Article
Clinical Neurology
Zixiao Yang, Jiajun Cai, Zunguo Du, Jianping Song
Summary: This article reports a case in which a complicated skull base surgery was successfully performed using the micro-endoscopic combination technique to remove a tumor invading the cavernous sinus.
ACTA NEUROCHIRURGICA
(2022)
Article
Clinical Neurology
Ali Karadag, Pinar Gokdogan Kirgiz, Baran Bozkurt, Baris Kucukyuruk, Karim ReFaey, Erik H. Middlebrooks, Mehmet Senoglu, Necmettin Tanriover
Summary: Removal of the JT via EETCA improves exposure along the lower third of the cerebellopontine and upper cerebellomedullary cisterns, providing a better surgical field for operating.
ACTA NEUROCHIRURGICA
(2021)
Article
Neurosciences
Steven D. Curry, Armine Kocharyan, Gregory P. Lekovic
Summary: The treatment of skull base paragangliomas has shifted towards the use of cranial nerve preservation strategies. Surgery remains an important component in improving patient outcomes.
Article
Oncology
In-Ho Jung, Jihwan Yoo, Seonah Choi, Seung Hoon Lim, JaeSang Ko, Tae Hoon Roh, Je Beom Hong, Eui Hyun Kim
Summary: The study demonstrates the feasibility and efficacy of endoscopic transorbital approach (ETOA) in accessing and exploring the cavernous sinus (CS) in skull base tumors. The ETOA provides a unique and valuable surgical route to the CS, especially for the lateral and posterior compartments, and can be used in synergy with other surgical approaches.
FRONTIERS IN ONCOLOGY
(2022)
Article
Medicine, General & Internal
Luca Zanin, Edoardo Agosti, Florian Ebner, Lucio de Maria, Francesco Belotti, Barbara Buffoli, Rita Rezzani, Bernard Hirt, Marco Ravanelli, Tamara Ius, Marco Zeppieri, Marcos Soares Tatagiba, Marco Maria Fontanella, Francesco Doglietto
Summary: This study compared the surgical volumes and exposure areas of different surgical approaches to Meckel's cave and found that endoscopic approaches can provide adequate exposure, especially for the medial portions, while microsurgical transcranial approaches still seem to be the gold standard for optimal exposure and surgical volumes in the most lateral portion of Meckel's cave.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Jiwei Bai, Mingxuan Li, Yujia Xiong, Yutao Shen, Chunhui Liu, Peng Zhao, Lei Cao, Songbai Gui, Chuzhong Li, Yazhuo Zhang
Summary: Skull base chordomas (SBCs) are rare malignant bone tumors. Endoscopic endonasal surgeries (EESs) have been increasingly used for resecting SBCs. Establishing a surgical strategy based on the tumor growth directions helps improve the gross total resection (GTR) rate and achieve better outcomes in patients with SBCs.
FRONTIERS IN ONCOLOGY
(2021)
Article
Clinical Neurology
Zhicheng Wang, Xiaorong Yan, Changzhen Jiang, Jianping Song
Summary: The surgical removal of complex pituitary adenomas (PA) is a challenging procedure. This study presents the approach to removing a complex PA using the micro-endoscopic combination strategy. The effectiveness of this technique in managing complicated skull base surgeries is highlighted.
ACTA NEUROCHIRURGICA
(2023)
Article
Otorhinolaryngology
Mohammad Taghvaei, Sara Fallah, Shokufeh Sadaghiani, Seyed Mousa Sadrhosseini, Azin Tabari, Mohammadreza Fathi, Mehdi Zeinalizadeh
Summary: This study evaluated the safety and efficacy of using the endoscopic endo-nasal route for various skull base pathologies and analyzed the postoperative complications. The results showed that the endoscopic endo-nasal approach can be a safe and less-morbid first-line treatment for patients with skull base lesions.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2022)
Article
Oncology
Won-Jae Lee, Yong Hwy Kim, Sang-Duk Hong, Tae-Hoon Rho, Young Hoon Kim, Yun-Sik Dho, Chang-Ki Hong, Doo-Sik Kong
Summary: This study demonstrates that high-resolution 3D printed skull base models for ESBS can be created with high anatomical accuracy and acceptable haptic feedback. The simulation program using this model may serve as a supplement or alternative training platform to cadaveric dissection.
FRONTIERS IN ONCOLOGY
(2022)
Article
Oncology
Junjie Zhong, Yanfang Gu, Jie Zheng, Bojie Yang, Zengxin Qi, Tianwen Li, Chao Shen, Zhifeng Shi
Summary: This study compared the outcomes of a modified microscopic-endoscopic bilateral transseptal approach and a microscopic transnasal approach for pituitary adenoma resection. The results showed that both approaches had similar effects on nasal structure and quality of life, but there was a difference in intraoperative cerebrospinal fluid leakage.
FRONTIERS IN ONCOLOGY
(2022)
Article
Surgery
Zhi-Qiang Wang, Xiao-Guang Tong
Summary: This study investigates the surgical methods and clinical effects of high-flow revascularization in microsurgery combined with endoscopic endonasal surgery for skull base tumors. The results indicate that revascularization can improve the complete resection rate, reduce the recurrence rate, and lower the risk of intraoperative bleeding and postoperative ischemia.
FRONTIERS IN SURGERY
(2023)
Article
Clinical Neurology
Vicki M. Butenschoen, Maria Wostrack, Bernhard Meyer, Jens Gempt
Summary: The study retrospectively reviewed all patients treated in the neurosurgical department from January 2009 to January 2020, finding that odontoidectomy performed via an endoscopic transnasal approach is a safe and effective treatment option. Most patients underwent posterior C1-C2 instrumentation before the anterior transnasal computed tomography-navigated full-endoscopic decompression procedure.
OPERATIVE NEUROSURGERY
(2021)
Article
Oncology
Sukwoo Hong, Nadia Laack, Anita Mahajan, Erin K. O'Brien, Janalee K. Stokken, Jeffrey R. Janus, Garret Choby, Jamie J. Van Gompel
Summary: The introduction of a multidisciplinary team has shown to effectively treat clival chordoma, resulting in higher tumor resection rate, lower recurrence rate, and reduced post-operative complications. After 2013, the endoscopic approach became more commonly used, leading to greater tumor resections and lower incidence of new cranial nerve deficits.
Article
Oncology
Sae Min Kwon, Min Kyun Na, Kyu-Sun Choi, Hyoung Soo Byoun, Yong Seok Nam
Summary: This study aims to investigate the feasibility of using the anterior transpetrosal approach (ATPA) and endoscopic transorbital approach (ETOA) to access the brainstem, and to compare the surgical view and maneuverability of each approach. The results showed differences in surgical view and surgical depth between the two approaches, but comparable brainstem exposure.
FRONTIERS IN ONCOLOGY
(2023)
Article
Clinical Neurology
Joao Paulo Almeida, Erion de Andrade, Mateus Reghin-Neto, Ivan Radovanovic, Pablo F. Recinos, Varun R. Kshettry
Summary: This study reviewed the anatomy and approaches to the parasellar region, highlighting the microsurgical and endoscopic nuances. The cavernous sinus can be approached through different walls, and the relationship of the Meckel cave is relevant for surgical planning. Tumors in the parasellar space can affect different regions, and understanding the anatomical and technical nuances is necessary for surgical planning and execution.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Max J. van Essen, Ivo S. Muskens, Nayan Lamba, Stephan F. J. Belunek, Arthur T. J. van der Boog, G. Johan Amelink, Peter H. Gosselaar, Tristan P. C. van Doormaal, Aline M. E. Stades, Joost J. C. Verhoeff, Maria M. van Genderen, Christine A. E. Eenhorst, Marike L. D. Broekman
Summary: Visual dysfunction in patients with pituitary adenomas is an indication for endoscopic endonasal transsphenoidal surgery (EETS). This study found that EETS significantly improved both visual acuity and visual field defects, with nonfunctioning pituitary adenomas and specific tumor characteristics predicting preoperative visual dysfunction, while higher degrees of suprasellar tumor extension were associated with postoperative improvement in visual outcomes.
JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE
(2021)
Article
Otorhinolaryngology
J. Alexander de Ru, Hans G. X. M. Thomeer, Bernard M. Tijink, Tristan P. C. van Doormaal
Summary: Painful neuromas are difficult to treat, but a technique involving transection of the causative nerve followed by capping the nerve stump with a Neurocap showed promising results in 3 consecutive patients with traumatic neuroma. The preliminary results suggest this technique may be a viable treatment option for patients with suspected neuromas in the head and neck area.
ENT-EAR NOSE & THROAT JOURNAL
(2021)
Review
Clinical Neurology
Delia Cannizzaro, Maria Pia Tropeano, Davide Milani, Riccardo Spaggiari, Ismail Zaed, Cristina Mancarella, Giovanni Battista Lasio, Maurizio Fornari, Franco Servadei, Andrea Cardia
Summary: Chordoma is a rare neoplastic bone lesion with invasive local growth and high recurrence rate. Surgical patients have a higher recurrence rate, and the extent of resection is a significant factor affecting recurrence rate. Older patients tend to recur more than young patients, especially in surgical group.
NEUROSURGICAL REVIEW
(2021)
Article
Clinical Neurology
B. de Boer, T. P. C. van Doormaal, C. A. F. Tulleken, L. Regli, A. van der Zwan
Summary: The study demonstrates that the sutureless, mechanical anastomotic connection device SEcl is non-inferior to the conventional ELANA technique in terms of patency, flap retrieval rate, flow, and endothelialization. The SEcl technique shows advantages in terms of shorter application time and superior hemostasis, suggesting its potential preference over the ELANA technique.
ACTA NEUROCHIRURGICA
(2021)
Article
Clinical Neurology
T. Fick, J. A. M. van Doormaal, E. W. Hoving, L. Regli, T. P. C. van Doormaal
Summary: This study presents the first use of a holographic neuronavigation system for intraoperative patient tracking, demonstrating the potential for improving spatial anatomical understanding for surgeons during surgery. Further optimization of navigation accuracy is needed for clinical applicability.
ACTA NEUROCHIRURGICA
(2021)
Review
Clinical Neurology
Emma M. H. Slot, Kirsten M. van Baarsen, Eelco W. Hoving, Nicolaas P. A. Zuithoff, Tristan P. C. van Doormaal
Summary: The overall incidence of cerebrospinal fluid leakage after intradural cranial surgery in the pediatric population is 4.4%. Risk factors include craniectomy and infratentorial surgery. Duraplasty use is negatively associated with CSF leak.
CHILDS NERVOUS SYSTEM
(2021)
Review
Clinical Neurology
Tim Fick, Jesse A. M. van Doormaal, Eelco W. Hoving, Peter W. A. Willems, Tristan P. C. van Doormaal
Summary: After analyzing 35 studies, it appears that although there is disagreement on the best method to assess accuracy in ARN systems, they seem capable of achieving a level of accuracy comparable to CIN systems. Future studies should be prospective and compare TRE values, which should be measured in a standardized manner.
WORLD NEUROSURGERY
(2021)
Article
Engineering, Biomedical
A. Kinaci, S. van Thoor, S. Redegeld, M. Tooren, T. P. C. van Doormaal
Summary: This study demonstrates that Liqoseal is capable of achieving a strong watertight seal over a dural defect in ex vivo models.
JOURNAL OF MATERIALS SCIENCE-MATERIALS IN MEDICINE
(2021)
Article
Veterinary Sciences
Ahmet Kinaci, Koen Vaessen, Saskia Redegeld, Albert van der Zwan, Tristan P. C. van Doormaal
Summary: This study described the surgical approaches of large craniotomies in pigs and how the risk of complications was minimized. The major complications included postoperative epidural hematomas and sagittal sinus rupture, with measures such as optimizing anesthesia and using tranexamic acid being effective in preventing them. In conclusion, pigs can survive craniotomies with proper preventive measures in place.
LABORATORY ANIMALS
(2021)
Article
Clinical Neurology
Tim Fick, Jesse A. M. van Doormaal, Lazar Tosic, Renate J. van Zoest, Jene W. Meulstee, Eelco W. Hoving, Tristan P. C. van Doormaal
Summary: The authors developed an automatic segmentation algorithm for creating 3D models of anatomical structures from a single T1-weighted MR sequence, which was validated for brain tumors and compared with manual segmentation. The algorithm proved to be accurate and efficient in cloud-based automatic segmentation, showing potential for aiding neurosurgeons in clinical practice.
NEUROSURGICAL FOCUS
(2021)
Review
Clinical Neurology
Emma M. H. Slot, Rengin Sabaoglu, Eduard H. J. Voormolen, Eelco W. Hoving, Tristan P. C. van Doormaal
Summary: The study aimed to investigate the prevalence of cerebrospinal fluid (CSF) leak after transsphenoidal surgery in adults. The overall prevalence of postoperative CSF leak was 3.4%, with intraoperative CSF leak and cavernous sinus invasion identified as significant risk factors.
JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE
(2022)
Article
Oncology
Salvatore Chibbaro, Francesco Signorelli, Davide Milani, Helene Cebula, Antonino Scibilia, Maria Teresa Bozzi, Raffaella Messina, Ismail Zaed, Julien Todeschi, Irene Ollivier, Charles Henry Mallereau, Guillaume Dannhoff, Antonio Romano, Francesco Cammarota, Franco Servadei, Raoul Pop, Seyyid Baloglu, Giovanni Battista Lasio, Florina Luca, Bernard Goichot, Francois Proust, Mario Ganau
Summary: Giant pituitary adenomas are highly invasive tumors, with surgery being the mainstay of treatment. Extended endoscopic endonasal approaches may offer a valuable treatment option for these challenging lesions, with high resection rates, visual improvement, and low complication rates.
Article
Endocrinology & Metabolism
Renato Cozzi, Maria Rosaria Ambrosio, Roberto Attanasio, Claudia Battista, Alessandro Bozzao, Marco Caputo, Enrica Ciccarelli, Laura De Marinis, Ernesto De Menis, Marco Faustini Fustini, Franco Grimaldi, Andrea Lania, Giovanni Lasio, Francesco Logoluso, Marco Losa, Pietro Maffei, Davide Milani, Maurizio Poggi, Michele Zini, Laurence Katznelson, Anton Luger, Catalina Poiana
Summary: Prolactinomas are the most common pituitary adenomas and require individualized treatment approaches. Italian neuroendocrine experts have provided guidelines for diagnosis and treatment that can be easily applied in different contexts. Advances in neurosurgical endoscopic techniques have shown that surgery can result in permanent discontinuation of medication and cure for some patients.
EUROPEAN JOURNAL OF ENDOCRINOLOGY
(2022)
Article
Clinical Neurology
Laura Valentini, Francesca Chiaffarino, Nicoletta Bonfanti, Marilou Pannacci, Paolo Cortellazzi, Caterina Uberti-Foppa, Marika Furlanetto, Francesco Di Meco, Luca Massimi
Summary: The study revealed that the overall rate of SSI was 1.7% for patients and 1.5% for procedures. Factors such as surgeries lasting longer than 3 hours, undergoing two or more surgeries, and having prosthetic implants were positively associated with SSI risk. Prolonging antibiotic prophylaxis showed limited efficacy in high-risk conditions and wound complications.
JOURNAL OF NEUROSURGICAL SCIENCES
(2021)
Article
Endocrinology & Metabolism
E. Biamonte, N. Betella, D. Milani, G. B. Lasio, S. Ariano, S. Radice, E. Lavezzi, G. Mazziotti, A. Lania
Summary: This study indicates that transnasal sphenoidal surgery is a safe therapeutic option for elderly patients with nonfunctioning pituitary adenomas, even in the presence of comorbidities and high anesthetic risk. Adenoma size is a determinant of peri-surgical complications, while the likelihood of normalizing at least one pituitary hormone deficiency is significantly associated with younger patient age.