A Novel Surgical Technique for Management of Giant Central Calcified Thoracic Disk Herniations: A Dual Corridor Method Involving Tubular Transthoracic/Retropleural Approach Followed by a Posterior Transdural Diskectomy

2018 ◽  
Vol 16 (5) ◽  
pp. 626-632
Author(s):  
Stephen R Lowe ◽  
Mohammed A Alshareef ◽  
Ryan T Kellogg ◽  
Evert A Eriksson ◽  
Stephen P Kalhorn
Keyword(s):  
Surgical Technique ◽  
Surgical Approaches ◽  
Corridor Method ◽  
Transdural Approach ◽  
Thoracic Discectomy ◽  
Single Approach ◽  
Surgical Option

Abstract BACKGROUND Thoracic disk herniations (TDHs) represent only 0.15% to 1.8% of surgically managed disk herniations but have posed a particular challenge to spine surgeons. Numerous surgical approaches have been cited in the literature with varying degrees of success, technical complexity, and complication profiles. OBJECTIVE To report a case of a combined lateral retropleural and dorsal transdural approach for complex thoracic discectomy. METHODS In this report, we describe a combined lateral/retropleural and posterior transdural approach for a patient with a giant calcified TDH that was not amenable to safe removal using a single approach. RESULTS In complex situations such as this, a dual corridor approach allows for improved visualization and maximal resection opportunity and opens up yet another option to address recalcitrant TDH. CONCLUSION The staged dual corridor approach is safe and represents a further surgical option for extremely difficult TDH.

Endoscopic Septal Spur Resection

1993 ◽  
Vol 7 (5) ◽  
pp. 213-216 ◽  
Author(s):  
Donald C. Lanza ◽  
Deborah Farb Rosin ◽  
David W. Kennedy
Keyword(s):  
Surgical Technique ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Sinus Surgery ◽  
Surgical Approaches ◽  
Postoperative Results ◽  
Valuable Alternative ◽  
Perioperative Morbidity ◽  
The Past ◽  
Septal Spur

A variety of surgical approaches exists for the management of nasal septal spurs in patients who undergo endoscopic sinus surgery (ESS). Treatment of septal spurs in the past has been frequently addressed by septoplasty which can result in increased bleeding and length of surgical procedure as well as mandate postoperative nasal packing. Individually each of these problems can jeopardize the success of endoscopic sinus surgery. An endoscopic approach, which targets the septal spur alone, can minimize perioperative morbidity. The purpose of this paper is to demonstrate the effectiveness of endoscopic septal spur resection (ESSR) for the management of significant septal spurs in 8 patients who underwent concurrent ESSR during ESS for chronic sinusitis. Surgical technique and postoperative results are discussed and suggest that ESSR is a valuable alternative to more traditional techniques.

Salvage Procedures

2018 ◽  
pp. 307-322
Author(s):  
Joaquin Sanchez-Sotelo
Keyword(s):  
Surgical Technique ◽  
Surgical Procedures ◽  
Glenohumeral Joint ◽  
Resection Arthroplasty ◽  
Successful Management ◽  
The Many ◽  
And Function ◽  
Surgical Option

The many surgical procedures summarized in previous chapters allow successful management of most shoulder conditions and result in improved pain, motion, and function. However, salvage procedures that sacrifice the glenohumeral joint or the scapulothoracic joint represent the best surgical option for a few patients. These salvage procedures are uncommon, but shoulder surgeons need to be familiar with their indications, surgical technique, and reported outcomes. This chapter addresses glenohumeral arthrodesis, scapulothoracic arthrodesis, and glenohumeral resection arthroplasty.

scholarly journals Surgical Approaches to the Orbit: A Neurosurgical Perspective

2020 ◽  
Vol 81 (04) ◽  
pp. 385-408
Author(s):  
Zeid Abussuud ◽  
Shahzada Ahmed ◽  
Alessandro Paluzzi
Keyword(s):  
Surgical Technique ◽  
Surgical Approaches ◽  
Orbital Tumours

AbstractOrbital pathologies can be complex to manage surgically. In this article, we describe some of the most common and relevant approaches to orbital tumours. For each approach we describe the appropriate indications, surgical technique, potential complications, and illustrate a case example.

Current Image-Guided Interventions in Pediatric Surgery

2020 ◽  
Vol 30 (02) ◽  
pp. 164-171
Author(s):  
Nathan S. Rubalcava ◽  
Marcus D. Jarboe
Keyword(s):  
Image Quality ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Image Guidance ◽  
Surgical Intervention ◽  
Surgical Approaches ◽  
Current Image ◽  
Image Guided ◽  
Invasive Management

AbstractTraditionally, surgical technique has not included imaging modalities. Image guidance had largely been left to radiology specialties. However, in recent years, tremendous advances in imaging have taken place with improvements in image quality, portability, and accessibility. With these advances, surgeons have begun to realize the benefits of fusing image guidance with traditional surgical approaches. Subsequently, many novel surgical approaches utilizing image guidance have been developed that allow for precise, safe, and minimally invasive management of conditions that previously required open surgical intervention.

scholarly journals Cochlear Implant Surgical Technique: Our Experience

2018 ◽  
Vol 01 (01) ◽  
pp. 007-010
Author(s):  
Milind Kirtane ◽  
Kashmira Chavan
Keyword(s):  
Surgical Technique ◽  
Cochlear Implant ◽  
Cochlear Implantation ◽  
Electrode Array ◽  
Surgical Approaches ◽  
Implant Surgery ◽  
Original Technique ◽  
Cortical Mastoidectomy ◽  
Cochlear Implant Surgery ◽  
Posterior Tympanotomy

Abstract Introduction Different surgical approaches have been adopted for cochlear implantation, with cortical mastoidectomy–posterior tympanotomy being the most commonly followed technique. Method In this article, we describe the surgical technique for cochlear implant followed at our center, which has been successfully implemented in more than 2,500 cochlear implant surgeries. Cochlear implant surgery using the cortical mastoidectomy–posterior tympanotomy technique has been performed in more than 2,500 cases with some modifications to the original technique over a period of time. Results In spite of not using tie-down holes and securing down the receiver–stimulator with sutures, no cases of receiver–stimulator displacement or outward electrode migration have been noted with the current technique of creating a snug-fitting subperiosteal pocket along with a hook for the electrode array. Conclusion Adhering to a strict intraoperative surgical protocol plays an extremely important role in carrying out successful cochlear implant surgeries with minimal complications.

scholarly journals Late Treatment of Zygomatic-Orbital Complex Fracture with a Combination of Surgical Approaches

2018 ◽  
Vol 2 (1) ◽  
pp. 409-414
Author(s):  
Paola Corso ◽  
Guilherme Trento ◽  
Diego Stringhini ◽  
Delson Da Costa ◽  
Nelson Rebellato ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Invasive Procedure ◽  
Good Alternative ◽  
Surgical Approaches ◽  
Craniofacial Skeleton ◽  
Complex Fracture ◽  
Complex Fractures ◽  
Late Treatment

Zygomatic-orbital complex fractures are common in the middle face. As a protocol, it is necessary to establish an adequate exposure of the surgical site. The best surgical approach still remains a lot of controversy. However, the bicoronal flap is a versatile surgical technique to expose the craniofacial skeleton and allow an appropriate access to reduce and fix the fractured segments, being therefore a good alternative for the treatment. The association of other surgical approaches could promote better exposure of the fractured areas, turning an invasive procedure more complete and favorable. This article aims to report a case of zygomatic-orbital complex fractures and suggest a coronal approach along with others techniques to treat this kind of trauma. The great outcomes showed a satisfactory rehabilitation, fractures stabilized, favorable function and good aesthetic.

scholarly journals Microstomia Caused by Swallowing of Caustic Soda: Report of a Case

2003 ◽  
Vol 4 (4) ◽  
pp. 91-99 ◽  
Author(s):  
Wilson Denis Martins ◽  
Fernando Henrique Wastphalen ◽  
Vania Portela Ditzel Westphalen
Keyword(s):  
Surgical Technique ◽  
Caustic Soda ◽  
General Surgeon ◽  
Review Of The Literature ◽  
Accidental Ingestion ◽  
Surgical Option

Abstract A case of microstomia caused by swallowing caustic soda is presented. A 54-year old man developed a progressive stricture of the circumoral region following accidental ingestion of caustic soda when he was 9 years old. He was treated by a general surgeon who performed bilateral commissurotomies when he was 19 years old and lived normally until he needed major dental prosthetic treatment. His dentist was unable to perform the treatment due to the mouth stricture. The surgical option was to perform bilateral buccal mucosal flaps. A review of the literature and the surgical technique are presented. Citation Martins WD, Westphalen FH, Westphalen VPD. Microstomia Caused by Swallowing of Caustic Soda: Report of a Case. J Contemp Dent Pract 2003 November;(4)4:091-099.

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