Publications by authors named "Joseph Ifrach"

Background: Traumatic orbital encephaloceles are rare but severe complications of orbital fractures. These encephaloceles can present months to years after the initial injury.

Observations: The authors present two cases of traumatic orbital encephalocele in young males struck by motor vehicles.

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Objective: Elderly patients are a vulnerable patient population in elective spinal surgery. Older patients have more medical comorbidities and are also more sensitive to opiate medications. Despite this, spine and peripheral nerve surgery is still feasible in these patients, and an Enhanced Recovery After Surgery (ERAS) regimen can further enhance the safety profile.

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Objective: Enhanced recovery after surgery (ERAS) pathways have previously been shown to be feasible and safe in elective spinal procedures. As publications on ERAS pathways have recently emerged in elective neurosurgery, long-term outcomes are limited. We report on our 18-month experience with an ERAS pathway in elective spinal surgery.

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Fluorescence imaging is an emerging clinical technique for real-time intraoperative visualization of tumors and their boundaries. Though multiple fluorescent contrast agents are available in the basic sciences, few fluorescence agents are available for clinical use. Of the clinical fluorophores, delta aminolevulinic acid (5ALA) is unique for generating visible wavelength tumor-specific fluorescence.

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Synopsis of recent research by authors named "Joseph Ifrach"

  • - Joseph Ifrach's recent research primarily focuses on innovative surgical techniques, with a particular emphasis on neurosurgery and postoperative recovery processes, such as implementation of Enhanced Recovery After Surgery (ERAS) protocols in older patients.
  • - His study on the use of an image-guided supraorbital craniotomy via an eyebrow approach for repairing traumatic orbital encephaloceles presents a novel method that addresses severe complications arising from orbital fractures.
  • - Additionally, Ifrach has analyzed the effects of ERAS pathways on reducing postoperative opioid use, emphasizing their importance in enhancing safety profiles for elderly patients undergoing spinal and peripheral nerve surgeries, ultimately improving patient outcomes.