{"title":"Successful treatment of intraorbital lymphangioma with tissue fibrin glue","authors":"Aiko Hayasaki MD, Hideo Nakamura MD, PhD, Tadashi Hamasaki MD, PhD, Keishi Makino MD, PhD, Shigetoshi Yano MD, PhD, Motohiro Morioka MD, PhD, Jun-ichi Kuratsu MD, PhD","doi":"10.1016/j.surneu.2009.04.013","DOIUrl":"10.1016/j.surneu.2009.04.013","url":null,"abstract":"<div><h3>Background</h3><p>Although surgical resection is the first treatment choice in patients with cystic lymphangioma, the complete resection of orbital lymphangioma is often difficult. After partial resection of the cyst wall, some cystic lymphangiomas recur. The injection of tissue fibrin glue may prevent the recurrence of orbital lymphangioma.</p></div><div><h3>Case Description</h3><p>We present a 2-year-old girl with left progressive exophthalmos. Magnetic resonance imaging revealed a cystic mass lesion behind the left eyeball. At the first operation, the cyst wall was partially resected, and all cyst fluid was totally removed by suction. One week after the first operation, the cyst showed regrowth. At a second procedure, we injected tissue fibrin glue into the cyst. The cyst was completely sealed, and there was no recurrence.</p></div><div><h3>Conclusion</h3><p>Tissue fibrin glue is adhesive and hemostatic and highly useful in the treatment of orbital cystic lymphangioma.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 722-724"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.04.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28438282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Surgical NeurologyPub Date : 2009-12-01Epub Date: 2009-10-09DOI: 10.1016/j.surneu.2009.06.015
Serkan Simsek MD, PhD, Kazim Yigitkanli MD, Hakan Seckin MD, PhD, Çetin Akyol MD, Deniz Belen MD, Murad Bavbek MD
{"title":"Freehand C1 lateral mass screw fixation technique: our experience","authors":"Serkan Simsek MD, PhD, Kazim Yigitkanli MD, Hakan Seckin MD, PhD, Çetin Akyol MD, Deniz Belen MD, Murad Bavbek MD","doi":"10.1016/j.surneu.2009.06.015","DOIUrl":"10.1016/j.surneu.2009.06.015","url":null,"abstract":"<div><h3>Background</h3><p>Although C1 lateral mass fixation technique is frequently performed in upper cervical instabilities, it requires the guidance of fluoroscopic imaging. The fluoroscopy guidance is time-consuming and has the risks of accumulative radiation. Biplane fluoroscopy is also difficult in upper cervical pathologic conditions because of the use of cranial fixations. This study aimed to demonstrate that unicortical C1 lateral mass screws could be placed safely and rapidly without fluoroscopy guidance.</p></div><div><h3>Methods</h3><p>Between 2002 and 2008, 32 C1 lateral mass screws were inserted in 17 consecutive patients with various pathologic conditions involving either atlantoaxial or occipitocervical instability.</p></div><div><h3>Results</h3><p>C1 screw lengths ranged from 18 to 32 mm. The atlantoaxial fixation was performed in 13 patients, and C1 lateral mass screws were added to the occipitocervical construct in 3 patients, to the posterior cervical construct in 2 patients, and to the cervicothoracic construct in 1 patient. In 2 patients, because C1 lateral mass screws could not be inserted unilaterally, C1 pedicle screw analogs were inserted. There were no screw malpositions or neurovascular complications related to screw insertion. Operation time and intraoperative bleeding of the isolated atlantoaxial fixations were retrospectively evaluated. The mean follow-up was 32.3 months (range, 7-59 months). No screw loosening or construct failure was observed within this period. Postoperatively, 4 patients complained of hypoesthesia, whereas one patient had superficial wound infection.</p></div><div><h3>Conclusion</h3><p>C1 lateral mass screws may be used safely and rapidly in upper cervical instabilities without intraoperative fluoroscopy guidance and the use of the spinal navigation systems. Preoperative planning and determining the ideal screw insertion point, the ideal trajections, and the lengths of the screws are the most important points.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 676-681"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.06.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28428923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
