Endoscopic transsphenoidal approach to skull base lesions

Faraj, Moneer K.; Sagban, Wissam Jassim

doi:10.17712/nsj.2018.1.20170229

Cited by 3 publications

(7 citation statements)

References 23 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This yielded 33 articles for inclusion in our study ( Table 6 ). 4 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 One article had two separate groups of TSS surgeries 12 producing a total of 34 sets of patients, totaling 9,141 patients altogether. The rate of postoperative CSF leak varied between 0 and 14.6%.…”

Section: Resultsmentioning

confidence: 99%

Fat in the Fossa and the Sphenoid Sinus: A Simple and Effective Solution to CSF Leaks in Transsphenoidal Surgery. Cohort Study and Systematic Review

Mirza

Boardman

Okasha

et al. 2022

J Neurol Surg B Skull Base

View full text Add to dashboard Cite

Objectives: Cerebrospinal fluid (CSF) leak following endoscopic transsphenoidal surgery (TSS) remains a challenge and is associated with high morbidity. We perform a primary repair with fat in the pituitary fossa and further fat in the sphenoid sinus (FFS). We compare the efficacy of this FFS technique with other repair methods and perform a systematic review. Design, patients, and methods: Retrospective analysis of patients undergoing standard TSS from 2009 to 2020, comparing the incidence of significant postoperative CSF rhinorrhoea (requiring intervention) using the FFS technique compared with other intraoperative repair strategies. Systematic review of current repair methods described in the literature was performed following the PRISMA guidelines. Results: 439 patients; 276 patients multilayer repair, 68 FFS repair and 95 no repair. No significant differences in baseline demographics between groups. Postoperative CSF leak requiring intervention was significantly lower in the FFS repair group (4.4%) compared to the multilayer (20.3%) and no repair groups (12.6%, p<0.01). This translated to fewer reoperations (2.9% FFS vs. 13.4% multilayer vs 8.4% no repair, p<0.05), fewer lumbar drains (2.9% FFS vs. 15.6% multilayer vs. 5.3% no repair, p<0.01) and shorter hospital stay (median days 4 (3-7) FFS vs. 6 (5-10) multilayer vs. 5 (3-7) no repair, p<0.01). Risk factors for postoperative leak included female gender, perioperative lumbar drain, and intraoperative leak. Conclusions: Autologous fat on fat graft for standard endoscopic transsphenoidal approach effectively reduces the risk of significant post-operative CSF leak with reduced reoperation and shorter hospital stay.

show abstract

Section: Resultsmentioning

confidence: 99%

Fat in the Fossa and the Sphenoid Sinus: A Simple and Effective Solution to CSF Leaks in Transsphenoidal Surgery. Cohort Study and Systematic Review

Mirza

Boardman

Okasha

et al. 2022

J Neurol Surg B Skull Base

View full text Add to dashboard Cite

show abstract

“…Between 2003 and 2021, a total of 52 PubMed indexed papers were published from Iraq. [1,2,[4][5][6][7][8][9][10]20,24,[21][22][23][24][25][26][27][28][29][30][31][32][33][34] All publications have been clustered in the period of 2012-2021. From 2012 to 2016, only four papers were published, one per year.…”

Section: Resultsmentioning

confidence: 99%

“…Faraj et al [29] 2018 Prospective Skull base/endoscopic Neurosciences (Riyadh, Saudi Arabia) N/A 0 18. Hoz et al [40] 2018 Case report and literature review Cranial/tumor Sao Paulo Med J 0.955 3…”

mentioning

confidence: 99%

PubMed-indexed neurosurgical research productivity of Iraq-based neurosurgeons

Hoz

Al-Sharshahi

Dolachee

et al. 2021

Surgical Neurology International

View full text Add to dashboard Cite

Background: Research is a central component of neurosurgical training and practice and is increasingly viewed as a quintessential indicator of academic productivity. In this study, we focus on identifying the current status and challenges of neurosurgical research in Iraq. Methods: An online PubMed Medline database search was conducted to identify all articles published by Iraq-based neurosurgeons between 2003 and 2020. Information was extracted in relation to the following parameters: authors, year of publication, author’s affiliation, author’s specialty, article type, article citation, journal name, journal impact factor, and topic. This data were then tabulated and analyzed. Results: Between 2003 and 2021, a total of 52 PubMed indexed papers were published from Iraq. All publications have been clustered in the period of 2012–2020. From 2012 to 2016, only four papers were published, one per year. The number of publications increased from 2017 to 2021, with an average of 12 publications per year. The most common article type was “case reports” (n = 14). Neurotrauma (n = 10) and vascular neurosurgery (n = 10) were the two most common topics. Most of the studies came from the city of Bagdad (n = 46), with just nine studies coming from peripheral governorates. The Neurosurgery Teaching Hospital in Bagdad was the neurosurgery center with the highest research output (n = 38). Conclusion: The number of publications per year has been showing a, relatively, promising trend since 2012. However, to promote sustained growth in academic productivity, a strategic plan that acknowledges the political, financial, and health-system-related challenges are urgently needed.

show abstract

“…Several papers were issued, and patents were recorded with the 3D printing technology. [ 2 - 5 , 7 - 9 , 11 , 13 - 15 ]…”

mentioning

confidence: 99%

“…Several papers were issued, and patents were recorded with the 3D printing technology. [2][3][4][5][7][8][9]11,[13][14][15] We also had our first digital library, with more than 25 terabytes of materials, for basic and clinical neurosciences, including books, lectures, and video courses [Figure 7]. However, in the creative work as a neurosurgeon, I work alone, but as Wilder Penfield mentioned in his life story that "no man alone, " I started to make my team by creating a friendship with those who are interested in our jobs, especially biomedical technicians who work with me when they have access time.…”

mentioning

confidence: 99%

Endoscopic transsphenoidal approach to skull base lesions

Cited by 3 publications

References 23 publications

Fat in the Fossa and the Sphenoid Sinus: A Simple and Effective Solution to CSF Leaks in Transsphenoidal Surgery. Cohort Study and Systematic Review

Fat in the Fossa and the Sphenoid Sinus: A Simple and Effective Solution to CSF Leaks in Transsphenoidal Surgery. Cohort Study and Systematic Review

PubMed-indexed neurosurgical research productivity of Iraq-based neurosurgeons

Are innovation and creativity possible in a country at war? My story of neurosurgery in Baghdad, Iraq

Contact Info

Product

Resources

About