STI Volume 31
$195.00
Surgical Technology International
31nd Edition
Contains 59 peer-reviewed articles featuring the latest advances in surgical techniques and technologies.
408 pages
December-2017 - ISSN:1090-3941
1 year Institutional Subscription
both electronic and print versions
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, University of Turin, Turin, Italy, Fulvio Tartara, MD, Consultant, Director of Department of Neurosurgery, Cremona Hospital, Cremona, Italy
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, John Caridi, MD, Assistant Professor of Neurosurgery and Orthopaedics, Jeremy Steinberger, MD, House Staff, Raj Shrivastava, MD, Associate Professor of Neurosurgery and Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York
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 DuraSeal™ (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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