Publications by authors named "G Clarici"
Preservation of nasal turbinates in endoscopic, anterior skull base surgery-yes, we can!
Eur Arch Otorhinolaryngol
February 2022
Objective: To evaluate the frequency, type and indications of nasal turbinate (NT) resection during endoscopic, anterior skull base surgery and to analyze factors that may have an impact on the need of NT removal.
Methods: In this retrospective cohort study, 306 subjects (150 males and 156 females, mean age 55.4 ± 15.
[Surgical techniques for severe brain injury : With special emphasis on polytrauma].
Unfallchirurg
September 2017
Article Synopsis
- In Austria, around 2000 severe brain injury cases occur annually, often resulting in death for individuals under 45, particularly in polytrauma situations where other internal injuries complicate treatment decisions in emergency settings.
- Standard treatment for acute subdural hematoma typically involves a craniotomy with a large incision for decompression, while the approach varies for other types of hematoma and fractures.
- Despite appropriate surgical intervention, acute subdural hematoma has a high mortality rate of 50-90%, whereas the prognosis for epidural hematoma is much better; effective treatment relies on interdisciplinary collaboration and skilled surgeons.
Article Synopsis
- The study explores the use of a piezoelectric system for creating bone flaps in endoscopic transsphenoidal craniotomies, aiming to provide a less invasive technique compared to traditional methods.
- Conducted on five cadaveric specimens, the method succeeded in creating and reimplanting bone flaps without fracturing, and the procedure didn't take longer than standard techniques.
- The findings suggest that this piezoelectric technique is feasible and may lead to future advancements in skull base surgery and reconstruction.
Objective: Cholesterol granulomas are benign lesions that sometimes occur on the petrous apex (PA). We report our experience using an endoscopic endonasal approach to remove PA cholesterol granulomas.
Material And Methods: A retrospective patient chart analysis was conducted at a tertiary care university hospital.
Article Synopsis
- The study presents the concept of "endoscopic rhino-neurosurgery," which combines skills from both neurosurgery and otorhinolaryngology to treat non-adenomatous lesions with skull base extensions.
- Between 2004 and 2009, 58 patients underwent these procedures, achieving an 81% success rate in surgical resection and 80% recovery from visual deficits.
- Postoperative outcomes showed a high maintenance of normal endocrinological function (94.4%) with manageable complications, indicating that this technique is effective for a variety of lesions in the sella and skull base.