Anatomical Step-by-Step Dissection of Complex Skull Base Approaches for Trainees: Surgical Anatomy of the Frontotemporal and Orbitozygomatic Craniotomies
Conclusion The frontotemporal and orbitozygomatic approaches are core craniotomies that offer distinct advantages for complex cranial operations. Learning and internalizing their key steps and nuanced applications in a clinical context is critical for trainees of many levels. The orbitozygomatic craniotomy in particular is a versatile but challenging approach; operative-style laboratory dissection is an essential component of its mastery and one that will be powerfully enhanced by the current work. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |...
Source: Journal of Neurological Surgery Part B: Skull Base - April 27, 2023 Category: Neurosurgery Authors: Carlstrom, Lucas P. Graffeo, Christopher S. Leonel, Luciano CPC Perry, Avital Link, Michael J. Peris-Celda, Maria Tags: Original Article Source Type: research

Lumbar Drain Use during Middle Fossa Approaches for Nonneoplastic Pathology of the Skull Base
Conclusion No difference in postoperative outcomes was observed in patients who had an intraoperative LD placed compared to those without LD. Operative times were increased in the LD cohort, but this difference was not statistically significant. Given the similar outcomes, we conclude that LD is not necessary to facilitate safe MCF for nonneoplastic skull base pathologies. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - April 21, 2023 Category: Neurosurgery Authors: Dambrino, Robert J. Wong, Gunther W. Tang, Alan R. Jo, Jacob Yengo-Kahn, Aaron M. Lindquist, Nathan R. Freeman, Michael H. Haynes, David S. Tawfik, Kareem O. Chambless, Lola B. Thompson, Reid C. Morone, Peter J. Tags: Original Article Source Type: research

Assessment of the Anterior Clinoid Process and Optic Strut in Chiari Malformation Type I: A Computed Tomography Study
Conclusions Shorter ACP, wide-angled ACP, longer OS, and more anteriorly located OS were found in CM-I group compared with the normal group. Our findings showed that the pneumatization of ACP was not affected by CM-I. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - April 19, 2023 Category: Neurosurgery Authors: Özalp, Hakan Özgüral, Onur Alpergin, Baran C. İnceoğlu, Ayşenur Özalp, Sibel Arma ğan, Ercan U çar, Hadice Beger, Orhan Tags: Original Article Source Type: research

Endoscopic Repair of Internal Carotid Artery Injury with a Lateral Tongue Muscle Patch Graft: Novel Technique and Literature Review
Conclusions Lateral tongue muscle graft is an effective and efficient method to manage ICA injuries during endoscopic endonasal surgery. Advantages include the speed of harvest, donor site being readily accessible in the surgical field, and low donor site morbidity. It should be added to the repertoire of possible donor sites for addressing catastrophic sinonasal bleeding. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - April 19, 2023 Category: Neurosurgery Authors: Chapurin, Nikita Sharma, Rahul K. Stevens, Madelyn N. Kim, Esther Turner, Justin H. Russell, Paul T. Tags: Original Article Source Type: research

Predictors of Remission of Acromegaly following Surgical Treatment in Growth Hormone-Secreting Pituitary Adenoma
Conclusion The preoperative GH level < 40 ng/mL is associated with higher chances of remission after surgery for GH-secreting pituitary adenoma. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - April 18, 2023 Category: Neurosurgery Authors: Konar, Subhas Yeole, Ujwal Shukla, Dhaval Bhat, Dhananjaya I. Sadashiva, Nishanth Devi, Bhagavatula Indira Tags: Original Research Source Type: research

Standard Orbitozygomatic Craniotomy versus Mini Orbitozygomatic Craniotomy via an Eyebrow Incision for Microsurgical Treatment of Anterior Communicating Artery Aneurysms
Conclusions The OZ approach via an eyebrow incision has similar outcomes to a standard OZ approach and is a safe option for the treatment of ACoA aneurysms. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - April 18, 2023 Category: Neurosurgery Authors: Peters, David R. Mulvaney, Graham Monk, Steve Karimian, Brandon Wait, Scott D. Tags: Original Article Source Type: research

Orbitocranial Penetration of Ball Bearing Gun Trauma: A Prospective Human Cadaveric Study
Conclusion BB guns should be considered dangerous and potentially deadly when aimed at the orbit. Although the thick calvarium can protect the intracranial space from BB penetration, the orbit may be a vulnerable entry point with relatively low resistance, allowing penetration of the intracranial and periorbital spaces. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - April 13, 2023 Category: Neurosurgery Authors: Oh, Angela J. Roelofs, Kelsey A. Karlin, Justin N. Rootman, Daniel B. Tags: Original Article Source Type: research

The Predictors of Postoperative Cerebrospinal Fluid Leak in Endoscopic Endonasal Pituitary Surgery: The Role of Tumor Volume
Conclusion Besides younger age and DM, a cutoff value for tumor volume > 7.5 cm3 is the most remarkable risk factor for Po-CSF leak in pure endoscopic pituitary surgery. These patients should carefully be assessed preoperatively and potential preemptive surgical strategies should be taken into consideration to avoid complications. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - April 13, 2023 Category: Neurosurgery Authors: Cetinalp, Nuri Eralp Tarkan, Ozg ür Akku ş, Gamze Ozsoy, Kerem Mazhar Yildirim, Dogu Cihan Seydaoglu, Gulsah Oktay, Kadir Erman, Tahsin Tags: Original Article Source Type: research

A Comprehensive Analysis of Tobacco Smoking History as a Risk for Outcomes after Endoscopic Transsphenoidal Resection of Pituitary Adenoma
Conclusion This is the first study to show smoking may have a negative impact on healing of CSF leak repairs after TSH, requiring a return to the operating room. This effect appears to be dose dependent on the smoking history. Secondarily, intraoperative CSF leak as covariate in multivariable models was significantly associated with all negative outcomes. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - March 30, 2023 Category: Neurosurgery Authors: Min, Susie Zhang, Grace Hu, Alex Petito, Gabrielle T. Tripathi, Siddhant H. Shukla, Geet Kumar, Adithya Shah, Sanjit Phillips, Katie M. Forbes, Jonathan A. Zuccarello, Mario Andaluz, Norberto O. Sedaghat, Ahmad R. Tags: Original Article Source Type: research

The Utility of a “Second-Look” Debridement Following Endonasal Skull Base Surgery in the Pediatric Population
Conclusion Second-look debridement under general anesthesia may be useful in the identification and intervention of sinonasal pathology following endoscopic skull base surgery, particularly in children ≤12 years old or those with pedicled flap reconstructions. Larger controlled studies are warranted to validate this practice and refine indications and timing of this second procedure. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - March 30, 2023 Category: Neurosurgery Authors: Chang, Michael T. Huang, Alice E. Quon, Jennifer L. Fernandez-Miranda, Juan C. Wen, Christopher Z. Eide, Jacob G. Kshirsagar, Rijul S. Qian, Z Jason Nayak, Jayakar V. Hwang, Peter H. Adappa, Nithin D. Patel, Zara M. Tags: Original Article Source Type: research

MicroRNA-375-3p Alleviates Salicylate-Induced Neuronal Injury by Targeting ELAVL4 in Tinnitus
Conclusion miR-375-3p mitigates salicylate-triggered neuronal injury in SH-SY5Y cells by regulating ELAVL4 expression. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - March 20, 2023 Category: Neurosurgery Authors: Zhu, Jingjing Chen, Zhen Yu, Bo Zhang, Lan Ai, Fen Tags: Original Article Source Type: research

Headache in Patients with Sellar Disease: Clinicomorphological Predictors of Headache and the Outcome of Endoscopic Transsphenoidal Surgery
Conclusions Headaches in sellar disease are likely primary disorders triggered or exacerbated by sellar pathology. These may respond to surgery, particularly in patients with severe headache and dural invasion. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - March 20, 2023 Category: Neurosurgery Authors: Joseph, Maria Alvarado, Raquel Jonker, Benjamin P. Winder, Mark J. Earls, Peter Campbell, Raewyn Kalish, Larry H. Sacks, Raymond Davidson, Andrew S. McCormack, Ann Harvey, Richard J. Tags: Original Article Source Type: research

Manual Instruments as an Alternative to Drilling for Bony Exposure in Skull Base Surgery: Concept and Technique
Conclusions Manual instruments may be used for bone removals in selected skull base surgical approaches, which help young neurosurgeons to perform these surgeries in limited-resource settings. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - March 15, 2023 Category: Neurosurgery Authors: Jha, Deepak K. Agrawal, Mohit Gosal, Jaskaran Singh Janu, Vikas Agrawal, Dhruv K. Sharma, Raghvendra K. Garg, Mayank Ghatak, Surajit Elhence, Poonam Bhatia, Pradeep K. Tags: Technical Note Source Type: research

Emotional Lability as a Symptom of Extra-axial Posterior Fossa Tumors: a Case –Control Review of Neuroanatomy and Patient-Reported Quality of Life
Conclusion Findings suggest that compression onto the pons inhibits control over involuntary, stereotyped expression of emotion. This adds to evidence that EL may be attributed to cerebellum deafferentation from cortical and limbic structures through the basis pontis, leading to impaired modulation of emotional response. QOL results augment benefits of offering patients EL-alleviating tumor resection surgery. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - March 10, 2023 Category: Neurosurgery Authors: Prakash, Swetha Gooderham, Peter Akagami, Ryojo Tags: Original Article Source Type: research

A Nod for Meckel: A Novel Surgical Position Utilizing Meckel's Cave Anatomy for Percutaneous Glycerol Rhizotomy in Trigeminal Neuralgia
Conclusions Utilizing this new method of intraoperative navigation with a unique surgical table in the upright position, surgeons may achieve precise head adjustments post-PGR. Head flexion has been postulated as a means of ensuring glycerol containment in Meckel's cave. This method can help standardize this procedure for future systematic studies on the importance of head positioning post-PGR. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - March 3, 2023 Category: Neurosurgery Authors: Piper, Keaton Francis Flores-Milan, Gabriel Cruz, Alejandro Matos Kumar, Jay I. Loveren, Harry van Tags: Original Article Source Type: research