Endoscopic Coblator™‐assisted management of encephaloceles

Smith, Ncholas; Riley, Kristen; Woodworth, Bradford A.

doi:10.1002/lary.21126

Cited by 29 publications

(25 citation statements)

References 22 publications

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“…Large encephaloceles and meningoceles require careful reduction with bipolar cautery and/or coblation [22] to allow repair and to reduce the risk of intracranial hemorrhage. Large encephaloceles and meningoceles require careful reduction with bipolar cautery and/or coblation [22] to allow repair and to reduce the risk of intracranial hemorrhage.…”

Section: Intraoperative Managementmentioning

confidence: 99%

Treatment of cerebrospinal fluid rhinorrhea

DeConde

Suh

Ramakrishnan

2015

Current Opinion in Otolaryngology & Head and Neck Surgery

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Patients with CSF rhinorrhea require surgical repair to prevent life-threatening complications. Many techniques and materials are effective at achieving closure of CSF fistula across causes. Evidence suggests that patients with high-flow CSF fistulas have improved outcomes with multilayered, vascularized repairs to decrease the risk of postoperative CSF leaks. Patients with idiopathic intracranial hypertension need long-term management of the underlying disease process.

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Section: Intraoperative Managementmentioning

confidence: 99%

Treatment of cerebrospinal fluid rhinorrhea

DeConde

Suh

Ramakrishnan

2015

Current Opinion in Otolaryngology & Head and Neck Surgery

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“…Meticulous bipolar cautery during encephalocele reduction is critical to avoiding retraction of a small dural or cerebral vessel within the sac. The Coblator (ArthroCare ENT, Sunnyvale, Calif., USA) is useful for rapid reduction in the encephalocele sac (both radiofrequency ablation and bipolar) without a concomitant increase in bleeding and also decreases bleeding in sinonasal/skull base tumor removal [54][55][56][57]. Avoiding trauma to the anterior ethmoid artery and limiting dissection in the region of the sphenopalatine artery and its branches will also reduce bleeding.…”

Section: Minimizing Morbidity and Reconstruction Failurementioning

confidence: 99%

Complications of Skull Base Reconstruction

Chaaban

Woodworth

2012

Comprehensive Techniques in CSF Leak Repair and Skull Base Reconstruction

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The skull base is an anatomically challenging location that is unique in that it requires three-dimensional considerations when formulating a reconstruction plan. Various methods have been described for repair including open, endoscopic and endoscopic-assisted approaches. Each of these can have complications that can arise either directly from access to the lesion or defect, or indirectly arising from patient characteristics, anesthetic considerations, as well as postoperative care. It is of utmost importance for the surgeon to select the appropriate technique and surgical access depending on the location of the lesion as well as the patient's specific anatomic variations. In this chapter, we highlight morbidity and mortality arising from various anatomical locations encountered during access for repair of skull base defects as well as those that may arise from lumbar drain placement. We also highlight some treatment protocols from the literature that will aid in the management of these complications. Careful patient selection, review of preoperative imaging, and meticulous technique are of utmost importance to prevent life-threatening problems. Surgeons should have intimate knowledge regarding management as well as methods in place to minimize their occurrence.

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“…Additional, prospective studies have demonstrated that radiofrequency coblation significantly decreases blood loss during endoscopic tumour removal, 14 and is a fast, effective method for reducing encephalocoeles. 15 Radiofrequency coblation can therefore theoretically achieve both ablation and haemostasis of telangiectatic and arteriovenous malformations, using the same instrument. The use of coblation in patients with hereditary haemorrhagic telangiectasia has not previously been formally reported.…”

Section: Introductionmentioning

confidence: 99%