Publications by authors named "P A Nix"
Objectives: To evaluate a technique of multi-layered CSF repair following endonasal anterior skull base surgery using medpor graft.
Design: Retrospective review of consecutive case series from a single centre.
Subjects: 68 cases of repair of CSF leaks utilising medpor identified from a larger prospectively maintained database of endonasal endoscopic procedures at our centre.
HOW I DO IT: Cushing's disease-selective adenomectomy via an endoscopic transsphenoidal approach.
Acta Neurochir (Wien)
June 2024
Background: An ACTH-secreting pituitary adenoma is the most common cause of excessive endogenous glucocorticoid production resulting in Cushing's Syndrome. A multidisciplinary approach is paramount. Selective adenomectomy is the treatment of choice.
View Article and Find Full Text PDFBackground: The indications for septoplasty are practice-based, rather than evidence-based. In addition, internationally accepted guidelines for the management of nasal obstruction associated with nasal septal deviation are lacking.
Objective: The objective was to determine the clinical effectiveness and cost-effectiveness of septoplasty, with or without turbinate reduction, compared with medical management, in the management of nasal obstruction associated with a deviated nasal septum.
Article Synopsis
- This study examines the behavior of non-functioning pituitary adenomas (NFPA) after endonasal surgery and suggests a cost-effective follow-up plan for patients.
- The research analyzed data from 116 patients over an average follow-up period of 78.5 months, finding a strong correlation between tumor size after surgery and subsequent growth.
- It proposes a new MRI follow-up regimen that could save patients over 300 £ on scan costs while helping to better schedule monitoring for tumor progression.