Skull Base-An Interdisciplinary Approach最新文献_第2页

A case of patient who underwent ossicular reconstruction with facial nerve decompression after temporal bone fracture 颞骨骨折后面神经减压行听骨重建1例

Skull Base-An Interdisciplinary Approach Pub Date : 2023-10-31 DOI: 10.55911/jksbs.23.0016

Yujeong Hong, Beom Cho Jun

{"title":"A case of patient who underwent ossicular reconstruction with facial nerve decompression after temporal bone fracture","authors":"Yujeong Hong, Beom Cho Jun","doi":"10.55911/jksbs.23.0016","DOIUrl":"https://doi.org/10.55911/jksbs.23.0016","url":null,"abstract":"Skull fracture to the temporal bone is responsible for 5%-10% of facial paralysis. It happens because the facial nerve travels through a small bony channel where the nerve can get crushed either by a blow to the head, or the swelling afterwards. This can result in temporary or permanent damage to one or both of the facial nerves. In the case of facial paralysis caused by trauma, conservative treat-ment or surgical treatment can be considered depending on the time of onset and severity of facial paralysis. Conductive hearing loss due to temporal bone fracture could be observed because it is mainly caused by a middle ear hematoma. However, if the ossicle is disrupted by a fracture, it must be corrected surgically. Here we present a case in which surgical facial nerve decompression was per-formed on a patient with facial paralysis after trauma. After a 2.5 m fall, he developed left-sided facial paralysis of House-Brackmann grade IV. The facial nerve decompression with ossicular reconstruc-tion surgery was completed. Reporting this case, we want to discuss about the importance of ideal time for surgical intervention and the appropriate surgical approach for patients with facial paralysis with ossicular disruption after temporal bone fractures.","PeriodicalId":49515,"journal":{"name":"Skull Base-An Interdisciplinary Approach","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929973","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}

引用次数: 0

A study on the factors affecting the intention to register brain dead organ donation 影响脑死亡器官捐献意愿登记的因素研究

Skull Base-An Interdisciplinary Approach Pub Date : 2023-10-31 DOI: 10.55911/jksbs.23.0024

Se Hong Choi, Chiyoung Cha, Kyung Sook Hong, Eui Kyo Seo

引用次数: 0

A collision tumor: Pituitary apoplexy caused by lung cancer metastasis 碰撞瘤1例:肺癌转移所致垂体卒中

Skull Base-An Interdisciplinary Approach Pub Date : 2023-10-31 DOI: 10.55911/jksbs.23.0012

Jaemin Yu, Se Hoon Kim, Eui Hyun Kim

引用次数: 0

Incidence and microbiology of surgical site infection in cranial neurosurgery in recent era: Single institutional consecutive series and review of literature 近年来颅神经外科手术部位感染的发生率和微生物学:单一机构连续系列和文献综述

Skull Base-An Interdisciplinary Approach Pub Date : 2023-10-31 DOI: 10.55911/jksbs.23.0019

Yoohyun Kwon, Haewon Rho, Hyun Joon Jo, Won Ki Yoon, Jong Hyun Kim, Taek Hyun Kwon, Joonho Byun

{"title":"Incidence and microbiology of surgical site infection in cranial neurosurgery in recent era: Single institutional consecutive series and review of literature","authors":"Yoohyun Kwon, Haewon Rho, Hyun Joon Jo, Won Ki Yoon, Jong Hyun Kim, Taek Hyun Kwon, Joonho Byun","doi":"10.55911/jksbs.23.0019","DOIUrl":"https://doi.org/10.55911/jksbs.23.0019","url":null,"abstract":"Background: Surgical site infection (SSI) is the most common healthcare-associated infection. Neurosurgical SSI results in severe morbidity and high mortality. This study aims to review our insti-tutional series of SSIs after cranial surgery, identify risk factors and pathogens, and enhance surgical outcomes through literature review. Materials and Methods: A retrospective, single-institutional study was conducted, craniotomy and craniectomy from January 2021 to December 2022 were included. Risk factors of all cases and pathogens, treatments, and outcomes of infected cases were collected and statistically analyzed. Results: Out of total 391 cases, 8 cases (2.0%) from six different type of surgeries, and diseases were diagnosed SSI. Four different pathogens were isolated, but pathogen was not identified in 4 cases (50.0%). The isolated pathogens included methicillin-sensitive Staphylococcus aureus , methicillin-resistant S. aureus , Bacillus cereus , and multi-drug resistant Acinetobacter baumannii . Among the eight cases, there were 2 cases (25.0%) of superficial SSI, 4 cases (50.0%) of deep SSI, and 2 cases (25.0%) of organ/space SSI. Two cases (25.0%) were managed with antibiotics alone, abscess was drained in 2 cases (25.0%), and revisional surgery was conducted in 4 cases (50.0%). Conclusions: Out of the 8 cases of SSI, a half of the isolated strains were multi-drug resistant. All infections were successfully treated without complications. However, guidelines for treatment of neu-rosurgical site infection were insufficient. The increasing prevalence of multi-drug resistant bacterial infection underscores the necessity of treatment consensus for the future.","PeriodicalId":49515,"journal":{"name":"Skull Base-An Interdisciplinary Approach","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929079","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}

引用次数: 0

Targeted therapy on neurofibromatosis type 2: Current state of clinical trials 2型神经纤维瘤病的靶向治疗:临床试验现状

Skull Base-An Interdisciplinary Approach Pub Date : 2023-05-31 DOI: 10.55911/jksbs.22.0016

Gyeong Hwa Jeon, J. Lee

引用次数: 0

Primary chondrosarcoma of skull base presenting as subarachnoid hemorrhage 颅底原发性软骨肉瘤表现为蛛网膜下腔出血

Skull Base-An Interdisciplinary Approach Pub Date : 2023-05-31 DOI: 10.55911/jksbs.22.0023

Guilherme Gago, Eduardo Balverdu Zauk, M. Ferreira

引用次数: 0

Growth pattern of craniopharyngioma determined by the origin of tumor regarding diaphragma sellae and the competency of the aperture: Reappraisal in the era of endoscopic endonasal surgery 颅咽管瘤的生长模式由鞍膈肿瘤的起源和开口的能力决定:内镜鼻内手术时代的重新评价

Skull Base-An Interdisciplinary Approach Pub Date : 2023-05-31 DOI: 10.55911/jksbs.23.0005

Yong Hwy Kim, J. Phi, Seung-Ki Kim, K. Wang

{"title":"Growth pattern of craniopharyngioma determined by the origin of tumor regarding diaphragma sellae and the competency of the aperture: Reappraisal in the era of endoscopic endonasal surgery","authors":"Yong Hwy Kim, J. Phi, Seung-Ki Kim, K. Wang","doi":"10.55911/jksbs.23.0005","DOIUrl":"https://doi.org/10.55911/jksbs.23.0005","url":null,"abstract":"Background: Advances in the endoscopic endonasal approach (EEA) have increased the under-standing of craniopharyngioma anatomy. We have previously proposed a relationship among cranio-pharyngioma growth pattern, their origin relative to the diaphragm sellae, and their aperture compe-tency. To reappraise that relationship, we retrospectively reviewed the diaphragm sellae anatomy of patients who underwent EEA for craniopharyngioma. Materials and Methods: From May 2010 to January 2013, thirty five patients underwent EEA procedures for craniopharyngiomas. Twenty patients without a surgical history were included in the study, and medical records describing the spatial relations between the tumors and the diaphragma sellae were reviewed and correlated with the tumor growth patterns on preoperative images. Results: All of the tumors were completely removed. Three prechiasmatic tumors were located un-der intact diaphragma sellae. Six retrochiasmatic tumors were composed of supra- and subdiaphrag-matic components that were continuous through an incomplete aperture of the diaphragm. Eleven retrochiasmatic tumors were located above intact diaphragms. Visual symptoms were normalized or improved in twelve of the sixteen patients with preoperative visual deficits. Preoperative hypotha-lamic dysfunction was recovered in ten of twelve patients. Conclusions: The EEA revealed the detailed tumor anatomy and confirmed our previous hypoth-esis that craniopharyngioma growth patterns are principally determined by the origin of the tumor relative to the diaphragma sellae and by the aperture competency. The EEA is indicated for removing both prechiasmatic and retrochiasmatic craniopharyngiomas.","PeriodicalId":49515,"journal":{"name":"Skull Base-An Interdisciplinary Approach","volume":"27 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84270650","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}

引用次数: 0

A case of schwannoma in the middle ear cavity misdiagnosed as cholesteatoma 中耳腔神经鞘瘤误诊为胆脂瘤1例

Skull Base-An Interdisciplinary Approach Pub Date : 2023-05-31 DOI: 10.55911/jksbs.23.0002

Kwi Ju Yu, Hye-Bin Kim, B. Jun

引用次数: 0

Can temporal bone magnetic resonance imaging estimate the prognosis of idiopathic facial palsy? 颞骨磁共振成像能估计特发性面瘫的预后吗?

Skull Base-An Interdisciplinary Approach Pub Date : 2023-05-31 DOI: 10.55911/jksbs.23.0006

J. Choi, J. Ahn, Hong Ju Park, W. Kang, J. Chung

{"title":"Can temporal bone magnetic resonance imaging estimate the prognosis of idiopathic facial palsy?","authors":"J. Choi, J. Ahn, Hong Ju Park, W. Kang, J. Chung","doi":"10.55911/jksbs.23.0006","DOIUrl":"https://doi.org/10.55911/jksbs.23.0006","url":null,"abstract":"Background: In facial palsy patients, electroneuronography (ENoG) was used for the diagnosis of the prognosis of facial palsy. This study aimed to determine whether temporal bone magnetic reso-nance imaging (TBMR) was useful for diagnosing and predicting prognosis in facial palsy. Materials and Methods: Among the patients diagnosed with facial palsy, 112 patients who underwent TBMR were included. These patients were divided into three groups according to the enhancement region of the facial nerve in TBMR. Fifty-five patients showed contrast enhancement in the meatal or labyrinthine segment (group 1), 36 patients showed enhancement in the geniculate ganglion (group 2), and 21 patients showed enhancement in the tympanic or mastoid segment (group 3). The initial facial palsy symptoms and prognosis were compared between the three groups. Results: In group 1, 26 patients showed House-Brackmann grade (H-B grade) IV, V initially, and 13 patients and 12 patients showed H-B grade IV, V initially in group 2 and group 3, respectively. Moreover, the initial ENoG results (%) between the three groups did not significantly differ. Patients who took more than 6 months to recover after systemic steroid therapy were 5 patients in group 1, 3 patients in group 2, and 2 patients in group 3. Conclusions: In TBMR of the patients with facial nerve palsy, the most contrast enhancement parts of the facial nerve were the meatal and labyrinthine segments. Enhancement of those segments showed severe initial symptoms clinically. In addition, most of them recovered within 6 months. However, there was no statistical significance, so further studies are needed for more cases and ob-servation periods.","PeriodicalId":49515,"journal":{"name":"Skull Base-An Interdisciplinary Approach","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82275324","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}

引用次数: 0

Endolymphatic sac tumor in a patient with enlarged vestibular aqueducts 前庭导水管扩大患者的内淋巴囊肿瘤

Skull Base-An Interdisciplinary Approach Pub Date : 2023-05-31 DOI: 10.55911/jksbs.22.0024

Yujin Lee, Su-Jin Shin, Ji Hwan Yoo, C. Song

引用次数: 0