Abstract：
OBJECTIVE:Although the endoscopic transpterygoid approach has been popularized, there are no studies about anatomy-specific morbidities of this approach. The objective of this study is to investigate the surgical morbidities associated with the endoscopic transpterygoid approach for resection of anatomic structures. METHODS:A retrospective analysis was carried out of prospectively collected data of patients who underwent the endoscopic transpterygoid approach for skull base tumor by a single ear nose and throat surgeon in a tertiary-care center from November 2013 to January 2019. Postoperative patient symptom prevalence associated with surgical findings and SNOT-22 (Sino-Nasal Outcome Test-22) score were included in the analysis. RESULTS:Thirty-seven consecutive patients were enrolled. The mean follow-up period was 12.4 months (range, 1-39 months). Twenty-six (70.3%) vidian nerves were sacrificed, but only 38.5% of those patients (10/26) reported mild dry eye symptoms. Fourteen nasolacrimal ducts (37.8%) were resected, with only 1 patient (7.1%) who had undergone previous radiation therapy reporting transient epiphora. SNOT-22 scores before and after surgery did not present statistical difference in inferior turbinate sacrifice group and preservation group. CONCLUSIONS:Sacrifice of sinonasal structures such as the inferior turbinate or vidian nerve is sometimes inevitable for safe tumor resection with the endoscopic transpterygoid approach. Subjective symptoms were not apparent in most patients, despite the structural sacrifice.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Choi JE,Noh YS,Lee KE,Jung YG,Chung SK,Kim HY,Kong DS,Nam DH,Hong SDdoi
10.1016/j.wneu.2019.12.023subject
Has Abstractpub_date
2020-05-01 00:00:00pages
e43-e51eissn
1878-8750issn
1878-8769pii
S1878-8750(19)33051-7journal_volume
137pub_type
杂志文章abstract：OBJECTIVE:We sought to report the operative techniques of the endoscopic supracerebellar transtentorial approach (ESTA) to the atrium of the lateral ventricle, especially focusing on the role of the endoscope and analyzing optically related issues. METHODS:A retrospective data review was performed on 5 patients with l...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.06.093
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:Patients experience significant postoperative sinonasal symptoms for the first few months after endoscopic transnasal transsphenoidal approach (ETN-TSA) surgery. We modified this technique by bypassing the nasal mucosa and approaching through the septum bilaterally. In this study, we analyze whether these tec...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2015.12.050
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abstract：BACKGROUND:Brainstem cavernous malformations (CMs) are benign lesions, often show an acute onset, and result in a high rate of morbidity. Surgical resection could inhibit the progressive deterioration of neurologic function caused by repetitive hemorrhage. This study aimed to summarize timing, approaches, and technique...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.11.008
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Focal thoracolumbar kyphotic deformities require operative correction through osteotomies to restore normal spinal balance. Traditional osteotomies, such as the pedicle subtraction osteotomy, that are often used in the lumbar spine are less useful in the thoracolumbar region. The super-pedicle osteotomy is a...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.09.146
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:Anterior sacral meningocele (ASM) is characterized by a herniation of the dural sac through a bony defect of the anterior sacral wall. Symptoms of ASMs are usually directly related to their mass effect on the adjacent pelvic structures, often causing chronic constipation and urinary disturbances. The low-dys...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.04.105
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abstract：BACKGROUND:Anterior cervical diskectomy and fusion with plate-screw construct has been gradually applied for multilevel cervical spondylotic myelopathy in recent years. However, long cervical plate was associated with complications including breakage or loosening of plate and screws, trachea-esophageal injury, neurovas...
journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.wneu.2017.05.045
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:Spontaneous spinal subdural hematoma (SSSDH) is exceedingly rare, with significant morbidity in most patients. Acute neurologic deficit in the context of a SSSDH is considered a neurosurgical emergency. We performed a literature review and compared the results with our institutional experience to evaluate the...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.10.096
更新日期：2020-10-24 00:00:00
abstract：:Hydatid cyst is an infectious disease caused by Echinococcus granulosus, primarily involving the liver and lungs. The orbit is an extremely rare site for involvement with hydatid cyst. We present a 36-year-old man with unilateral visual loss, proptosis, and papilledema caused by an orbital hydatid cyst. ...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2017.03.030
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:Middle cerebral artery aneurysms (MCAAs) are regularly treated by both microsurgical clipping and endovascular coiling. We performed a systematic meta-analysis to compare the safety and efficacy of these 2 methods. METHODS:Literature was reviewed for all studies reporting angiographic occlusion and/or functi...
journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.wneu.2015.05.073
更新日期：2015-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2014-05-01 00:00:00
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.06.180
更新日期：2020-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.01.083
更新日期：2020-05-01 00:00:00
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doi：10.1016/j.wneu.2019.03.030
更新日期：2019-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-12-20 00:00:00
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journal_title：World neurosurgery
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更新日期：2020-05-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.03.023
更新日期：2019-06-01 00:00:00
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doi：10.1016/j.wneu.2018.10.094
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.014
更新日期：2017-12-01 00:00:00
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更新日期：2018-12-01 00:00:00
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doi：10.1016/j.wneu.2018.05.165
更新日期：2018-08-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2017.04.033
更新日期：2017-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 历史文章,杂志文章,评审
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更新日期：2013-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2020-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2019-09-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2015.10.042
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Congenital spondylolytic spondylolisthesis of C2 vertebra resulting from deficient posterior element of the axis is rarely described in the literature. CASE DESCRIPTION:We describe a unique case of agenesis of posterior elements of C2 with craniovertebral junction anomalies consisting of osseous, vascular, ...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2016-11-01 00:00:00
