionleaders.com)
  • Retrospective review of spontaneous CSF leaks treated at the University of Pennsylvania Health System from 1996 to 2006. (keyopinionleaders.com)
  • Sinonasal papilloma pathology Inverted sinonasal papilloma pathology Maxilectomia maxilară medială pentru papilomul inversat Endoscopic Medial Maxillectomy for Inverted Papilloma virus de papiloma humano se puede curar Inverted papilloma nasal cavity histology Sinonasal inverted papilloma histology. (pentru-bebe.ro)
  • Transcranian endoscopic approach in a frontal polyposis Schneiderian papilloma histopathology, Cancer bucal metastasis Sinonasal papilloma histopathology. (pentru-bebe.ro)
  • Inverted Papilloma variația raportului mediu Nasal inverted papilloma histopathology Sinonasal papilloma pathology outlines Inverted sinonasal papilloma Sinonasal inverted papilloma histology Maxilectomia maxilară medială pentru papilomul inversat Inverted sinonasal papilloma pathology inverted papilloma of nose warts mouth symptoms Como es el papiloma en la boca papiloma de laringe tratamento, papilloma sul labbro inferiore ciuperci shimeji. (pentru-bebe.ro)
  • Khatri H, Salati H, Inthavong K, Singh N . Modelling the effects of post-FESS middle turbinate synechiae on sinonasal physiology: A computational fluid dynamics study. (ents.com.au)
  • Results: Management of CSF leaks is dictated by the nature of the fistula, its location, and flow volume. (ochsner.org)
  • [ 1 ] The fluid leak is a result of meningeal dural and arachnoid laceration with fistula formation. (medscape.com)
  • Although direct repair of cerebrospinal fluid fistula by primary suture or patch grafting is the most desirable management, conventional stitching is extremely difficult, particularly through an endonasal route with a deep and narrow surgical corridor. (neurosurgery.directory)
  • The objective of this paper is to present the first case of intracerebral bullet removal using a pure endoscopic transnasal route through a custom made unilateral craniectomy. (surgicalneurologyint.com)
  • We report a unique case of meningitis by S treptococcus oralis in a 58-year-old patient with cerebral spinal fluid leak due to right sphenoid meningoencephalocele. (biomedcentral.com)
  • 4. Sakata K, Takeshige N, Nagata Y, Yoshitake H, Komaki S, Miyagi N, Morioka M. Endoscopic Endonasal Removal of Primary/Recurrent Meningiomas in the Medial Optic Canal: Surgical Technique and Long-Term Visual Outcome. (theunj.org)
  • In the VP shunt group, there was no intra-operative or post-operative mortality and none had cerebrospinal fluid leak. (iospress.com)
  • 3. Pain management: Medications are administered to control post-operative pain and discomfort. (hmsdesk.com)
  • All patients underwent endoscopic closure by either a three-layer technique or fat obliteration. (nih.gov)
  • Surgical reconstruction utilizes a graduated approach involving vascularized, nonvascularized, and adjunctive techniques to achieve closure of the CSF leak. (ochsner.org)
  • Among patients undergoing intradural EES judged to be at high risk for CSF leak as defined by the study's inclusion criteria, perioperative lumbar drainage used in the context of vascularized nasoseptal flap closure significantly reduced the rate of postoperative CSF leaks. (neurosurgery.directory)
  • Four studies found a significant increase in postoperative CSF leak in obese patients compared to nonobese controls. (bvsalud.org)
  • Sublabial transseptal vs transnasal combined endoscopic microsurgery in patients with Cushing disease and MRI-depicted microadenomas. (scielo.br)
  • Conclusion: An active surgical approach to closing CSF leaks may provide better long-term outcomes in some patients compared to more conservative management. (ochsner.org)
  • Her research interests include quality-of-life in patients with LPR and management of subglottic stenosis. (rushentcourse.com)
  • The adaptability of the endoscopic transnasal technique offers patients complaining exceptional skull base lesions a case-specific strategy minimizing morbidity and postoperative stay. (surgicalneurologyint.com)
  • Most patients with DI can drink enough fluid to replace their urine losses. (medscape.com)
  • The goals of this portion of the fellowship include a hands-on learning of the medical management, patient counseling and perioperative care of patients with various sino-nasal disorders. (endoscopicskullbasesurgery.com)
  • The objective of this study was to define appropriateness criteria for ESS during management of adult patients with uncomplicated CRS. (keyopinionleaders.com)
  • Endoscopic reconstruction with vascularized tissue is desirable to facilitate rapid healing, especially in irradiated patients. (upmc.com)
  • Two patients with postoperative cerebrospinal fluid leaks (5%) were successfully treated with focal fat grafts. (upmc.com)
  • In fact, studies show that five to 10 per cent of all patients who have a dural repair procedure will spring a leak again. (expressextension.com)
  • Cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea) refers to the drainage of cerebrospinal fluid through the nose (rhinorrhoea). (wikipedia.org)
  • It may be diagnosed using brain scans (prompted based on initial symptoms), and by testing to see if discharge from the nose is cerebrospinal fluid. (wikipedia.org)
  • If a patient has clear, colourless liquid leaking from the nose, then radiographs or CT scans may be used to look for a basilar skull fracture. (wikipedia.org)
  • Fluid leaking from the nose or external auditory canal must first be positively identified as CSF. (medscape.com)
  • She is now Director of the Voice, Airway, Swallowing Disorders Program and specializes in comprehensive management of laryngeal disorders. (rushentcourse.com)
  • Lifetron Hospital offers the latest in Orthopedic treatments and Orthopedic surgical advancements at par with the best centers in India.Our department offers best diagnostic and therapeutic services for the management of disorders of bones, joints and associated structures. (lifetronhospital.com)
  • Confirm or exclude the presence of CSF in leaking fluid by means of an immunoelectrophoretic study of the fluid for beta-2 transferrin (B2Tr) or, where available, beta-trace protein. (medscape.com)
  • 5. Nanda A, Ambekar S, Javalkar V, Sharma M. Technical nuances in the management of tuberculum sellae and diaphragma sellae meningiomas. (theunj.org)
  • Her clinical interests include performing in-office laryngology procedures, management of laryngopharyngeal reflux, and care of the professional voice. (rushentcourse.com)
  • He has been an integral part in providing clinical evaluation and educational direction during otolaryngology seminars to local providers, and offering surgical expertise for difficult endoscopic procedures. (mountsinai.org)
  • Experiences in innovative Endoscopic Eustachian tube Balloon Dilatation techniques are available for the fellow to participate. (endoscopicskullbasesurgery.com)
  • Signs and symptoms depend on the location of the lesion and are related to mass effect, skull deformities, or leaking of cerebrospinal fluid. (beds.ac.uk)
  • Coronal fast spin-echo T2-weighted image demonstrates herniation of meninges and brain tissue (arrows) with adjacent cerebrospinal fluid into the postmastoidectomy tegmen tympani defect. (medscape.com)
  • The patient was treated with ceftriaxone and had endoscopic endonasal repair of defect. (biomedcentral.com)
  • She had herniation of right temporal lobe through the sphenoidal roof defect with subsequent cerebrospinal fluid leak. (biomedcentral.com)