Explanipedia

Fungus That Struck the Brain: A Case of Invasive Sino-Orbital Aspergillosis Causing a Stroke Open

Nidha Shapoo, Jumana Chalabi, Paul L. Huang, Seth Lieberman, Noella Boma · 2025

Invasive sino-orbital aspergillosis is a rare but potentially fatal fungal infection that predominantly affects immunocompromised individuals. It can lead to severe complications such as internal carotid artery invasion and ischemic stroke…

Health Care Disparities in Transsphenoidal Surgery for Pituitary Tumors: An Experience from Neighboring Urban Public and Private Hospitals Open

Alex J. Gordon, Yosef Dastagirzada, Jamie Schlacter, Sonal Mehta, Nidhi Agrawal , et al. · 2022

Objectives Few studies have assessed the role of socioeconomic health care disparities in skull base pathologies. We compared the clinical history and outcomes of pituitary tumors at private and public hospitals to delineate whether health…

The Value of Intraoperative Magnetic Resonance Imaging in Endoscopic Endonasal Resection of Pituitary Adenoma Open

Aneek Patel, Yosef Dastagirzada, Carolina Benjamin, Seth Lieberman, Richard A. Lebowitz , et al. · 2022

Background Intraoperative magnetic resonance images (iMRIs) have been variably adopted by some centers to help increase the rate of gross total resection (GTR) of pituitary adenomas. In this comparative study, we report our institution's e…

The Cost Effectiveness of Implementation of a Postoperative Endocrinopathy Management Protocol after Resection of Pituitary Adenomas Open

Carolina Benjamin, Yosef Dastagirzada, Julia Bevilacqua, David B. Kurland, Kevin Fujita , et al. · 2022

Purpose After developing a protocol for evaluating, diagnosing, and treating postoperative endocrinopathy both during the hospitalization and during the immediate discharge period following resection of pituitary adenomas, we sought to ass…

Sinonasal Undifferentiated Carcinoma with Failed Response to Induction Chemotherapy Open

Michael R. Papazian, Alex J. Gordon, Michael Chow, Aneek Patel, Donato Pacione , et al. · 2022

Sinonasal undifferentiated carcinoma (SNUC) is a rapidly growing malignancy with a propensity for extensive local invasion. Multimodal therapy, including surgery, radiotherapy, and chemotherapy, is the standard approach to treatment, but t…

Sinonasal Glomangiopericytoma with Prolonged Postsurgical Follow-Up Open

Alex J. Gordon, Michael R. Papazian, Michael Chow, Aneek Patel, Dimitris G. Placantonakis , et al. · 2022

Sinonasal glomangiopericytoma is a rare vascular tumor of the respiratory epithelium. Treatment consists mainly of surgical resection, though there is no consensus regarding the use of adjuvant therapies or preoperative endovascular emboli…

Discontinuation of Postoperative Prophylactic Antibiotics for Endoscopic Endonasal Skull Base Surgery Open

Yosef Dastagirzada, Carolina Benjamin, Julia Bevilacqua, Jason Gurewitz, Chandranath Sen , et al. · 2022

Background Postoperative prophylactic antibiotic usage for endoscopic skull base surgery varies based on the institution as evidence-based guidelines are lacking. The purpose of this study is to determine whether discontinuing postoperativ…

Detection of Cerebrospinal Fluid Leaks Using the Endoscopic Fluorescein Test in the Postoperative Period following Pituitary and Ventral Skull Base Surgery Open

Peter A. Benedict, Joseph Connors, Micah Timen, Nupur Bhatt, Richard A. Lebowitz , et al. · 2021

Objective Diagnosis of cerebrospinal fluid (CSF) leaks is sometimes challenging in the postoperative period following pituitary and ventral skull base surgery. Intrathecal fluorescein (ITF) may be useful in this setting. Design Retrospecti…

Postoperative antibiotic use in patients with unilateral purulent chronic rhinosinusitis Open

Alex J. Gordon, Peter A. Benedict, Sonya Marcus, Matthew T. Kingery, Richard A. Lebowitz , et al. · 2021

Objectives To describe our experience with the use of postoperative antibiotics in the management of unilateral chronic rhinosinusitis (CRS) patients with active infection at the time of surgery, and to evaluate the need for routine postop…

Skull Base Aerosol Generating Cases Amidst the COVID-19 Pandemic: An Experience from the Epicenter Open

Yosef Dastagirzada, Olga Klauberg, Kathleen A. Sheerin, Seth Lieberman, Richard A. Lebowitz , et al. · 2021

Soon after the World Health Organization declared the severe acute respiratory syndrome coronavirus 2 a global health emergency on January 30, 2020, New York City was plagued by the virus and its health system and economy pushed to their l…

Eosinophilic mucin chronic rhinosinusitis with orbital involvement Open

Archana Nair, Andrea A. Tooley, Zhou Fang, Seth Lieberman, Payal Patel , et al. · 2021

Allergic fungal sinusitis (AFS) and eosinophilic mucin chronic rhinosinusitis (EMCRS) are subtypes of a chronic rhinosinusitis with eosinophilia that have different diagnostic criteria but are phenotypically similar. Ophthalmic complicatio…

Meningitis in the Setting of Frontoethmoidal and Temporal Meningoencephaloceles Open

Arooshi Kumar, Jay Shah, Kara Melmed, Donato Pacione, Seth Lieberman , et al. · 2020

This is a patient with multiple meningoencephaloceles which resulted in bacterial meningitis and subsequent status epilepticus. We identify impressive imaging findings demonstrating herniation of the meninges from nasal and bitemporal skul…

Human papillomavirus and survival of patients with sinonasal squamous cell carcinoma Open

Jamie R. Oliver, Seth Lieberman, Moses Tam, Liu C, Zujun Li , et al. · 2019

Background To the authors' knowledge, the question of whether human papillomavirus (HPV) infection is associated with outcomes in patients with sinonasal squamous cell carcinoma (SNSCC) is not well studied at this time. In the current stud…

Endoscopic Visualization of the True Maxillary Ostium Following Uncinectomy Open

Omar Ahmed, Marissa Purcelli Lafer, Ilana Bandler, Elçin Zan, Binhuan Wang , et al. · 2019

Objectives: To examine the frequency in which angled endoscopes are necessary to visualize the true maxillary ostium (TMO) following uncinectomy and prior to maxillary antrostomy. Additionally, to identify preoperative computed tomography …

Revascularization of AlloDerm Used during Endoscopic Skull Base Surgery Open

Zahrah Taufique, Nupur Bhatt, David Zagzag, Richard A. Lebowitz, Seth Lieberman · 2018

Objectives AlloDerm is an acellular dermal matrix often used for reconstruction throughout the body. AlloDerm has been shown to undergo revascularization when used to reconstruct soft tissue such as in abdominal wall reconstruction. In thi…

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