Ricardo L. Carrau
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View article: Mandibular reconstruction outcomes for in-house patient-specific solutions
Mandibular reconstruction outcomes for in-house patient-specific solutions Open
View article: Expert Strategies: Skull Base Reconstruction—Global Perspectives, Insights, and Algorithms through a Mixed Methods Approach
Expert Strategies: Skull Base Reconstruction—Global Perspectives, Insights, and Algorithms through a Mixed Methods Approach Open
Objective There is limited consensus on endoscopic skull base surgery (ESBS) reconstruction principles. This study aims to generate comprehensive themes regarding ESBS reconstruction by pooling the experiences of ESBS experts, with compari…
View article: Use of intraoperative ultrasound in differentiating adamantinomatous versus papillary craniopharyngiomas and guiding resection through the endoscopic endonasal route
Use of intraoperative ultrasound in differentiating adamantinomatous versus papillary craniopharyngiomas and guiding resection through the endoscopic endonasal route Open
View article: Assessment of endoscopic and external approaches for frontal sinus lesions
Assessment of endoscopic and external approaches for frontal sinus lesions Open
Objectives The use of endoscopic approaches has revolutionized the management of frontal sinus (FS) lesions. However, external approaches still play a significant role in select conditions. Various factors determine the decision to utilize…
View article: Meningioma En Plaque Associated with Cerebrospinal Fluid Rhinorrhea: A Systematic Review of the Literature with Case Presentation
Meningioma En Plaque Associated with Cerebrospinal Fluid Rhinorrhea: A Systematic Review of the Literature with Case Presentation Open
MEP associated with spontaneous CSF rhinorrhea is extremely rare and poses diagnostic and therapeutic challenges. Conservative management for select cases of MEP can be a good choice, sparing the patient from surgical complications, especi…
View article: International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors
International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors Open
BACKGROUND: Sinonasal neoplasms, whether benign and malignant, pose a significant challenge to clinicians and represent a model area for multidisciplinary collaboration in order to optimize patient care. The International Consensus Stateme…
View article: Growth dynamics of Rathke's Cleft cyst: a risk score system for surgical decision making
Growth dynamics of Rathke's Cleft cyst: a risk score system for surgical decision making Open
Objective Rathke's cleft cysts (RCCs) exhibit variable growth patterns, thus posing a challenge in predicting progression. While some RCCs may not cause symptoms, others can insidiously cause pituitary dysfunction, which is often irreversi…
View article: The Nasopharyngo‐Septal Butterfly Flap: A Novel Adjunct for Reconstructing Large Skull Base Defects
The Nasopharyngo‐Septal Butterfly Flap: A Novel Adjunct for Reconstructing Large Skull Base Defects Open
Objective Skull base defects can be challenging to reconstruct. The nasoseptal flap (NSF) remains the first‐line option for reconstruction. However, it can be inadequate to cover wide defects or compromised by tumor invasion or prior surge…
View article: “Intrasellar tumor-to-tumor metastasis: A single center experience with a systematic review”
“Intrasellar tumor-to-tumor metastasis: A single center experience with a systematic review” Open
View article: Factors Precipitating Overnight Admission After Sialolithectomy
Factors Precipitating Overnight Admission After Sialolithectomy Open
Objective To determine factors predicting overnight admission after sialolithectomy. Study Design Quality outcome database research. Setting The National Surgical Quality Improvement Program American College of Surgeons Participant User Fi…
View article: Advantages and caveats of endoscopic to the infratemporal fossa as isolated and combined techniques
Advantages and caveats of endoscopic to the infratemporal fossa as isolated and combined techniques Open
Objective Identify the benefits and caveats of combining minimal access approaches to the infratemporal fossa (ITF), such as the endoscopic transnasal, endoscopic transorbital, endoscopic transoral, and endoscopic sublabial transmaxillary …
View article: Correction to: Customized ventral bony and dural opening in the transplanum/transtuberculum and transclival variants of extended endoscopic endonasal approach to suprasellar craniopharyngiomas: an approach‑based stepwise cadaveric dissection and clinical applicability
Correction to: Customized ventral bony and dural opening in the transplanum/transtuberculum and transclival variants of extended endoscopic endonasal approach to suprasellar craniopharyngiomas: an approach‑based stepwise cadaveric dissection and clinical applicability Open
View article: Effectiveness of Nasolacrimal <scp>SCC</scp> Treatments and Promising Role of <scp>Chemo‐Induction</scp>: A Case Report and Systematic Review
Effectiveness of Nasolacrimal <span>SCC</span> Treatments and Promising Role of <span>Chemo‐Induction</span>: A Case Report and Systematic Review Open
Objective To comprehensively analyze reported cases of nasolacrimal squamous cell carcinoma (NLSCC), focusing on risk factors, treatment modalities, and outcomes. Additionally, investigate the impact of human Papillomavirus (HPV) status an…
View article: Endoscopic precaruncular medial transorbital and endonasal multiport approaches to the contralateral skull base: a clinicoanatomical study
Endoscopic precaruncular medial transorbital and endonasal multiport approaches to the contralateral skull base: a clinicoanatomical study Open
OBJECTIVE Minimally invasive endoscopic endonasal multiport approaches create additional visualization angles to treat skull base pathologies. The sublabial contralateral transmaxillary (CTM) approach and superior eyelid lateral transorbit…
View article: Anatomical Variations of the Ascending Pharyngeal Artery: Implications for Endoscopic Surgery in the Parapharyngeal Space
Anatomical Variations of the Ascending Pharyngeal Artery: Implications for Endoscopic Surgery in the Parapharyngeal Space Open
Objectives: The ascending pharyngeal artery (APA) travels with the parapharyngeal internal carotid artery (pICA) in the parapharyngeal space (PPS). This study aimed to investigate the anatomical variations of the APA, and to explore their …
View article: The infundibulochiasmatic angle and the favorability of an endoscopic endonasal approach in type IV craniopharyngioma: illustrative case
The infundibulochiasmatic angle and the favorability of an endoscopic endonasal approach in type IV craniopharyngioma: illustrative case Open
BACKGROUND Lesions located in the floor of the third ventricle are among the most difficult to access in neurosurgery. The neurovascular structures can limit transcranial exposure, whereas tumor extension into the third ventricle can limit…
View article: Endoscopic Endonasal Transpterygoid Approach and the Need for Myringotomy
Endoscopic Endonasal Transpterygoid Approach and the Need for Myringotomy Open
Objective The expanded endonasal transpterygoid approach (EETA) is used to access the middle and posterior fossa through the pterygoid process. Traditionally, the eustachian tube (ET) was resected during EETA, which often required subseque…
View article: <scp>RANK‐L</scp> inhibitor as a promising agent for refractory extensive craniofacial fibrous dysplasia: A case report
<span>RANK‐L</span> inhibitor as a promising agent for refractory extensive craniofacial fibrous dysplasia: A case report Open
Background McCune‐Albright syndrome is a rare disorder characterized by polyostotic fibrous dysplasia (FD), café‐au‐lait skin pigmentation, and endocrine dysfunction. Extensive FD in the craniofacial region can present significant challeng…
View article: Relevance of the Internal Jugular Vein for Surgery in the Upper Parapharyngeal Space
Relevance of the Internal Jugular Vein for Surgery in the Upper Parapharyngeal Space Open
Objective: Tumors arising from the upper parapharyngeal space (UPPS) may have intimate relationships with the internal carotid artery (ICA) and the internal jugular vein (IJV). The significance of the ICA in UPPS has been sufficiently arti…
View article: Real-time ultrasound guidance in the endoscopic endonasal resection of a retro-odontoid pannus: Technical note and case illustration
Real-time ultrasound guidance in the endoscopic endonasal resection of a retro-odontoid pannus: Technical note and case illustration Open
Background and Objectives: Odontoidectomy is a surgical procedure indicated in the setting of various pathologies, with the main goal of decompressing the ventral brain stem and spinal cord as a result of irreducible compression at the cra…
View article: International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors
International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors Open
Background Sinonasal neoplasms, whether benign and malignant, pose a significant challenge to clinicians and represent a model area for multidisciplinary collaboration in order to optimize patient care. The International Consensus Statemen…
View article: A rare case of multifocal chordoma involving the lower clivus and multiple spine levels: illustrative case
A rare case of multifocal chordoma involving the lower clivus and multiple spine levels: illustrative case Open
BACKGROUND Chordomas are rare bone tumors originating from notochord remnants with a predilection for the median axis of the body, primarily in the sacrococcygeal spine, skull base, and cervical spine. This paper presents the first reporte…
View article: Endoscopic Multiportal Approaches to Meckel's Cave: A Cadaveric Study and a Three-Dimensional Anatomical Video
Endoscopic Multiportal Approaches to Meckel's Cave: A Cadaveric Study and a Three-Dimensional Anatomical Video Open
Objective This cadaveric study aims to illustrate the lateral transorbital (LTO), transantral transpterygoid (TATP), and endoscopic endonasal approaches (EEA) to Meckel's cave (MC), defining their surgical freedom, area of exposure, and ad…
View article: Endoscopic ultrasound guided resection of a Cushing’s adenoma invading the medial cavernous sinus wall using the "interdural peeling" technique
Endoscopic ultrasound guided resection of a Cushing’s adenoma invading the medial cavernous sinus wall using the "interdural peeling" technique Open
Cushing’s adenoma invading the cavernous sinus requires aggressive resection to be cured. MRI is frequently inconclusive for identifying microadenomas, and visualizing the involvement of the medial cavernous sinus is even more challenging.…
View article: Body Mass Index (<scp>BMI</scp>) Related Morbidity with Thyroid Surgery
Body Mass Index (<span>BMI</span>) Related Morbidity with Thyroid Surgery Open
Objectives The increase in incidence of thyroid cancer correlates with strict increases in body mass index (BMI) and obesity in the United States. Thyroid hormone dysregulation has been shown to precipitate circulatory volume, peripheral r…
View article: A silent corticotroph adenoma: making the case for a pars intermedia origin. Illustrative case
A silent corticotroph adenoma: making the case for a pars intermedia origin. Illustrative case Open
BACKGROUND Silent corticotroph adenomas (SCAs) are the only pituitary adenomas thought to originate from the pars intermedia. This case report presents the rare finding of a multimicrocystic corticotroph macroadenoma displacing the anterio…
View article: Response to induction chemotherapy in sinonasal malignancies: A single‐institutional experience
Response to induction chemotherapy in sinonasal malignancies: A single‐institutional experience Open
Background Sinonasal malignancy (SNM) is a heterogeneous group of diseases for which induction chemotherapy (IC) may reduce tumor burden. The purpose of this study was to characterize the response to IC in SNM as a prognostic factor throug…
View article: Spontaneous rhinorrhea: a possible concealing initial symptom of ecchordosis physaliphora. Illustrative case
Spontaneous rhinorrhea: a possible concealing initial symptom of ecchordosis physaliphora. Illustrative case Open
BACKGROUND Spontaneous rhinorrhea may be the initial manifestation of ecchordosis physaliphora (EP). There are currently 47 published cases of symptomatic EP, with spontaneous rhinorrhea being one of the most prevalent symptoms. The author…
View article: Impact of Tobacco, Marijuana, and Alcohol use on Overall Survival in Recurrent Metastatic head and neck Cancer Patients Treated with Immune Checkpoint Inhibitors
Impact of Tobacco, Marijuana, and Alcohol use on Overall Survival in Recurrent Metastatic head and neck Cancer Patients Treated with Immune Checkpoint Inhibitors Open
Background: The response rates to immune checkpoint inhibitors (ICI) remain low (13-20%) in metastatic head and neck cancer patients and better understanding of factors predictive of response to these agents is urgently needed. Here we exp…
View article: Ultrasound-guided endoscopic endonasal resection of sellar and suprasellar craniopharyngiomas
Ultrasound-guided endoscopic endonasal resection of sellar and suprasellar craniopharyngiomas Open
Introduction Optimal planning and minimally invasive surgical approach are essential to complete craniopharyngiomas (CP) resection with limited postoperative morbidity. Given the nature of craniopharyngioma recurrence, complete resection o…