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[PMID]:28732421
[Au] Autor:Satyarthee GD
[Ad] Endereço:Department of Neurosurgery, Neuroscience Centre, AAIMS, New Delhi, India. Electronic address: duttaguru2002@yahoo.com.
[Ti] Título:Neuroendoscope: Evolving Spectrum of Utility in the Management of Hydrocephalus, Biopsy, and Resection of Ventricular Tumors and Cyst Fenestration.
[So] Source:World Neurosurg;104:1029-1030, 2017 08.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Hidrocefalia
Neuroendoscópios
[Mh] Termos MeSH secundário: Biópsia
Cistos/cirurgia
Seres Humanos
Imagem por Ressonância Magnética
Neuroendoscopia
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170723
[St] Status:MEDLINE


  2 / 107 MEDLINE  
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[PMID]:28732418
[Au] Autor:Satyarthee GD
[Ad] Endereço:AIIMS Neurosurgery Neuroscience Centre, New Delhi, India. Electronic address: drguruduttaaiims@gmail.com.
[Ti] Título:Expanding Horizon of Neuroendoscopic Procedure from Endoscopic-Assisted Tumor Resection, Vascular Surgery, and Management of Hydrocephalus to Diagnostic and Therapeutic Management of Pyogenic Ventriculitis.
[So] Source:World Neurosurg;104:1024-1025, 2017 08.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Hidrocefalia
Neuroendoscopia
[Mh] Termos MeSH secundário: Seres Humanos
Neoplasias/cirurgia
Neuroendoscópios
Resultado do Tratamento
Ventriculostomia
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170723
[St] Status:MEDLINE


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[PMID]:28304218
[Au] Autor:Wang S; Stone S; Weil AG; Fallah A; Warf BC; Ragheb J; Bhatia S; Kulkarni AV
[Ad] Endereço:Division of Neurosurgery, Department of Surgery, University of Toronto, Ontario, Canada.
[Ti] Título:Comparative effectiveness of flexible versus rigid neuroendoscopy for endoscopic third ventriculostomy and choroid plexus cauterization: a propensity score-matched cohort and survival analysis.
[So] Source:J Neurosurg Pediatr;19(5):585-591, 2017 May.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Endoscopic third ventriculostomy (ETV)/choroid plexus cauterization (CPC) has become an increasingly common technique for the treatment of infant hydrocephalus. Both flexible and rigid neuroendoscopy can be used, with little empirical evidence directly comparing the two. Therefore, the authors used a propensity score-matched cohort and survival analysis to assess the comparative efficacy of flexible and rigid neuroendoscopy. METHODS Individual data were collected through retrospective review of infants younger than 2 years of age, treated at 1 of 2 hospitals: 1) Boston Children's Hospital, exclusively utilizing flexible neuroendoscopy, and 2) Nicklaus Children's Hospital-Jackson Memorial Hospital, exclusively utilizing rigid neuroendoscopy. Patient characteristics and postoperative outcomes were assessed. A propensity score model was developed to balance patient characteristics in the case mix. RESULTS A propensity score model for neuroendoscope type was developed with 5 independent variables: chronological age, sex, hydrocephalus etiology, prior CSF diversion, and prepontine scarring. Propensity score decile-adjusted and 1-to-1 nearest-neighbor matching analysis revealed that compared with flexible neuroendoscopy, rigid neuroendoscopy had an ETV/CPC failure odds ratio (OR) of 1.43 (p = 0.31) and 1.31 (p = 0.47), respectively, compared with an unadjusted OR of 2.40 (p = 0.034). Furthermore, in a Cox regression analysis controlled by propensity score, rigid neuroendoscopy had a hazard ratio (HR) of 1.10 (p = 0.70), compared with an unadjusted HR of 1.61 (p = 0.031). CONCLUSIONS Although unadjusted analysis suggested worse ETV/CPC outcomes for infants treated by rigid neuroendoscopy, much of the difference could be attributed to the case mix and other predictors of outcome. A larger sample observational study or randomized controlled trials are required to provide evidence-based guidelines on ETV/CPC technique.
[Mh] Termos MeSH primário: Cauterização/instrumentação
Plexo Corióideo/cirurgia
Neuroendoscópios
Neuroendoscopia/instrumentação
Ventriculostomia/instrumentação
[Mh] Termos MeSH secundário: Cicatriz/etiologia
Feminino
Seguimentos
Seres Humanos
Hidrocefalia/etiologia
Hidrocefalia/cirurgia
Lactente
Recém-Nascido
Estimativa de Kaplan-Meier
Masculino
Razão de Chances
Pontuação de Propensão
Modelos de Riscos Proporcionais
Estudos Retrospectivos
Terceiro Ventrículo/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.3171/2016.12.PEDS16443


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[PMID]:27989969
[Au] Autor:Giannetti AV; Pimenta FG; Clemente WT
[Ad] Endereço:Department of Surgery, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Neurosurgery Service, Hospital das Clínicas, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: agjg@terra.com.br.
[Ti] Título:Does the Simultaneous Use of a Neuroendoscope Influence the Incidence of Ventriculoperitoneal Shunt Infection?
[So] Source:World Neurosurg;98:171-175, 2017 Feb.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The relationship between the use of an endoscope during ventriculoperitoneal shunt (VPS) procedures and infection remains poorly defined. In this study, we sought to analyze whether the simultaneous use of an endoscope could in fact increase the infection rate associated with VPS procedures. METHODS: This study included 438 VPS procedures, 49 in which an endoscope was used (11.2%) and 389 in which an endoscope was not used (88.8%). The infection rates in these 2 main groups were calculated and compared. Subsequently, 4 new groups were created, composed of patients with a shunt inserted for the first time (groups 1A and 1B) and patients with a shunt reviewed or inserted for a second time (groups 2A and 2B). Groups 1A and 2A comprised patients in whom an endoscope was used simultaneously with VPS surgery, and groups 1B and 2B comprised patients in whom an endoscope was not used. These groups were compared to determine the infection rate. RESULTS: The overall infection rate was 18.5%, including 22.4% in the groups in which an endoscope was used and 18% in those in which an endoscope was not used (P = 0.449). Groups 1A and 1B and groups 2A and 2B were matched for possible intervening risk factors. The infection rate was 28.6% in group 1A and 16.2% in group 1B (P = 0.27), and 20% in group 2A and 19.8% in group 2B (P = 0.977). CONCLUSIONS: In the present study, the use of an endoscope during VPS procedures did not increase the risk of surgical infection.
[Mh] Termos MeSH primário: Neuroendoscópios/utilização
Infecção da Ferida Cirúrgica/diagnóstico
Infecção da Ferida Cirúrgica/epidemiologia
Derivação Ventriculoperitoneal
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Incidência
Masculino
Meia-Idade
Neuroendoscópios/efeitos adversos
Estudos Retrospectivos
Derivação Ventriculoperitoneal/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE


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[PMID]:27743248
[Au] Autor:Halliday J; Kamaly I
[Ad] Endereço:Department of Neurosurgery, Royal Manchester Childrens Hospital, Oxford Road, Manchester, M13 9WL, UK. jane.halliday@cantab.net.
[Ti] Título:Use of the Brainlab Disposable Stylet for endoscope and peel-away navigation.
[So] Source:Acta Neurochir (Wien);158(12):2327-2331, 2016 Dec.
[Is] ISSN:0942-0940
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Neuronavigation, the ability to perform real-time intra-operative guidance during cranial and/or spinal surgery, has increased both accuracy and safety in neurosurgery [2]. Cranial navigation of existing surgical instruments using Brainlab requires the use of an instrument adapter and clamp, which in our experience renders an endoscope 'top-heavy', difficult to manipulate, and the process of registration of the adapter quite time-consuming. METHODS: A Brainlab Disposable Stylet was used to navigate fenestration of an entrapped temporal horn in a pediatric case. Accuracy was determined by target visualization relative to neuronavigation targeting. Accuracy was also calculated using basic trigonometry to establish the maximum tool tip inaccuracy for the disposible stylet inserted into a peel-away (Codman) and endoscope. RESULTS: The Brainlab Disposable Stylet was easier to use, more versatile, and as accurate as use of an instrument adapter and clamp. The maximum tool-tip inaccuracy for the endoscope was 0.967 mm, and the Codman peel-away 0.489 mm. A literature review did not reveal any reports of use of the Brainlab Disposable Stylet in this way, and we are unaware of this being used in common neurosurgical practice. CONCLUSIONS: We would recommend this technique in endoscopic cases that require use of Brainlab navigation.
[Mh] Termos MeSH primário: Endoscopia/instrumentação
Neuroendoscópios
Neuronavegação/instrumentação
Instrumentos Cirúrgicos
[Mh] Termos MeSH secundário: Criança
Endoscopia/métodos
Seres Humanos
Neuronavegação/métodos
Software
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161016
[St] Status:MEDLINE


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[PMID]:27609447
[Au] Autor:Wang A; Tenner MS; Tobias ME; Mohan A; Kim D; Tandon A
[Ad] Endereço:Department of Neurological Surgery, New York Medical College, Westchester, New York, USA. Electronic address: wanga@wcmc.com.
[Ti] Título:A Novel Approach Using Electromagnetic Neuronavigation and a Flexible Neuroendoscope for Placement of Ommaya Reservoirs.
[So] Source:World Neurosurg;96:195-201, 2016 Dec.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Placement of intraventricular catheters in oncology patients can be associated with morbidity given their small to slit-like ventricles and underlying hematologic disorders. We studied the accuracy of placing Ommaya reservoirs using neuronavigation and a flexible neuroendoscope to verify catheter positioning. METHODS: Ommaya reservoirs placed in 25 oncology patients between 2013 and 2015 were retrospectively reviewed. Twenty-five ventricular catheters were placed using the AxiEM stealth frameless neuronavigation system and a flexible neuroendoscope. Postoperative catheter accuracy, operative complications, and postoperative complications were assessed. We discuss surgical protocol and technical nuances. RESULTS: All ventricular catheters were successfully placed into the ipsilateral (84%) or contralateral (16%) foramen of Monro. A single ventricular catheter pass was needed to cannulate the ventricle in 96% of patients. The mean accuracy was 4.09 ± 3.47 mm from the target, the ipsilateral foramen of Monro. One patient had a catheter tract hemorrhage seen on postoperative imaging related to thrombocytopenia. No postoperative neurologic deficits were seen. CONCLUSIONS: A combined neuronavigation and neuroendoscopic approach improved catheter tip accuracy compared with accuracy rates described in the literature using other techniques. This approach can be adapted toward routine clinical practice of placing ventricular shunt catheters and Ommaya reservoirs.
[Mh] Termos MeSH primário: Cateteres
Campos Eletromagnéticos
Neuroendoscópios
Neuronavegação/métodos
Procedimentos Neurocirúrgicos/instrumentação
Procedimentos Neurocirúrgicos/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Carcinomatose Meníngea/diagnóstico por imagem
Carcinomatose Meníngea/cirurgia
Meia-Idade
Leucemia-Linfoma Linfoblástico de Células Precursoras/diagnóstico por imagem
Leucemia-Linfoma Linfoblástico de Células Precursoras/cirurgia
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160910
[St] Status:MEDLINE


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[PMID]:27581309
[Au] Autor:Manjila S; Mencattelli M; Rosa B; Price K; Fagogenis G; Dupont PE
[Ad] Endereço:Department of Cardiovascular Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
[Ti] Título:A multiport MR-compatible neuroendoscope: spanning the gap between rigid and flexible scopes.
[So] Source:Neurosurg Focus;41(3):E13, 2016 Sep.
[Is] ISSN:1092-0684
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Rigid endoscopes enable minimally invasive access to the ventricular system; however, the operative field is limited to the instrument tip, necessitating rotation of the entire instrument and causing consequent tissue compression while reaching around corners. Although flexible endoscopes offer tip steerability to address this limitation, they are more difficult to control and provide fewer and smaller working channels. A middle ground between these instruments-a rigid endoscope that possesses multiple instrument ports (for example, one at the tip and one on the side)-is proposed in this article, and a prototype device is evaluated in the context of a third ventricular colloid cyst resection combined with septostomy. METHODS A prototype neuroendoscope was designed and fabricated to include 2 optical ports, one located at the instrument tip and one located laterally. Each optical port includes its own complementary metal-oxide semiconductor (CMOS) chip camera, light-emitting diode (LED) illumination, and working channels. The tip port incorporates a clear silicone optical window that provides 2 additional features. First, for enhanced safety during tool insertion, instruments can be initially seen inside the window before they extend from the scope tip. Second, the compliant tip can be pressed against tissue to enable visualization even in a blood-filled field. These capabilities were tested in fresh porcine brains. The image quality of the multiport endoscope was evaluated using test targets positioned at clinically relevant distances from each imaging port, comparing it with those of clinical rigid and flexible neuroendoscopes. Human cadaver testing was used to demonstrate third ventricular colloid cyst phantom resection through the tip port and a septostomy performed through the lateral port. To extend its utility in the treatment of periventricular tumors using MR-guided laser therapy, the device was designed to be MR compatible. Its functionality and compatibility inside a 3-T clinical scanner were also tested in a brain from a freshly euthanized female pig. RESULTS Testing in porcine brains confirmed the multiport endoscope's ability to visualize tissue in a blood-filled field and to operate inside a 3-T MRI scanner. Cadaver testing confirmed the device's utility in operating through both of its ports and performing combined third ventricular colloid cyst resection and septostomy with an endoscope rotation of less than 5°. CONCLUSIONS The proposed design provides freedom in selecting both the number and orientation of imaging and instrument ports, which can be customized for each ventricular pathological entity. The lightweight, easily manipulated device can provide added steerability while reducing the potential for the serious brain distortion that happens with rigid endoscope navigation. This capability would be particularly valuable in treating hydrocephalus, both primary and secondary (due to tumors, cysts, and so forth). Magnetic resonance compatibility can aid in endoscope-assisted ventricular aqueductal plasty and stenting, the management of multiloculated complex hydrocephalus, and postinflammatory hydrocephalus in which scarring obscures the ventricular anatomy.
[Mh] Termos MeSH primário: Desenho de Equipamento/normas
Imagem por Ressonância Magnética/normas
Neuroendoscópios/normas
Neuroendoscopia/normas
Maleabilidade
[Mh] Termos MeSH secundário: Animais
Desenho de Equipamento/métodos
Feminino
Seres Humanos
Neuroendoscopia/instrumentação
Neuroendoscopia/métodos
Suínos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160902
[St] Status:MEDLINE
[do] DOI:10.3171/2016.7.FOCUS16181


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[PMID]:27448557
[Au] Autor:Paraskevopoulos D
[Ad] Endereço:Barts Health NHS Trust, St Bartholomew's and The Royal London Hospital, London, UK dimitris.paraskevopoulos@bartshealth.nhs.uk.
[Ti] Título:Specification Analysis, Design, and Prototyping of a Burr Hole Endoscope Stabilization Device.
[So] Source:Surg Innov;23(6):613-619, 2016 Dec.
[Is] ISSN:1553-3514
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Aim of this study was to develop a prototype for an innovative, burr-hole mounted device, for stabilizing endoscopes during intracranial surgery. The objective was an easily maneuverable device, freeing one hand without compromising flexibility and safety. This could avoid the need for a second surgeon or a bulky holder, thus improving coordination. METHODS: The initial concept arose from the observation that intraventricular endoscopy is often performed by 2 surgeons, 1 navigating the endoscope and 1 inserting/handling instruments through the working channel. A specification analysis was performed. Desired properties were specified through a literature review, as well as informal interviews with surgeons and engineers. Tools used for the design included blueprints, 3-dimensional computer aided-design and cooperating with engineers. The final prototype was 3D-printed and the toruses were produced with molding. RESULTS: A prototype named BuESta (Burr hole Endoscope Stabililizer) was produced. This consists of 2 half hollow sphere parts and interchangeable toruses and has the following features: easy to produce, inexpensive, not prolonging surgical time, semirigid, variable fixation, easy to fix/release, safe, no bulky articulated arms, mimicking basic concepts of second hand fixation (index finger/thumb fixation, hand resting/stabilizing on skull). CONCLUSIONS: This work represents a feasibility study including specification analysis, design and prototyping of a novel Burr hole endoscope stabilizing device. The device offers variable support for the endoscope, from complete free-hand to semirigid to rigid, thus freeing one hand which is often used to stabilize the endoscope. It can potentially help achieve solo surgery.
[Mh] Termos MeSH primário: Ventrículos Cerebrais/cirurgia
Projeto Auxiliado por Computador
Endoscopia/instrumentação
Neuroendoscopia/instrumentação
[Mh] Termos MeSH secundário: Endoscopia/métodos
Desenho de Equipamento
Segurança de Equipamentos
Seres Humanos
Imagem Tridimensional
Neuroendoscópios/classificação
Procedimentos Neurocirúrgicos/instrumentação
Procedimentos Neurocirúrgicos/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160725
[St] Status:MEDLINE


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[PMID]:27312387
[Au] Autor:Zhang M; Singh H; Almodovar-Mercado GJ; Anand VK; Schwartz TH
[Ad] Endereço:Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA.
[Ti] Título:Required Reading: The Most Impactful Articles in Endoscopic Endonasal Skull Base Surgery.
[So] Source:World Neurosurg;92:499-512.e2, 2016 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Endoscopic endonasal skull base surgery has become widely accepted in neurosurgery and otolaryngology over the last 15 years. However, there has yet to be a formal curation of the most impactful articles for an introductory curriculum to its technical evolution. METHODS: The Science Citation Index Expanded was used to generate a citation rank list (October 2015) on articles relevant to endoscopic skull base surgery. The top 35 cited articles overall, as well as the top 15 since 2009, were identified. Journal, year, author, study population, article format, and level of evidence were compiled. Additional surgeon experts were polled and made recommendations for significant contributions to the literature. RESULTS: The top 35 publications ranged from 98 to 467 citations and were published in 10 different journals. Four articles had more than 250 citations. A period of frequent contribution occurred between 2005 and 2009, when 21/35 reports were published. 18/35 articles were case series, and 13/35 were technical reports. There were 11/35 articles focused primarily on pituitary surgery and 10/35 on extrasellar lesions. The top 15 articles since 2009 had 8/15 articles focused on extrasellar lesions. Polled surgeons consistently identified the most prominently cited articles, and their recommendations drew attention to cerebrospinal fluid leak as well as extrasellar management. CONCLUSIONS: Identification of the most cited works within endoscopic endonasal skull base surgery shows greater anatomic access and safety over the last 2 decades. These articles can serve as an educational tool for novices or midlevel practitioners wishing to obtain a greater understanding of the field.
[Mh] Termos MeSH primário: Fator de Impacto de Revistas
Cirurgia Endoscópica por Orifício Natural/estatística & dados numéricos
Neuroendoscópios/estatística & dados numéricos
Publicações Periódicas como Assunto/classificação
Publicações Periódicas como Assunto/estatística & dados numéricos
Base do Crânio/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:BIBLIOGRAPHY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160618
[St] Status:MEDLINE


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[PMID]:27008345
[Au] Autor:Nix P; Tyagi A; Phillips N
[Ad] Endereço:a Department of Otolaryngology , Leeds Teaching Hospitals , Leeds , UK ;
[Ti] Título:Retrospective analysis of anterior skull base CSF leaks and endoscopic repairs at Leeds.
[So] Source:Br J Neurosurg;30(4):422-6, 2016 Aug.
[Is] ISSN:1360-046X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Over the past 10 years, endoscopic endonasal anterior skull base surgery has become established practice. Surgeons carrying out this surgery need to be able to endoscopically repair primary and secondary CSF leaks. A growing number of techniques have been adopted to date. This article highlights one UK institution's experience in the management of anterior skull base leaks, and how surgeons there have identified leak defect types that are difficult to seal and how they have adopted a new way of repairing them, which uses a fat ring. METHODS: Seventy-six patients requiring CSF leak repairs were identified form a prospective data base of 240 endoscopic anterior skull base procedures at the General Infirmary at Leeds performed between July 2009 and October 2015. RESULTS: Fifty-one cases have undergone an endoscopic primary repair of a skull base defect following resection of a lesion and, of these, 10 (19%) cases required a secondary repair. This was particularly over the planum sphenoidale area. Twenty-five cases had undergone an endoscopic repair as the primary procedure. This was due to a spontaneous leak in 7 cases, trauma in 3 cases, following craniotomy in 3 cases and following pituitary surgery in 2 cases. The remaining 10 were the secondary repairs referred to above. CONCLUSIONS: A number of techniques are effective in CSF repair. Defects over the planum sphenoidale and clivus are associated with the highest recurrence, requiring specific repair techniques. Utilisation of a 5 "F" repair helps to prevent recurrence in high risk defect cases over the optic chiasm. The 5 "F" repair used takes the form of placing intradural Fat and Fascia; next a Fat sealing ring is used, followed by a nasoseptal Flap; finally a supporting fragmentable pack is applied.
[Mh] Termos MeSH primário: Vazamento de Líquido Cefalorraquidiano/cirurgia
Recidiva Local de Neoplasia/cirurgia
Neoplasias da Base do Crânio/cirurgia
Base do Crânio/cirurgia
[Mh] Termos MeSH secundário: Vazamento de Líquido Cefalorraquidiano/etiologia
Rinorreia de Líquido Cefalorraquidiano/cirurgia
Seguimentos
Seres Humanos
Neuroendoscópios
Procedimentos Cirúrgicos Reconstrutivos/métodos
Estudos Retrospectivos
Neoplasias da Base do Crânio/complicações
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160324
[St] Status:MEDLINE
[do] DOI:10.3109/02688697.2016.1161176



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