Publications by authors named "S T Stefko"

Objective: Skull base chordomas (SBCs) often present with cranial nerve (CN) VI deficits. Studies have not assessed the prognosis and predictive factors for CN VI recovery among patients presenting with CN VI deficits.

Methods: The medical records of patients who underwent resection for primary chordoma from 2001 to 2020 were reviewed.

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Background: Sinonasal malignancies (SNMs) frequently present with orbital invasion. Orbital exenteration (OE) can lead to significant morbidity. Induction chemotherapy (IC) is a promising treatment alternative that may allow for orbit preserving (OP) treatments without compromising patient survival.

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Article Synopsis
  • The study focuses on comparing different keyhole transorbital surgical approaches, called transwing approaches, used for accessing the cranial cavity via the sphenoid wing. Four main techniques are analyzed: lateral orbitocraniotomy, modified orbitozygomatic (palpebral and eyebrow), and supraorbital craniotomy.
  • Cadaveric dissections were conducted on four fixed heads to evaluate the exposure and limitations of each surgical technique. A fifth head was examined endoscopically to provide an overview of transwing approaches.
  • Results indicate that while the lateral orbitocraniotomy is more versatile in the middle cranial fossa, the modified orbitozygomatic approaches (both via palpebral
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Purpose Of Review: As the management of ophthalmic and sinus disease advances, it is important to stay abreast of all current management options. This involves knowledge of adjacent anatomy and disease processes, and collaboration between multiple specialties. The authors provide a review of relevant ophthalmic and oculoplastic topics for the rhinologist.

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