in this study, we examined the role of early acetazolamide administration in reducing the risk of cerebrospinal fluid (csf) leakage in patients with a high risk of permanent csf leakage. in a randomised clinical trial, 57 patients with a high risk of permanent csf leakage (rhinorrhea, otorrhea, pneumatocele or imaging-based evidence of severe skull-base fracture) were analysed. in the experimen...

background: total and partial gastrectomy is commonly used to treat gastric carcinoma or other benign or malignant conditions of the stomach. laparoscopic-assisted distal gastrectomy is an alternative approach for treating mucosal gastric cancer. many investigators have assessed the safety, efficacy, and feasibility of this procedure.rnobjectives: the aim of present study is to compare the outc...

BACKGROUND The expansion of endoscopic endonasal skull base surgery has resulted in an increased demand for reconstructive options. Reconstruction with vascularized tissue has proven indispensable for reliably separating the cranial contents from the paranasal sinuses following extended endoscopic endonasal approaches (EEA). The introduction of the Hadad-Bassagasteguy flap (vascular pedicle nas...

BACKGROUND Volumetric-modulated Dynamic WaveArc therapy (VMDWAT) is a non-coplanar continuous volumetric modulated radiation therapy (VMAT) delivery technique. Here, we monitored mechanical errors and their impact on dose distributions in VMDWAT using logfiles throughout the course of treatment. METHODS Fifteen patients were enrolled (2 skull base tumor patients and 13 prostate cancer patient...

The authors describe the surgical anatomy for the endoscopic endonasal approach (EEA) to the ventrolateral skull base. The ventrolateral skull base can be divided into two segments: the upper lateral and lower lateral skull base. The upper lateral skull base includes the cavernous sinus and the orbit, while the lower lateral skull base includes the petrous apex, Meckel's cave, parapharyngeal sp...

introduction : pulmonary adenosquamous carcinoma is an uncommon histological variety of bronchogenic carcinoma, and has histologic areas differentiated as both squamous cell carcinoma and adenocarcinoma and has clinical behavior more like that of adenocarcinoma. tumor stage is higher at the time of diagnosis, and survival is poorer. case presentation : we present a 65 years old woman with bulgi...

We present an unusual case of primary intracranial carcinoid tumor of the skull base centered at the level of the foramen jugulare, which was proven with surgical biopsy and later with Somatostatin receptor nuclear medicine scan. We present the salient magnetic resonance imaging features of this rare tumor, describe their characteristic nuclear medicine findings, and briefly review the literature.

OBJECTIVE To develop a new staging system for juvenile nasopharyngeal angiofibroma that reflects changes in surgical approaches (endonasal), route of intracranial extension, and the extent of vascular supply from the internal carotid artery. DESIGN Retrospective review of case series. SETTING Academic medical center. PATIENTS Patients undergoing endoscopic endonasal surgery for juvenile n...