Objective To study microsurgical effectiveness Foerster-Dandy’s endoscope-assisted operation for treatment of spasmodic torticollis. Methods 183 cases of spasmodic torticollis patients were treated by microsurgical m...Objective To study microsurgical effectiveness Foerster-Dandy’s endoscope-assisted operation for treatment of spasmodic torticollis. Methods 183 cases of spasmodic torticollis patients were treated by microsurgical modified Foerster-Dandy’s operation from July 2001 to June 2009,which was randomly展开更多
Objectives:Traditional resection of second branchial cleft fistulas(SBCFs)involves a transcervical incision in the neck,which leaves a prominent scar;therefore,endoscope-assisted excision of SBCFs through the anterior...Objectives:Traditional resection of second branchial cleft fistulas(SBCFs)involves a transcervical incision in the neck,which leaves a prominent scar;therefore,endoscope-assisted excision of SBCFs through the anterior chest approach has been proposed.To introduce endoscope-assisted excision of SBCFs via the anterior chest approach and to evaluate its feasibility,validity,safety,and clinical results.Methods:This was a study of four patients with SBCFs who underwent surgical resection with the assistance of endoscopy via the anterior chest approach between May 2012 and May 2018.Results:All procedures were successfully performed with endoscope-assisted surgery via the anterior chest approach.The volume of blood loss ranged from 5 to 10 mL(median 6 ml).The operating time ranged from 45 to 67 min(median 50 min).No patients presented evidence of long-term complications or recurrence during the median follow-up period of 72-144 months(median 99 months).All patients were satisfied with the cosmetic outcomes.Conclusions:Endoscope-assisted resection of SBCFs via the anterior chest approach is feasible,effective,and safe and has better esthetic effects.Therefore,SBCF surgery via the anterior chest approach could be a novel and superior treatment option for patients with SBCFs.展开更多
Background:Several approaches have been described for the excision of parapharyngeal space tumors(PPSTs).Advances in endoscopy gave a further stimulus to the use of the transoral route.Aims:We present our experience w...Background:Several approaches have been described for the excision of parapharyngeal space tumors(PPSTs).Advances in endoscopy gave a further stimulus to the use of the transoral route.Aims:We present our experience with the endoscopy-assisted transoral approach(EATA)in this regard and a review of the most recent literature about EATA for PPSTs excision.Materials and Methods:We retrospectively analyzed our experience and systematically reviewed the literature about the outcomes of this technique.Results:Seven PPSTs were completely excised,with three of them requiring a combined transcervical approach.Only one case of postoperative wound dehiscence was registered,and the mean length of stay was 3.9 days.Final histopathological examination confirmed the results obtained with preoperative fine-needle aspiration biopsy in all cases and no recurrences were apparent after a mean follow-up of 28.1 months.Discussion:Magnetic resonance imaging,the modified Mallampati score and the 8 Ts criteria are useful instruments for the choice of the most appropriate surgical approach.Conclusion:In light of our experience and following other published series in the literature,we believe that EATA may represent a safe and effective approach for the treatment of the majority of PPSTs.展开更多
The skull base communicating tumor is characterized by simultaneous invasion of the intracranial and extracranial structures. The tumor may originate from the intracranial structures and invade extracranially, or vice...The skull base communicating tumor is characterized by simultaneous invasion of the intracranial and extracranial structures. The tumor may originate from the intracranial structures and invade extracranially, or vice versa. The total resection of the tumor is difficult, and a lot of complications may occur after the operation.1 From September 1998 to September 2002, 21 patients with skull base communicating tumors were treated in our hospital by endoscope-assisted combined with diode laser through approaches. microneurosurgery different operative展开更多
文摘Objective To study microsurgical effectiveness Foerster-Dandy’s endoscope-assisted operation for treatment of spasmodic torticollis. Methods 183 cases of spasmodic torticollis patients were treated by microsurgical modified Foerster-Dandy’s operation from July 2001 to June 2009,which was randomly
文摘Objectives:Traditional resection of second branchial cleft fistulas(SBCFs)involves a transcervical incision in the neck,which leaves a prominent scar;therefore,endoscope-assisted excision of SBCFs through the anterior chest approach has been proposed.To introduce endoscope-assisted excision of SBCFs via the anterior chest approach and to evaluate its feasibility,validity,safety,and clinical results.Methods:This was a study of four patients with SBCFs who underwent surgical resection with the assistance of endoscopy via the anterior chest approach between May 2012 and May 2018.Results:All procedures were successfully performed with endoscope-assisted surgery via the anterior chest approach.The volume of blood loss ranged from 5 to 10 mL(median 6 ml).The operating time ranged from 45 to 67 min(median 50 min).No patients presented evidence of long-term complications or recurrence during the median follow-up period of 72-144 months(median 99 months).All patients were satisfied with the cosmetic outcomes.Conclusions:Endoscope-assisted resection of SBCFs via the anterior chest approach is feasible,effective,and safe and has better esthetic effects.Therefore,SBCF surgery via the anterior chest approach could be a novel and superior treatment option for patients with SBCFs.
文摘Background:Several approaches have been described for the excision of parapharyngeal space tumors(PPSTs).Advances in endoscopy gave a further stimulus to the use of the transoral route.Aims:We present our experience with the endoscopy-assisted transoral approach(EATA)in this regard and a review of the most recent literature about EATA for PPSTs excision.Materials and Methods:We retrospectively analyzed our experience and systematically reviewed the literature about the outcomes of this technique.Results:Seven PPSTs were completely excised,with three of them requiring a combined transcervical approach.Only one case of postoperative wound dehiscence was registered,and the mean length of stay was 3.9 days.Final histopathological examination confirmed the results obtained with preoperative fine-needle aspiration biopsy in all cases and no recurrences were apparent after a mean follow-up of 28.1 months.Discussion:Magnetic resonance imaging,the modified Mallampati score and the 8 Ts criteria are useful instruments for the choice of the most appropriate surgical approach.Conclusion:In light of our experience and following other published series in the literature,we believe that EATA may represent a safe and effective approach for the treatment of the majority of PPSTs.
基金Zhejiang Province Intensive Generalized Project for Medicine Scientific and Technological Production (No. 2005TG012)
文摘The skull base communicating tumor is characterized by simultaneous invasion of the intracranial and extracranial structures. The tumor may originate from the intracranial structures and invade extracranially, or vice versa. The total resection of the tumor is difficult, and a lot of complications may occur after the operation.1 From September 1998 to September 2002, 21 patients with skull base communicating tumors were treated in our hospital by endoscope-assisted combined with diode laser through approaches. microneurosurgery different operative
