Publications by authors named "S Makihara"
Purpose: Craniopharyngiomas are histologically benign tumors, but their proximity to vital neurovascular structures can significantly deteriorate functional prognoses and severely restrict patients' social interaction and activity. We retrospectively identified risk factors related to the functional prognoses in patients with craniopharyngioma treated at our center.
Methods: A retrospective analysis was conducted on 40 patients who underwent surgery for craniopharyngioma and follow-up at our institution between 2003 and 2022.
Article Synopsis
- A 71-year-old man with diabetes experienced headaches and altered consciousness, leading to the discovery of a pneumocephalus caused by an inverted papilloma in the frontoethmoidal sinus.
- He underwent a simultaneous endoscopic and transcranial surgery using an advanced ORBEYE exoscope, which allowed for effective treatment.
- Post-surgery, the patient's symptoms improved, and there was a notable decrease in the elevated squamous cell carcinoma antigen level, highlighting the need for teamwork and modern techniques in tackling complex sinus issues.
We report a challenging and uncommon case involving a 53-year-old Japanese man with cerebrospinal fluid (CSF) leakage caused by a meningocele in the lateral recess of the sphenoid sinus. Our innovative treatment approach involved a combination of transpterygoid and endoscopic modified medial maxillectomy techniques, with special emphasis on the preservation of the sphenopalatine artery. This strategic preservation was pivotal to the successful use of the ipsilateral nasoseptal flap for reconstruction, which played a crucial role in the prevention of postoperative CSF leakage.
View Article and Find Full Text PDFBackground: In 2013, Japan established a standardized classification system for categorizing endoscopic sinus surgery (ESS) into types I-V, yet no evaluation has been conducted thereof.
Objective: We assessed the ESS trends and status in Japan, focusing on outpatient and inpatient surgeries.
Material And Methods: This descriptive retrospective cohort study used Japan's National Database of Health Insurance Claims and Specific Health Checkups between 2014 and 2021.
Objective: There is no consensus on the optimal surgical technique for allergic rhinitis (AR). Furthermore, the appropriateness of surgical intervention in children and older individuals remains debatable. This study aimed to analyze trends and patterns in the surgical management of AR in Japan, focusing on parasympathetic neurectomy.
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