Access to the skull base - Maxillary swing procedure - Long term analysis

Kalra, Gurudayal Singh; Midya, Manojit; Bedi, Mitesh

doi:10.4103/ams.ams_5_18

Cited by 9 publications

(6 citation statements)

References 20 publications

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“…The PPF is a relatively small and concealed area that communicates with intracranial and extracranial compartments via multiple bony canals and foramina through which different neoplasms can spread back and forth ( 5 ). The heterogeneity of the PPF’s tissues makes it a bed for a wide spectrum of benign and malignant lesions with variable prognoses ( 8 ), but its anatomical complexity poses a challenge to surgeons who hesitantly commit to removing such lesions.…”

Section: Discussionmentioning

confidence: 99%

Modified Maxillary-Swing Approach for Resection of Primary Malignancies in the Pterygopalatine Fossa

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Modified Maxillary-Swing Approach for Resection of Primary Malignancies in the Pterygopalatine Fossa

et al. 2020

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“…Several variations of transfacial swing procedures exist and have been comprehensively reviewed by Dr. Ian Jackson 20 with excellent long-term outcomes reported by Kalra and colleagues. 28 Transmaxillary: Two-Piece Lefort I Through an upper buccal sulcus incision, the maxilla is exposed as for a Lefort I osteotomy. Intraorally, the palate is incised in the midline, exposed, and osteotomized.…”

Section: Transfacial: Nasomaxillary Swingmentioning

confidence: 99%

“…In presurgical planning, attention is paid to the hand-dominance of the resecting neurosurgeon; for right-handed surgeons standing at the head of the bed, the maxilla is swung to the patient's left and the opposite for left-handed surgeons. Several variations of transfacial swing procedures exist and have been comprehensively reviewed by Dr. Ian Jackson 20 with excellent long-term outcomes reported by Kalra and colleagues 28 …”

Section: Surgical Approachesmentioning

confidence: 99%

Transfacial Exposures of the Anterior Skull Base and Cervical Spine: Straightforward “Line-of-Sight” Algorithm for Selection of Approach

Powers

Sachanandani

Chaiyasate

2021

Journal of Craniofacial Surgery

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K ennedy-Williams and colleagues have collaborated in exploring the implications of TCF12 genetic abnormalities and coronal synostosis on intellect and behavior. They note that TCF12 genetic abnormalities, on their own, tend to have more limited effects on functional behavior than other genetic disorders, such as FGFR2 &3, TWIST 1, SMAD 6. Genetic influences in this study were, by design evaluated specifically in syndromic cases. Genetic influences, now in addition, are also are being recognized in nonsyndromic disorders. 1 Genetic influence may be associated with either or both biologic parents, 2 and may take the form of craniosynostosis structural maldevelopment and reduced intellect. 3 In the present report, the authors have limited their analysis, specifically, to only those with TCF12 abnormalities associated with unilateral or bilateral coronal synostosis. Thirty-five patients were operated upon, 29 with a fronto orbital advancement procedure, and the remaining 6 with a myriad of techniques. Of note is, the mean age of primary transcranial surgery was 17 months, (range of 5-123 months). Questions arise as to what neurologic and behavioral sequelae are related to, or influenced by, the timing of surgery, versus those that are related to the genetic abnormality. A breakdown of the patients operated at a younger age, for example, less than 12, or even 6 months of age, versus later, would help clarify the extent of these influences. Although the limited deficits in patients neurologic outcomes are somewhat reassuring, detail would be useful. Conclusions related to eventual neurologic outcomes, also, may be defined as a function of the timing and type of analyses performed. It is known that the earlier assessments of cognition and the behavioral impacts are often less accurate when compared with those at a later age (typically at, at least 6 years or later). The authors have adjusted their timing of analyses, as much as is possible, to address this, but some questions still remain. Due to limitations in the number of patients available in both parent reported outcomes and standardized testing, longer term outcomes could be discerned more accurately at later age. In a condition as uncommon as is seen in the current study, limitations must remain until larger scale and optimally at a later age should be considered.The reader is somewhat reassured that in the longest analysis times show relatively little negative effect on intellect, however, issues related to emotional, hyperactivity, conduct, peer difficulty, and overall stress domains, may limit achievement without significant reductions in IQ. In sum, however, the authors are to be commended for this pioneering study.

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“…The total resection rate varies from 57% to 77%. [1][2][3][4] Surgical treatment of complex skull base tumors should be the first choice. [5][6][7] Tumor location, size, nature, and surrounding structures are significant to be evaluated comprehensively.…”

mentioning

confidence: 99%

“…It has been recognized as one of the most challenging subjects of neurosurgery. The total resection rate varies from 57% to 77% 1–4 . Surgical treatment of complex skull base tumors should be the first choice 5–7 .…”

mentioning

confidence: 99%

Surgical Management of Complex Skull Base Tumor Using Preoperative Multimodal Image Fusion Technology

Jian,

Chen,

et al. 2024

Journal of Craniofacial Surgery

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Objective: To review our single-institution experience in the surgical management of complex skull base tumors using multimodal image fusion technology. Methods: From October 2019 to January 2022, 7 cases of complex skull base tumors that performed preoperative multimodal image fusion in Zhuhai People’s Hospital neurosurgery department were involved in this study. The image data were uploaded to the GE AW workstation. Corresponding image sequences were opened in the workstation to complete registration fusion and 3D reconstruction. We retrospectively reviewed the clinical and imaging data, and surgical strategy, respectively. Results: one case of recurrent C2 schwannoma, 1 case of recurrent spindle cell tumor of the left cranio-orbital communication, 1 case of lobular malignant tumor of the left infratemporal fossa, 1 case of central giant cell repairing granuloma, 1 case of mesenchymal malignant tumor in left pharyngeal process, 1 case of meningioma in jugular foramen, and 1 case of hemangioblastoma with vascular malformation in fourth ventricular. All cases underwent preoperative multimodal image fusion for the surgical plan and all cases had gross total resection. Except for one case of mesenchymal malignant tumor in left pharyngeal process that had dysphagia and one case of hemangioblastoma that had discoordination, others cases were without postoperative complication. Conclusions: Preoperative multimodal image fusion and surgical approach simulation benefit complex skull base tumor surgical treatment. Individually multiple image assessment of complex skull base tumors to determine the specific surgical strategy is more rational and should be recommended (Supplemental Digital Content 1, Supplementary Video, http://links.lww.com/SCS/F936).

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Access to the skull base - Maxillary swing procedure - Long term analysis

Cited by 9 publications

References 20 publications

Modified Maxillary-Swing Approach for Resection of Primary Malignancies in the Pterygopalatine Fossa

Modified Maxillary-Swing Approach for Resection of Primary Malignancies in the Pterygopalatine Fossa

Transfacial Exposures of the Anterior Skull Base and Cervical Spine: Straightforward “Line-of-Sight” Algorithm for Selection of Approach

Surgical Management of Complex Skull Base Tumor Using Preoperative Multimodal Image Fusion Technology

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