scholarly journals A Simple Method for Percutaneous Reduction of Isolated Zygomatic Arch Fractures With a Dental Elevator: A Technical Note

2020 ◽  
Vol 5 ◽  
pp. 247275122095168
Author(s):  
Wais Sorghabi ◽  
Jurrijn Kleinbergen ◽  
Ruud Bos ◽  
Baucke Van Minnen
Keyword(s):  
Minimally Invasive ◽  
General Anesthesia ◽  
Mouth Opening ◽  
Technical Note ◽  
Zygomatic Arch ◽  
Facial Skeleton ◽  
Invasive Treatment ◽  
Simple Method ◽  
Percutaneous Approach ◽  
Percutaneous Reduction

Isolated zygomatic arch fractures are common fractures of the facial skeleton. Dislocation may result in facial disharmony and/or restricted mouth opening if not treated properly. Different methods of minimally invasive treatment of depressed fractures of the zygomatic arch have been described. Most of them are based on either a direct percutaneous approach with a malar hook, a temporal approach according to Gillies, or transorally according to Keen. For these methods, general anesthesia is often preferred. In this technical note, an alternative method of a percutaneous approach for reduction of a zygomatic arch fracture under local anesthesia is presented.

Fish-Mouth Thoracic Fracture Fixation with Minimally Invasive Percutaneous Reduction: A Technical Note

2019 ◽  
Vol 122 ◽  
pp. 106-111
Author(s):  
Chester J. Donnally ◽  
Karthik Madhavan ◽  
Julian G. Lugo-Pico ◽  
Lee Onn Chieng ◽  
Steven Vanni
Keyword(s):  
Minimally Invasive ◽  
Fracture Fixation ◽  
Technical Note ◽  
Percutaneous Reduction

Minimally Invasive Echo-Guided Placement Of The Cardiac Tube In A Ventriculoatrial Shunt During Pregnancy: Technical Note

2007 ◽  
Vol 61 (suppl_5) ◽  
pp. ONSE398-ONSE398
Author(s):  
Licia Di Muro ◽  
Roberto Pallini ◽  
Domenico Pietrini ◽  
Christian Colizzi ◽  
Luca Denaro
Keyword(s):  
Minimally Invasive ◽  
Internal Jugular Vein ◽  
Right Atrium ◽  
Jugular Vein ◽  
Technical Note ◽  
Invasive Technique ◽  
Success Rates ◽  
Ventriculoatrial Shunt ◽  
Simple Method ◽  
Sonographic Guidance

Abstract Objective: We describe a minimally invasive echo-guided placement of the cardiac tube in a ventriculoatrial shunt in a young pregnant woman, in order to avoid any radiological procedure. Methods: We used a central venous catheter placement kit for percutaneous echo-guided right internal jugular vein puncture located by a 7.5 mHz microlinear probe. Through the catheter, the distal portion of the shunt device was positioned into the internal jugular vein to the right atrium using ultrasound control by a 2.5 to 3.5 mHz probe in a four-chamber transthoracic view. Results: Sonographic guidance in percutaneous placement of a vertebral artery shunt is a safe and fast minimally invasive technique that improves success rates and decreases complications such as incidental puncture of the carotid artery and pneumothorax. The use of a two-dimensional echocardiographic apparatus in a four-chamber transthoracic view is an accurate and simple method to verify the position of the distal tip of the shunt in the mid-right atrium with no risks for the patient. Conclusion: The use of these two techniques allows a minimally invasive, safe, accurate, and complete x-ray-free procedure.

scholarly journals Minimally Invasive Treatment of the Thoracic Spine Disease: Completely Percutaneous and Hybrid Approaches

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Tamburrelli Francesco Ciro ◽  
Scaramuzzo Laura ◽  
Genitiempo Maurizio ◽  
Proietti Luca
Keyword(s):  
Minimally Invasive ◽  
Thoracic Spine ◽  
Postoperative Recovery ◽  
Hybrid Technique ◽  
Open Approach ◽  
Invasive Treatment ◽  
Invasive Approach ◽  
Percutaneous Approach ◽  
Hybrid Approaches ◽  
Spine Disease

The aim of the study was to evaluate the feasibility of a limited invasive approach for the treatment of upper thoracic spine disease. Seven patients with type-A thoracic fractures and three with tumors underwent long thoracic stabilization through a minimally invasive approach. Four patients underwent a completely percutaneous approach while the other three underwent a modified hybrid technique, a combination of percutaneous and open approach. The hybrid constructs were realized using a percutaneous approach to the spine distally to the spinal lesion and by open approach proximally. In two patients, the stabilization was extended proximally up to the cervical spine. Clinical and radiographic assessment was performed during the first year after the operation at 3, 6, and 12 months. No technically related complications were seen. The postoperative recovery was rapid even in the tumor patients with neurologic impairment. Blood loss was irrelevant. At one-year follow-up there was no loosening or breakage of the screws or failure of the implants. When technically feasible a completely percutaneous approach has to be taken in consideration; otherwise, a combined open-percutaneous approach could be planned to minimize the invasivity of a completely open approach to the thoracic spine.

scholarly journals Fractures of the Zygomaticomaxillary Complex

2021 ◽  
pp. 1151-1199
Author(s):  
Elavenil Panneerselvam ◽  
Poornima Ravi ◽  
B. Sasikala
Keyword(s):  
Minimally Invasive ◽  
Mouth Opening ◽  
Facial Skeleton ◽  
Functional Deficits ◽  
Form And Function ◽  
Optimal Outcomes ◽  
Minimally Invasive Surgical ◽  
And Function ◽  
Operative Assessment ◽  
Zygomaticomaxillary Complex

AbstractFractures of the Zygomatico Maxillary complex result in cosmetic deformity as well as functional deficits such as altered vision, restricted mouth opening and paresthesia. Accurate restitution of the form and function of the ZMC is challenging because of its multipoint- articulation within the cranio facial skeleton and the difficulty involved in intra-operative assessment of reduction at all articulations. Management of ZMC fractures is unique; (1) The approaches used for reduction may be different from those for fixation (2) Lack of complete visualization of fracture predisposes to over or under reduction resulting in sub optimal outcomes (3) Philosophies of fixation and stabilization are numerous and debatable.With advancements in the imaging technology, armamentarium and refinement of approaches to fracture, there is an emerging trend towards achieving utmost precision in reduction and fixation with minimally invasive surgical principles. This chapter aims at elaborating the biodynamics of ZMC fractures, the evolution of various techniques for reduction & fixation along with their rationale and finally the cutting-edge technology in management of fractured ZMC.

scholarly journals A Simple Method to Avoid Brain Shift during Neuronavigation: Technical Note

2020 ◽  
Author(s):  
Jair Leopoldo Raso
Keyword(s):  
Dura Mater ◽  
Brain Area ◽  
Conventional Technique ◽  
Technical Note ◽  
Cortical Surface ◽  
Brain Shift ◽  
Simple Method ◽  
Cortex Area ◽  
Neuronavigation System ◽  
The Brain

Abstract Introduction The precise identification of anatomical structures and lesions in the brain is the main objective of neuronavigation systems. Brain shift, displacement of the brain after opening the cisterns and draining cerebrospinal fluid, is one of the limitations of such systems. Objective To describe a simple method to avoid brain shift in craniotomies for subcortical lesions. Method We used the surgical technique hereby described in five patients with subcortical neoplasms. We performed the neuronavigation-guided craniotomies with the conventional technique. After opening the dura and exposing the cortical surface, we placed two or three arachnoid anchoring sutures to the dura mater, close to the edges of the exposed cortical surface. We placed these anchoring sutures under microscopy, using a 6–0 mononylon wire. With this technique, the cortex surface was kept close to the dura mater, minimizing its displacement during the approach to the subcortical lesion. In these five cases we operated, the cortical surface remained close to the dura, anchored by the arachnoid sutures. All the lesions were located with a good correlation between the handpiece tip inserted in the desired brain area and the display on the navigation system. Conclusion Arachnoid anchoring sutures to the dura mater on the edges of the cortex area exposed by craniotomy constitute a simple method to minimize brain displacement (brain-shift) in craniotomies for subcortical injuries, optimizing the use of the neuronavigation system.

scholarly journals Laser interstitial thermotherapy (LITT) for the treatment of tumors of the brain and spine: a brief review

2021 ◽  
Vol 151 (3) ◽  
pp. 429-442
Author(s):  
Clark Chen ◽  
Ian Lee ◽  
Claudio Tatsui ◽  
Theresa Elder ◽  
Andrew E. Sloan
Keyword(s):  
Brain Tumors ◽  
Minimally Invasive ◽  
Radiation Necrosis ◽  
Spinal Metastasis ◽  
Clinical Approach ◽  
Invasive Treatment ◽  
Primary Indication ◽  
Interstitial Thermotherapy ◽  
The Brain

Abstract Introduction Laser Interstitial Thermotherapy (LITT; also known as Stereotactic Laser Ablation or SLA), is a minimally invasive treatment modality that has recently gained prominence in the treatment of malignant primary and metastatic brain tumors and radiation necrosis and studies for treatment of spinal metastasis has recently been reported. Methods Here we provide a brief literature review of the various contemporary uses for LITT and their reported outcomes. Results Historically, the primary indication for LITT has been for the treatment of recurrent glioblastoma (GBM). However, indications have continued to expand and now include gliomas of different grades, brain metastasis (BM), radiation necrosis (RN), other types of brain tumors as well as spine metastasis. LITT is emerging as a safe, reliable, minimally invasive clinical approach, particularly for deep seated, focal malignant brain tumors and radiation necrosis. The role of LITT for treatment of other types of tumors of the brain and for spine tumors appears to be evolving at a small number of centers. While the technology appears to be safe and increasingly utilized, there have been few prospective clinical trials and most published studies combine different pathologies in the same report. Conclusion Well-designed prospective trials will be required to firmly establish the role of LITT in the treatment of lesions of the brain and spine.

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