World Neurosurg
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Case Reports
Risks of endoscopic temporal ventriculocisternostomy for isolated lateral ventricle: Anatomical surgical nuances.
Entrapment of the temporal horn, known as isolated lateral ventricle (ILV), is a rare type of noncommunicating focal hydrocephalus, and standard treatment has not been established. We report 2 cases of endoscopic surgery for ILV and highlight the anatomic surgical nuances to avoid associated surgical risks. ⋯ Although endoscopic temporal ventriculocisternostomy is considered a safe and less invasive procedure for treatment of symptomatic ILV, the technique is still associated with risks. To avoid complications, it is necessary to be familiar with the anatomy of the choroidal arteries and the pertinent endoscopic intraventricular orientation. Additionally, sufficient experience is required before it can be recommended as the treatment of choice.
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The objective of this article is to evaluate whether newly developed calcium phosphate cement (CPC), mounted around the titanium plates, is useful for aesthetic cranial reconstruction by using 2 methods. ⋯ Use of CPC was expected to bring better aesthetic outcomes after neurosurgical cranial reconstructions.
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To demonstrate the clinical utility of the buccal fat pad flap (BFPF) for closing a variety of skull base defects. ⋯ This is the first report on the application of endoscopic BFPF. Our experience suggests that this recently described flap is viable and a useful addition to the armamentarium of the skull base surgeon.
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Comparative Study
The Alar Ligaments: A Cadaveric and Radiologic Comparison Study.
A precise anatomical description of the alar ligaments is important to better understand their biomechanical and pathologic implications. Although there are several studies regarding their anatomy, the literature is inconsistent. To our knowledge, there are no reports that compare cadaveric morphologic findings with computed tomography (CT) images of the alar ligaments. ⋯ There were small but not statistically significant differences in the measurements between the cadaver specimens and the CT images. There was however, a strong correlation between the proximal and distal insertions, as well as the orientation of the fibers, that suggests CT images can be an appropriate approach to the study of the anatomical and 3-dimensional features of the alar ligaments.
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Comparative Study
Observation of the effects of different surgical treatments on unilateral masticatory muscle spasm.
Unilateral masticatory muscle spasm is a rare disease without a generally accepted and efficacious treatment plan. ⋯ Complete amputation of the trigeminal nerve did achieve better effects than pure microvascular decompression and partial amputation of the trigeminal motor branch, but it may lead to mild temporal muscle atrophy.