286 results match your criteria endonasal decompression


Staged Repositioning in Endoscopic Endonasal Odontoidectomy Maximizes Decompression while Allowing Preservation of the C1 Anterior Arch: A Technical Note.

World Neurosurg 2021 Apr 30. Epub 2021 Apr 30.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213; Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213. Electronic address:

Background: Preservation of the anterior arch of C1 in endoscopic endonasal odontoidectomy has been proposed as an alternative to complete C1 arch resections, potentially affording less destabilization of the craniocervical junction. Nonetheless, this approach may limit the decompression achieved. In this case, intra-operative repositioning allowed maximal decompression while preserving the anterior arch of C1. Read More

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Optic Canal Decompression: Concepts and Techniques: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2021 Apr 30. Epub 2021 Apr 30.

Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona, USA.

The optic canal (OC) is a bony channel that transmits the optic nerve (ON) and ophthalmic artery (OphA) as they course through the lesser wing of the sphenoid bone to the orbital apex. The OC is involved in a variety of intracranial and extracranial pathologies,1 and opening of the canal may be necessary in order to achieve adequate exposure, better disease control, and vision preservation.2 Depending on the location of the pathology and its relationship with the optic nerve, the OC may be decompressed through an open transcranial approach or an endoscopic endonasal approach. Read More

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Long-Term Outcomes of Pituitary Gland Preservation in Pituitary Macroadenoma Apoplexy: Case Series and Review of the Literature.

J Neurol Surg B Skull Base 2021 Apr 11;82(2):182-188. Epub 2019 Nov 11.

Department of Neurological Surgery, Loyola University Stritch School of Medicine, Maywood, Illinois, United States.

 For patients presenting with neurological changes from pituitary tumor apoplexy, urgent surgical intervention is commonly performed for diagnosis, tumor resection, and optic apparatus decompression. Although identification and preservation of the pituitary gland during the time of surgery can be challenging, it may lead to improve endocrine outcomes.  A retrospective case series of all patients with macroadenomas presenting with apoplexy at Loyola University Medical Center from 2016 to 2018 was studied. Read More

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[Retrobulbar hematoma in endoscopic endonasal dacryocystorhinostomy].

Vestn Otorinolaringol 2021 ;86(1):112-116

Research Institute of Eye Diseases, Moscow, Russia.

Recently, an increase in the number of operations on the lacrimal ducts performed by otorhinolaryngologists has been noted throughout the world. During these operations, intra- and postoperative complications may develop, which require the intervention of an ophthalmologist. A rare complication of endoscopic dacryocystorhinostomy is the development of retrobulbar hemorrhage. Read More

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Endoscopic Endonasal Transclival Odontoidectomy for Basilar Invagination: Operative Video and Technical Nuances.

J Neurol Surg B Skull Base 2021 Feb 2;82(Suppl 1):S16-S18. Epub 2020 Dec 2.

Department of Neurological Surgery, Rutgers New Jersey Medical School, Neurological Institute of New Jersey, Saint Barnabas Medical Center, Robert Wood Johnson Barnabas Health, Newark, New Jersey, United States.

Basilar invagination is a congenital or acquired craniovertebral junction abnormality where the tip of the odontoid process projects through the foramen magnum which can cause severe symptomatic compression of the brainstem and spinal cord. If left untreated, patients can develop progressive quadriparesis. Traditionally, basilar invagination can be treated with cervical traction and posterior stabilization. Read More

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February 2021

Endonasal Odontoidectomy in Basilar Invagination.

J Neurol Surg B Skull Base 2021 Feb 2;82(Suppl 1):S14-S15. Epub 2020 Dec 2.

Aurora Neuroscience Innovation Institute, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin, United States.

 The endoscopic endonasal odontoidectomy (EEO) is emerging as a feasible surgical alternative to conventional microscopic transoral approach. In this article, we show EEO in the basilar invagination (BI) and describe in detail the technical aspects, advantages, and disadvantages of this approach ( Fig. 1 ). Read More

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February 2021

Endoscopic Endonasal Odontoidectomy with Nasopharyngeal Flap Reconstruction.

J Neurol Surg B Skull Base 2021 Feb 23;82(Suppl 1):S12-S13. Epub 2020 Nov 23.

Department of Neurosurgery, The Ohio State University, Columbus, Ohio, United States.

 This study aimed to demonstrate the nuances in preoperative management, surgical technique, and reconstruction for an endoscopic endonasal odontoidectomy.  Assembly of an operative video demonstrating technique for endoscopic endonasal odontoidectomy.  this study is a comprehensive skull base team at a tertiary care center. Read More

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February 2021

Endoscopic Endonasal Resection of C1-C2 Pannus, a Step-by-Step Surgical and Anatomical Description: 2-Dimensional Operative Video.

J Neurol Surg B Skull Base 2021 Feb 6;82(Suppl 1):S6-S7. Epub 2020 Sep 6.

Neuroscience Institute, Neurological Surgery Department, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

Expanded endonasal endoscopic approaches provide access to the entire central skull base and craiocervical junction. The authors present a case of an 81-year-old man who presented with progressive spastic quadriparesis to the point of being wheel-chair bound. Cervical spine computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated multilevel extensive spondylitic changes with a large pannus at the C1-2 junction, severely compressing the spinal cord ( Figs. Read More

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February 2021

Endoscopic Endonasal Odontoidectomy Preserving Atlantoaxial Stability: a Pediatric Case.

J Neurol Surg B Skull Base 2021 Feb 4;82(Suppl 1):S2-S3. Epub 2020 Mar 4.

Department of Neurosurgery, University of Insubria, Ospedale di Circolo Fondazione Macchi, Varese, Italy.

 We illustrate endoscopic endonasal odontoidectomy for the Chiari-I malformation respecting craniovertebral junction (CVJ) stability.  Case report of a 12-year-old girl affected by the Chiari-I malformation. Magnetic resonance imaging (MRI) showed tonsillar herniation, basilar invagination, and dental retroversion, causing angulation and compression of the bulbomedullary junction. Read More

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February 2021

Sinonasal complications associated with endoscopic orbital decompression.

Laryngoscope Investig Otolaryngol 2021 Feb 29;6(1):71-76. Epub 2021 Jan 29.

Houston Methodist Institute for Reconstructive Surgery Houston Texas USA.

Objective: Characterize sinonasal complications associated with endoscopic orbital decompression for thyroid eye disease (TED).

Methods: Retrospective analysis of patients who underwent endoscopic orbital decompression at Houston Methodist Hospital by two otolaryngologists and one ophthalmologist between May 2016 and February 2020 for TED. Patient ethnicity, age, laterality, operative approach (middle turbinectomy vs middle turbinate sparing), and history of prior sinusitis were collected. Read More

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February 2021

SURGICAL STRATEGY FOR LARGE EXTRACEREBRAL SUBTENTORIAL TUMORS.

Georgian Med News 2020 Dec(309):7-12

Romodanov Neurosurgery Institute, Department of Endoscopic and Craniofacial Neurosurgery, Kyiv, Ukraine.

Radical surgery over large subtentorial tumors is associated with a high risk of postoperative complications. Despite significant development of imaging technology, intraoperative monitoring, and microsurgical treatment, problems one of tottal and safe large subtentorial tumors removal remain unsolved. The most critical problem relating to large tumors of this localization is postoperative edema. Read More

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December 2020

Imaging characteristics of Intrasellar cavernous hemangioma: A case report.

Medicine (Baltimore) 2020 Nov;99(47):e23405

Department of Neurosurgery.

Rationale: Intrasellar cavernous hemangiomas (ICHs) are rare vascular lesions that arise in the sellar region. ICHs are usually misdiagnosed and treated as pituitary adenomas. Therefore, a preoperative diagnosis is particularly important, especially when the goal is complete resection. Read More

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November 2020

Endoscopic Endonasal Pituitary Surgery For Nonfunctioning Pituitary Adenomas: Long-Term Outcomes and Management of Recurrent Tumors.

World Neurosurg 2021 Feb 22;146:e341-e350. Epub 2020 Oct 22.

University Health Network, Toronto, Ontario, Canada.

Introduction: Endoscopic endonasal approaches (EEAs) provide improved access and operative visualization for resection of pituitary adenomas. Although the technique has gained wide acceptance, there is a paucity of data regarding late recurrence.

Objective: We aim to assess long-term outcomes of patients with nonfunctioning pituitary adenomas (NFPAs) who underwent EEA. Read More

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February 2021

Management of Patients With Graves Orbitopathy Using Endonasal Endoscopic Techniques.

J Craniofac Surg 2020 Nov 9. Epub 2020 Nov 9.

Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.

Objective: The aim of the authors' study is to show their surgical results in orbital decompression using different endonasal endoscopic techniques. These approaches are according to the degree of proptosis and the presence or not of sight threatening.

Methods: The authors performed 31 orbital decompressions on 20 Graves orbitopathy patients. Read More

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November 2020

Transorbital Endoscopic Surgery for Sphenoid Wing Meningioma: Long-Term Outcomes and Surgical Technique.

J Neurol Surg B Skull Base 2020 Aug 20;81(4):357-368. Epub 2020 Aug 20.

Division of Otolaryngology, Groote Schuur Hospital, Faculty of Health Science, University of Cape Town, Cape Town, South Africa.

Sphenoid wing meningiomas are benign tumors that can result in proptosis, visual impairment, and pain. Traditional open surgical approaches are associated with significant morbidity. Transorbital endoscopic surgery has been developed as a minimally invasive approach to gain access to these tumors and address the main presenting symptoms. Read More

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Endoscopic Orbital Decompression: Technical Pearls and Pitfalls of an Evolving Technique.

Am J Rhinol Allergy 2020 Oct 13:1945892420965479. Epub 2020 Oct 13.

Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio.

Background: First described in the early 1990s, endoscopic orbital decompression has become increasingly popular and has been shown to be a safe and effective approach for surgical decompression of the medial and inferior orbit.

Methods: We present our preferred technique for performing an endoscopic orbital decompression, highlighting key pearls and pitfalls.

Results: An endoscopic wide maxillary antrostomy and sphenoethmoidectomy is performed in standard fashion. Read More

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October 2020

Frontoethmoidal mucocele causing proptosis and visual loss.

Natl J Maxillofac Surg 2020 Jan-Jun;11(1):121-123. Epub 2020 Jun 18.

Department of ENT and Head and Neck, Apollo Gleneagles Hosipitals, Kolkata, West Bengal, India.

Mucoceles are benign mucus-containing cysts formed due to the obliteration of sinus ostium. They are most commonly found in the frontal sinus. Mucoceles can spread both intraorbitally and intracranially causing complications such as meningitis, brain abscess, and loss of vision. Read More

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Subclinical hemorrhagic nonfunctionning pituitary adenoma: pituitary gland function status, endoscopic endonasal transsphenoidal surgery, and outcomes.

Br J Neurosurg 2020 Sep 8:1-7. Epub 2020 Sep 8.

Department of Neurosurgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Objective: How do subclinical hemorrhages into nonfunctioning pituitary adenomas (NFPAs) influence the hormonal status and surgical outcomes remains unclear, our study aim at evaluating its definite effects on pituitary gland function and surgical outcomes.

Methods: All 103 consecutive patients who underwent initial endoscopic endonasal approach (EEA) for NFPAs resection from June 2016 to June 2018 were retrospectively reviewed, depending on magnetic resonance imaging (MRI), operative and pathological findings, patients were divided into the non-hemorrhagic NFPAs group and the subclinical hemorrhagic NFPAs group. A comparative analysis was conducted between these two groups to investigate the effects of subclinical hemorrhages in NFPAs on pituitary endocrine function and surgical outcomes. Read More

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September 2020

[Dysthyroid optic neuropathy: surgical treatment potential].

Vestn Oftalmol 2020 ;136(4. Vyp. 2):193-200

Research Institute of Eye Diseases, Moscow, Russia.

Purpose: To evaluate the effectiveness of bony orbital decompression in patients with dysthyroid optic neuropathy (DON).

Material And Methods: The study analyzed 255 patients with thyroid eye disease (TED) and bony orbital decompression. Those among them who had DON as an indication for surgery were investigated further. Read More

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September 2020

Pneumocephalus after Orbital Decompression Surgery for Thyroid Eye Disease.

Middle East Afr J Ophthalmol 2020 Apr-Jun;27(2):142-144. Epub 2020 Jul 20.

Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Science, Tehran, Iran.

A cerebrospinal fluid (CSF) leak is a rare complication after orbital surgery. We reported a 49-year-old man who presented with CSF leakage after transcaruncular medial wall decompression for proptosis due to thyroid eye disease. He underwent an endoscopic endonasal approach to surgical repair of the defect with nasoseptal flap. Read More

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September 2020

Bony Orbital Decompression in Patients with High Myopia and Pseudoexophthalmos.

Klin Monbl Augenheilkd 2021 Jan 31;238(1):41-47. Epub 2020 Aug 31.

Klinik für Augenheilkunde, Universitätsklinikum Duisburg-Essen, Essen, Deutschland.

Introduction: High myopic eyes grow in length (> 0.35 mm/dpt) more than in height and width leading to a disturbing unilateral exophthalmos in patients with anisomyopia and - more rarely - a bilateral exophthalmos in high myopia affecting both eyes. Secondary consequences are sicca symptoms and painful eye mobility due to a large bulbus in a too small bony orbit. Read More

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January 2021

Pituitary hyperplasia causing complete bitemporal hemianopia with resolution following surgical decompression: case report.

J Neurosurg 2020 Aug 14:1-5. Epub 2020 Aug 14.

1Departments of Neurosurgery.

In this report, the authors demonstrated that idiopathic pituitary hyperplasia (PH) can cause complete bitemporal hemianopia and amenorrhea, even in the setting of mild anatomical compression of the optic chiasm and normal pituitary function. Furthermore, complete resolution of symptoms can be achieved with surgical decompression.PH can occur in the setting of pregnancy or end-organ insufficiency, as well as with medications such as oral contraceptives and antipsychotics, or it can be idiopathic. Read More

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Improving Function in Cavernous Sinus Meningiomas: A Modern Treatment Algorithm.

Front Neurol 2020 24;11:652. Epub 2020 Jul 24.

Department of Neurological Surgery, Wexner Medical Center, The Ohio State University College of Medicine, Columbus, OH, United States.

The efficacy and safety of radiosurgery led to paradigm shift in the management of cavernous sinus meningiomas. Nevertheless, patients are still significantly affected by cranial nerve deficits related to the mass effect of these tumors. Our management strategy involves the combination of a functional surgical decompression followed by radiation therapy. Read More

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Microscope-assisted odontoid resection via submandibular retropharyngeal “key-hole” approach

Orv Hetil 2020 08;161(31):1302-1306

Neurotraumatológiai Tanszéki Csoport,Semmelweis Egyetem, Budapest.

Our objective is to propose a novel surgical technique, the microscope-assisted odontoid resection via submandibular retropharyngeal "key-hole" approach. The patient suffered a traumatic cervical spine injury due to a motorcycle accident. We removed the upper two-thirds of the CII vertebra's odontoid process along with the cortical fragment causing the medullar compression. Read More

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A Case of Endonasal Endoscopic Surgery for Intraorbital Metastasis of Gastric Ring Cell Carcinoma.

Ear Nose Throat J 2020 Jul 22:145561320943372. Epub 2020 Jul 22.

Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan.

Gastric signet ring cell carcinoma has well-known metastatic features, including peritoneal dissemination and carcinomatous lymphangitis of the lung, but no intraorbital metastases were reported previously. A woman in her 60s developed left eye pain, sudden vision loss, and headache 12 years after gastric cancer treatment. Symptoms did not improve despite steroid pulses. Read More

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Endoscopic endonasal intracanalicular optic nerve decompression: how I do it.

Acta Neurochir (Wien) 2020 09 19;162(9):2129-2134. Epub 2020 Jul 19.

Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.

Background: The endoscopic endonasal approach for optic nerve decompression is suited for the management of non-traumatic optic neuropathy but remains underreported, presumably due to transcranial approaches still being favoured at individual centres.

Method: The optic canal is approached endoscopically and transsphenoidally through the contralateral nostril. Its inferomedial wall is opened using an irrigated diamond drill, and neuronavigation is used to confirm anatomical bearings. Read More

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September 2020

Tension Pneumocephalus from Positive Pressure Ventilation Following Endoscopic Skull Base Surgery: Case Series and an Institutional Protocol for the Management of Postoperative Respiratory Distress.

World Neurosurg 2020 09 17;141:357-362. Epub 2020 Jun 17.

Department of Neurosurgery, Monash Health, Melbourne, Australia; Department of Surgery, Monash University, Melbourne, Australia.

Background: Tension pneumocephalus (TP) is a rare but feared complication of endoscopic endonasal skull base surgery. In contrast to simple pneumocephalus, which is common after endoscopic transnasal approaches and managed conservatively, TP represents a neurosurgical emergency and mandates urgent decompression.

Case Description: Here we present 2 cases of TP as a consequence of positive pressure ventilation following endoscopic endonasal skull base surgery. Read More

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September 2020

Endoscopic Endonasal Transclival Approach to Spontaneous Hypertensive Brainstem Hemorrhage.

J Craniofac Surg 2020 Jul-Aug;31(5):e503-e506

Department of Neurosurgery, Xi'an Fengcheng Hospital.

Surgical management of spontaneous hypertensive brainstem hemorrhage remains a challenge for neurosurgeons, especially when the hemorrhage is located the ventral brainstem. Recently endoscopic endonasal approach has been applied for resection of ventral brainstem lesions, though no published literature has explored its utility in treating brainstem hemorrhage. Here we reported a successful evacuation of severe hypertensive brainstem hemorrhage through endoscopic endonasal transclival approach. Read More

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October 2020

Pituitary Apoplexy and Cerebral Infarction: Case Report and Literature Review.

World Neurosurg 2020 09 6;141:73-80. Epub 2020 Jun 6.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.

Background: Pituitary apoplexy is defined as a sudden neurologic deficit owing to infarction or hemorrhage within the pituitary gland. We report a rare case of apoplexy manifesting with cerebral infarction due to direct compression of the internal carotid artery (ICA) and review the literature.

Case Description: A 31-year-old man presented with sudden-onset headache, right hemiparesis, decreased left monocular visual acuity, and a nasal visual field deficit of the left eye. Read More

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September 2020

Parasellar Meningiomas.

Neuroendocrinology 2020 3;110(9-10):780-796. Epub 2020 Jun 3.

Department of Neurosurgery, University Hospital of Erlangen, Erlangen, Germany.

Parasellar spaces remain particularly singular, comprising the most important neurovascular structures such as the internal carotid artery and optic, oculomotor, and trigeminal nerves. Meningiomas are one of the most frequent tumors arising from parasellar spaces. In this location, meningiomas remain mostly benign tumors with WHO grade I and a meningothelial subtype. Read More

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