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Transethmoidal meningoencephalocele: Endoscopic and radiological morphology.
Acta Otorrinolaringol Esp (Engl Ed)
November 2024
Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello, Hospital General Universitario de Valencia, Valencia, Spain; Facultad de Medicina, Universidad de Valencia, Valencia, Spain.
A recent algorithm for management of orbital floor fractures with the application of a novel minimally invasive endoscopic surgery.
J Craniomaxillofac Surg
January 2025
ORL- HNS and Maxillofacial Surgery Department, Mansoura University, Mansoura, Egypt.
Orbital floor (OF) fractures present a dilemma, with controversies surrounding surgical indication, approach, and ideal material for reconstruction. Our study was conducted on cases of (OF) fracture admitted to a tertiary referral centre. Cases of (OF) associated with zygomaticomaxillary complex (ZMC) fracture were managed as follows: those with ophthalmological problems were subjected to endoscopically assisted transorbital reconstruction of the floor; cases without ophthalmological problems were subjected to reduction and fixation of the ZMC fracture only.
View Article and Find Full Text PDFImmunoglobulin D-Lambda Multiple Myeloma Initially Presenting in the Sphenoid Sinus, Orbital Apex, and Skull Base: A Systematic Review with a Case Report.
J Neurol Surg Rep
July 2024
Department of Otolaryngology-Head and Neck Surgery, China-Japan Friendship Hospital, Beijing, People's Republic of China.
Article Synopsis
- Multiple myeloma (MM) initially manifesting in the sphenoid sinus and skull base is rare, with a systematic review of 34 cases highlighting the challenges of early diagnosis and treatment, particularly for the IgD-λ subtype.
- A unique case of IgD-λ MM showed symptoms like dizziness and blindness, leading to a confirmed diagnosis and a wide range of diagnostic tests, including advanced imaging and biopsies.
- The study emphasizes the importance of using CT and MRI scans for detecting bone damage, and suggests that endoscopic procedures are effective for tissue biopsies, which can improve diagnosis in asymptomatic regions like the paranasal sinuses.
Endoscopic endonasal dacryocystorhinostomy: impact of long-standing disease on surgical outcomes.
Eur Arch Otorhinolaryngol
December 2024
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy.
Purpose: To assess whether the duration of disease may influence the surgical success of Endonasal Endoscopic DCR (EE-DCR) in patients affected by nasolacrimal duct obstruction (NLDO).
Methods: Single-center observational retrospective analysis on EE-DCR via posterior trans-ethmoidal approach. Consecutive patients were enrolled in 2021-2024 and evaluated with proper questionnaires; resolution of epiphora and dacryocystitis were analyzed after 1 (T1) and 6-months (T2) from surgery.
Endoscopic Endonasal Approach for Optic Canal Dural Metastasis in a Patient with Progressive Visual Dysfunction: A Case Report.
NMC Case Rep J
April 2024
Department of Neurosurgery, Fukushima Medical University, Fukushima, Fukushima, Japan.
To improve optic nerve function in a patient with progressive visual dysfunction, performing early decompressive and debulking surgery for a metastatic tumor located in the optic canal is essential. The endoscopic endonasal approach could be a practical and effective alternative for lesions in the inferomedial part of the optic canal. A 66-year-old man with a right visual eye field deficit had multiple lesions in the pineal gland, occipital lobe, and right inferomedial optic canal.
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