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Endoscopic Endonasal Approach for Direct Puncture Embolization of Cavernous Dural Arteriovenous Fistula: 2-Dimensional Operative Video

Sangwon, Karl L; Esparza, Rogelio; Sharashidze, Vera; Dastagirzada, Yosef; Shapiro, Maksim; Riina, Howard A; Lieberman, Seth; Pacione, Donato; Raz, Eytan; Nossek, Erez
PMID: 37831980
ISSN: 2332-4260
CID: 5604252

Endoscopic Endonasal Ligation of Ethmoidal Dural Arteriovenous Fistula: 2-Dimensional Operative Video

Save, Akshay V; Raz, Eytan; Lieberman, Seth; Pacione, Donato
PMID: 36716055
ISSN: 2332-4260
CID: 5419912

Discontinuation of Postoperative Prophylactic Antibiotics for Endoscopic Endonasal Skull Base Surgery

Dastagirzada, Yosef; Benjamin, Carolina; Bevilacqua, Julia; Gurewitz, Jason; Sen, Chandra; Golfinos, John G; Placantonakis, Dimitris; Jafar, Jafar J; Lieberman, Seth; Lebowitz, Rich; Lewis, Ariane; Pacione, Donato
PMID: 36895810
ISSN: 2193-6331
CID: 5509612

Development of an optimized preoperative computed tomography imaging checklist for endoscopic sinus surgery utilizing a systematic review of the literature and the modified Delphi method

Leong, Stephen; Yang, Nathan; Ray, Amrita; Akbar, Nadeem; Colley, Patrick M; Signore, Anthony Del; Eloy, Jean Anderson; Govindaraj, Satish; Gudis, David A; Helman, Samuel; Hsueh, Wayne; Iloreta, Alfred-Marc; Kacker, Ashutosh; Lieberman, Seth; Pearlman, Aaron N; Schaberg, Madeleine R; Tabaee, Abtin; Overdevest, Jonathan B
BACKGROUND:Critical review of computed tomography (CT) imaging is essential in preoperative planning for endoscopic sinus surgery. In this study, we used a systematic review and modified Delphi method to develop a comprehensive checklist that facilitates preoperative review of sinus CT imaging. METHODS:We performed a systematic review of PubMed, Embase, CINAHL, Cochrane, and Web of Science databases to identify existing checklists developed to evaluate sinus CT imaging. An inclusive list of items from these checklists was compiled and modified Delphi methodology was used to assign ranked priority. The Delphi process involved 14 rhinologists and had 3 phases: an initial survey with Likert priority (scale of 1-9), and two rounds of live discussions followed by survey to confirm consensus. RESULTS:Ninety-seven possible checklist items were identified from systematic review and panelist input. On initial survey, 63 items reached a consensus score of 7+ and 13 items had near consensus scores between 6-7; 2 of these 13 borderline items were retained after subsequent panelist discussion. The resulting items were consolidated into an 11-item disease checklist and a 24-item anatomical checklist; the anatomical checklist was further divided into 6 subsections: nasal cavity; maxillary; ethmoid; sphenoid; frontal; skull base and orbit. Additionally, panelists identified 6 core aspects of patient history to consider prior to surgery. CONCLUSIONS:After establishing content validity through a systematic literature review and modified Delphi method, we developed a comprehensive checklist for preoperative sinus CT imaging review; implementation and evaluation of validity among trainees will suggest overall utility. This article is protected by copyright. All rights reserved.
PMID: 35856704
ISSN: 2042-6984
CID: 5279102

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

Benedict, Peter A; Connors, Joseph R; Timen, Micah R; Bhatt, Nupur; Lebowitz, Richard A; Pacione, Donato R; Lieberman, Seth M
PMID: 36743707
ISSN: 2193-6331
CID: 5509562

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

Benjamin, Carolina G; Dastagirzada, Yosef; Bevilacqua, Julia; Kurland, David B; Fujita, Kevin; Sen, Chandra; Golfinos, John G; Placantonakis, Dimitris G; Jafar, Jafar J; Lieberman, Seth; Lebowitz, Richard; Lewis, Ariane; Agrawal, Nidhi; Pacione, Donato
PMID: 36393880
ISSN: 2193-6331
CID: 5377672

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

Patel, Aneek; Dastagirzada, Yosef; Benjamin, Carolina; Lieberman, Seth; Lebowitz, Richard; Golfinos, John G; Pacione, Donato
PMID: 36393881
ISSN: 2193-6331
CID: 5384912

Comparing Rates of Postoperative Meningitis After Endoscopic Endonasal Procedures Based on Methicillin-Resistant Staphylococcus aureus/Methicillin-Sensitive Staphylococcus aureus Colonization and Antibiotic Prophylaxis

Orillac, Cordelia; Patel, Aneek; Dastagirzada, Yosef; Benjamin, Carolina; Lieberman, Seth; Lebowitz, Richard; Golfinos, John G; Pacione, Donato
BACKGROUND:Endoscopic endonasal approach (EEA) procedures are inherently contaminated due to direct access through the nasopharyngeal mucosa. The reported rate of postoperative meningitis in EEA procedures is 0.7%-3%. A variety of methods exist to minimize the risk of meningitis with antibiotic prophylaxis, although their value is not completely understood. This study investigated whether there is a difference in rates of postoperative meningitis based on Staphylococcus aureus colonization and use of preoperative antibiotic prophylaxis. METHODS:All adult patients who underwent EEA resection at our institution from 2013 to 2021 were retrospectively reviewed. Patients with preoperative cerebrospinal fluid infections were excluded. Data including recent preoperative infections, preoperative colonization status, antibiotic administration, and postoperative outcomes were recorded for each patient. RESULTS:Of 483 patients identified (mean age, 51 years; range, 18-90 years; 274 [56.7%] female), 80 (16.6%) had a positive preoperative methicillin-resistant Staphylococcus aureus (MRSA)/methicillin-sensitive Staphylococcus aureus (MSSA) screening swab. Twenty-one (26.3%) colonized patients were treated with preoperative decolonizing antibiotics. Within 30 days of surgery, 13 (2.7%) patients developed culture-positive meningitis. There was no significant difference in meningitis rates based on MRSA/MSSA colonization status. Among colonized patients, there was no significant difference in rates of MRSA/MSSA meningitis based on preoperative antibiotic decolonization. CONCLUSIONS:Postoperative rates of meningitis after EEA surgery were not significantly changed based on MRSA/MSSA colonization status of the patient or preoperative decolonization. The utility of preoperative testing of MRSA/MSSA status and antibiotics for decolonization to prevent postoperative meningitis should be further investigated.
PMID: 36041718
ISSN: 1878-8769
CID: 5337662

Sinonasal Glomangiopericytoma with Prolonged Postsurgical Follow-Up

Gordon, Alex J; Papazian, Michael R; Chow, Michael; Patel, Aneek; Placantonakis, Dimitris G; Lieberman, Seth; Givi, Babak
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 embolization. The postsurgical prognosis is favorable, though there is a high risk of delayed recurrence. Here, we present the case of a patient who underwent endoscopic resection of a sinonasal glomangiopericytoma and a review of the literature.
PMID: 35832682
ISSN: 2193-6358
CID: 5279932

Sinonasal Undifferentiated Carcinoma with Failed Response to Induction Chemotherapy

Papazian, Michael R; Gordon, Alex J; Chow, Michael; Patel, Aneek; Pacione, Donato; Lieberman, Seth; Givi, Babak
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 the optimal sequence and combination of these modalities are uncertain. Induction chemotherapy is being increasingly utilized based on recent reports that show better outcomes for patients who respond to chemotherapy and the ability to determine further course of treatment. We present a unique case of a patient with locally advanced SNUC that did not respond to induction chemotherapy and a review of the available literature relating to the management of this rare malignancy.
PMID: 35832683
ISSN: 2193-6358
CID: 5279942