Real‐time hemodynamic effects of 1:100,000 and 1:200,000 injectable epinephrine and placement of topical 1:1000 epinephrine pledgets in patients undergoing endoscopic sinus and skull‐base surgery: a randomized, prospective study

2019 ◽  
Vol 10 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Omar G. Ahmed ◽  
Justin Yu ◽  
Jonathan S. Choi ◽  
Michael T. Yim ◽  
Daniel Yoshor ◽  
...  
Keyword(s):  
Prospective Study ◽  
Skull Base ◽  
Real Time ◽  
Skull Base Surgery ◽  
Hemodynamic Effects

scholarly journals Real-Time Navigation-Guided Drilling Technique for Skull Base Surgery in the Middle and Posterior Fossae

2018 ◽  
Vol 79 (S 04) ◽  
pp. S334-S339 ◽  
Author(s):  
Tetsuya Goto ◽  
Yosuke Hara ◽  
Kazuhiro Hongo ◽  
Toshihiro Ogiwara
Keyword(s):  
Skull Base ◽  
Real Time ◽  
Navigation System ◽  
Skull Base Surgery ◽  
Petrous Bone ◽  
Surface Registration ◽  
University Hospital ◽  
Registration Method ◽  
Bony Surface ◽  
Drilling Technique

Objective The usefulness of the bony surface registration method for navigation system image-guided surgery in the lateral or prone position has been reported. This study was performed to evaluate the efficacy of our new real-time navigation-guided drilling technique with bony surface registration for skull base surgery in the middle and posterior fossae. Methods The study included 29 surgeries for skull base tumors that required drilling of the petrous bone between January 2015 and December 2017 in Shinshu University Hospital. A navigation system was used for drilling of the petrous bone as follows: (1) some labyrinthine structures were marked by color in the source image and superimposed on the navigation image on the workstation preoperatively; (2) bony surface registration was performed with a three-dimensional (3D) skull reconstruction model in the operating room; (3) the petrous bone was drilled under navigation guidance with real-time view-through confirmation of 3D color-marked labyrinthine structures with observation under a microscopic operative view. Results Real-time identification of some structures in the petrous bone was performed, and adequate and precise drilling of the petrous bone was achieved without the risk of labyrinthine perforation or stress. Using this method, surgeons do not need to alternate their gaze between the surgical field and the navigation screen. Conclusions Due to the development of bony surface registration, this new technique is useful for drilling petrous bone in the middle and posterior fossa skull base surgeries.

Augmented Real-Time Navigation with Critical Structure Proximity Alerts for Endoscopic Skull Base Surgery

2012 ◽  
Vol 73 (S 01) ◽  
Author(s):  
Benjamin Dixon ◽  
Michael Daly ◽  
Harley Chan ◽  
Allan Vescan ◽  
Ian Witterick ◽  
...  
Keyword(s):  
Skull Base ◽  
Real Time ◽  
Skull Base Surgery ◽  
Endoscopic Skull Base Surgery ◽  
Critical Structure

Augmented real-time navigation with critical structure proximity alerts for endoscopic skull base surgery

2013 ◽  
Vol 124 (4) ◽  
pp. 853-859 ◽  
Author(s):  
Benjamin J. Dixon ◽  
Michael J. Daly ◽  
Harley Chan ◽  
Allan Vescan ◽  
Ian J. Witterick ◽  
...  
Keyword(s):  
Skull Base ◽  
Real Time ◽  
Skull Base Surgery ◽  
Endoscopic Skull Base Surgery ◽  
Critical Structure

Long-term outcomes of endoscopic endonasal approach for skull base surgery: a prospective study

2015 ◽  
Vol 273 (7) ◽  
pp. 1809-1817 ◽  
Author(s):  
Elena Rioja ◽  
Manuel Bernal-Sprekelsen ◽  
Karla Enriquez ◽  
Joaquim Enseñat ◽  
Ricard Valero ◽  
...  
Keyword(s):  
Prospective Study ◽  
Skull Base ◽  
Skull Base Surgery ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Long Term Outcomes ◽  
Endoscopic Endonasal ◽  
A Prospective Study
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