Clinical and surgical outcome following surgical management of talar neck fractures

We describe an endaural technique for soft tissue and bony meatoplasty and canalplasty in the surgical management of chronic otitis externa unresponsive to medical treatment and out-patient microsuction. Following analysis of the surgical outcome via a retrospective review of patient records, we would recommend this surgical treatment in this patient group.

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Features of tumor texture influence surgery and outcome in intracranial meningioma

Neuro-Oncology Advances ◽

10.1093/noajnl/vdaa113 ◽

2020 ◽

Vol 2 (1) ◽

Author(s):

Thomas Sauvigny ◽

Franz L Ricklefs ◽

Lena Hoffmann ◽

Raphael Schwarz ◽

Manfred Westphal ◽

...

Keyword(s):

Surgical Management ◽

Surgical Outcome ◽

Clinical Presentation ◽

Intracranial Meningioma ◽

Tumor Vascularization ◽

Related Factors ◽

Duration Of Surgery ◽

Tumor Consistency ◽

Neurovascular Structures ◽

Significant Factors

Abstract Background Texture-related factors such as consistency, vascularity, and adherence vary considerably in meningioma and are thought to be linked with surgical resectability and morbidity. However, data analyzing the true impact of meningioma texture on the surgical management is sparse. Methods Patients with intracranial meningioma treated between 08/2014 and 04/2018 at our institution were prospectively collected for demographics, clinical presentation, histology, and surgical treatment with related morbidity and extend of resection. Tumor characteristics were reported by the surgeon using a standardized questionnaire including items such as tumor consistency, homogeneity, vascularization, and adherence to surrounding neurovascular structure and analyzed for their impact surgical outcome parameters using univariate and logistic regression analyses. Results Tumor texture-related parameters of 300 patients (72.3% female) with meningioma were analyzed. Meningioma localizations were grouped into 3 different cohorts namely convexity, skull base, and posterior. Postoperative occurrence of a neurological deficit (transient 23.0%; permanent 6.1%) was associated with the duration of surgery (P = .001), size of tumor (P = .046), tumor vascularization (P = .015), and adherence to neurovascular structures (P = .002). Coherently, the duration of surgery (mean 230.99 ± 101.33 min) was associated with size of tumor (P < .0001), vascularization (P < .0001), and adherence (P < .0001). Similar associations were recapitulated in subgroup analyses of different tumor localizations. Noteworthy, tumor rigidity had no significant impact on time of surgery and neurological outcome. Conclusions Our analysis demonstrates that tumor texture has an impact on the surgical management of meningioma and provides data that tumor vascularization and adherence are significant factors influencing surgical outcome whereas the influence of tumor consistency has less impact than previously thought.

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Mini craniotomy for chronic subdural haematoma: surgical outcome from a single institution experience and predictors of success

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20213660 ◽

2021 ◽

Author(s):

Mohammad Nazrul Hossain ◽

Mohammad HUmayun Rashid ◽

Israt Zerin Eva ◽

M. Sharif Bhuiyan ◽

Abdullah Al Mamun

Keyword(s):

Surgical Management ◽

Surgical Outcome ◽

Subdural Haematoma ◽

Chronic Subdural Hematoma ◽

Chronic Subdural Haematoma ◽

Predictors Of Success ◽

Single Institution ◽

Radiological Findings ◽

Significant Disability

Background: Chronic subdural hematoma (CSDH) is an increasingly common neurological disease in daily neurosurgical practice. Despite the wide prevalence of CSDH, there remains a lack of consensus regarding numerous aspects of its surgical management. The diagnosis and treatment are well established but there are different surgical procedures and outcome related to these procedures are not completely understood.Methods: The study conducted was conducted in department of neurosurgery at Ibrahim cardiac hospital and research institute, Dhaka, Bangladesh between January 2019 to July 2020, 105 patients were treated for chronic subdural haematoma This study evaluated the clinical features, radiological findings and surgical outcome by mini craniotomy assessed by modified Rankin scale (mRS) score and Glasgow outcome scale (GOS) score in a large series of patients treated at single institution.Results: At 6 months follow up, only one patient died (0.95%) because of co-morbidities and not directly related to the chronic subdural haematoma, 15 patients (14.3%) improved to mRS 0, 33.33% showed only mild symptoms without any significant disability-mRS 1, slight disability was observed in 28.5% patients, moderate disability was observed in 17.14% patients-mRS 3, moderately severe disability was observed in 5.7%-mRS 4.Conclusions: GOS score at 6 months follow up which shows majority of the patient improved to GOS score 4 (45.71%) and 5 (38.09%). Based on these results, among various method of surgical management, mini craniotomy provides better outcome.

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Surgical management of lung abscess that can predict the surgical outcome in patients with pleural Empyema

MOJ Surgery ◽

10.15406/mojs.2019.07.00156 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Attapon Cheepsattayakorn ◽

Ruangrong Cheepsattayakorn

Keyword(s):

Surgical Management ◽

Surgical Outcome ◽

Pleural Empyema ◽

Lung Abscess

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Impact of Afirma Gene Expression Classifier Result on Surgical Management of Cytologically Indeterminate Thyroid Nodules and Its Correlation with Surgical Outcome and Cytomorphologic Features

Journal of the American Society of Cytopathology ◽

10.1016/j.jasc.2016.07.175 ◽

2016 ◽

Vol 5 (5) ◽

pp. S76-S77 ◽

Cited By ~ 1

Author(s):

Shweta Chaudhary ◽

Zaibo Li

Keyword(s):

Gene Expression ◽

Surgical Management ◽

Surgical Outcome ◽

Thyroid Nodules ◽

Gene Expression Classifier

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Surgical Management of Patients With 22q11.2 Deletion Syndrome

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig5-2019-0004 ◽

2019 ◽

Vol 4 (5) ◽

pp. 857-869

Author(s):

Oksana A. Jackson ◽

Alison E. Kaye

Keyword(s):

Surgical Management ◽

Preoperative Evaluation ◽

Preoperative Assessment ◽

22Q11.2 Deletion Syndrome ◽

Deletion Syndrome ◽

22Q11.2 Deletion ◽

Surgical Decision ◽

Obstructive Sleep ◽

Spine Abnormalities ◽

Speech Assessment

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.

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