STI Volume 31

 

$195.00

Surgical Technology International 31

 

Surgical Technology International Vol. 31 contains 59 peer-reviewed articles featuring the latest advances in surgical techniques and technologies.

 

December-2017- ISSN:1090-3941

 

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Neuro and Spine Surgery

Facial Nerve Schwannoma: A Case Report, Radiological Features and Literature Review
Giulia Pilloni, MD, Chief Resident, Barbara Massa Micon, MD, Consultant, Roberto Altieri, MD, Chief Resident, Francesco Zenga, MD, Consultant, Alessandro Ducati, MD, PhD, Full Professor, Diego Garbossa, MD, PhD, Assistant Professor, Fulvio Tartara, MD, Consultant

 

Abstract


Facial nerve schwannoma localized in the middle fossa is a rare lesion. We report a case of a facial nerve schwannoma in a 30-year-old male presenting with facial nerve palsy.
Magnetic resonance imaging (MRI) showed a 3 cm diameter tumor of the right middle fossa. The tumor was removed using a sub-temporal approach. Intraoperative monitoring allowed for identification of the facial nerve, so it was not damaged during the surgical excision. Neurological clinical examination at discharge demonstrated moderate facial nerve improvement (Grade III House-Brackmann).

923

3-11-2017

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A Better Method for Repairing Lumbar Dural Tears? A Review of the Literature
Evan Mullen, MS, Medical Student, John Caridi, MD, Assistant Professor of Neurosurgery and Orthopaedics, Jeremy Steinberger, MD, House Staff, Raj Shrivastava, MD, Associate Professor of Neurosurgery and Otolaryngology

 

Abstract


Although dural tears are a frequent complication of lumbar spine surgery, no standardized method exists for their treatment. Given the growing number of spinal procedures performed worldwide, it is important to codify an effective strategy for managing repair of the dura mater. This paper is a review of the comparative effectiveness of the current treatments available for dural tears. Our findings suggest that, where possible, repair should be made via direct suturing using material that minimizes the difference between the size of needle and thread. Adhesives and glues, such as DuraSealâ„¢ (Medtronic, PLC, Minneapolis, Minnesota), should be considered to augment the strength of the repair and collagen xenografts should be used where suturing is impossible. An enhanced effort in this research area is necessary to reinforce and improve these recommendations.

914

12-11-2017

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