Abstract
Endonasal endoscopic skull base surgery (EESBS) often requires significant alterations in intranasal anatomy. For example, posterior septectomy (PS) with middle turbinate resection (MTR) is frequently performed to provide access to large sellar and clival tumors. However, little is known about the alterations that occur in sinonasal physiology. This study was designed to assess changes in sinonasal physiology after virtually performed endoscopic skull base surgery. Three-dimensional models of the sinonasal passage were created from computed tomography scans in three subjects with varying anatomy: no SD (SD), right anterior SD, and left anterior SD, respectively. Four additional surgery types were performed virtually on each model: endoscopic transsphenoidal approach (ETSA) with small (1 cm) PS (smPS), ETSA with complete (2 cm) PS, ETSA with smPS and right MTR, and ETSA with complete PS and right MTR. Computational fluid dynamics (CFD) simulations were performed on the 3 presurgery and 12 virtual surgery models to assess changes from surgery types. Increased nasal airflow corresponded to amount of tissue removed. Effects of MTR on unilateral airflow allocation were unchanged in subject with no SD, worsened in leftward SD, and re...Continue Reading
References
Jan 1, 1976·Clinical Neurosurgery·E R Laws, E B Kern
Jul 1, 1990·Neurosurgery·D L Barrow, G T Tindall
Jun 1, 1987·Neurosurgery·P M BlackG L Candia
Mar 14, 2003·Inhalation Toxicology·Ted B MartonenC J Musante
Jun 27, 2008·Neurosurgery·Theodore H SchwartzVijay K Anand
Jul 9, 2008·Acta Oto-laryngologica·Wei Hong JiangJian Yun Xiao
Mar 18, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Patra CharalampakiAxel Perneczky
May 13, 2009·Clinical and Experimental Otorhinolaryngology·Steve C Lee, Brent A Senior
Nov 4, 2010·The Laryngoscope·Bharat GuthikondaAnil Nanda
Mar 2, 2011·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Gurston G NyquistTheodore H Schwartz
Apr 5, 2011·Neurosurgical Focus·Yi Yuen WangKanna K Gnanalingham
Jun 30, 2011·American Journal of Rhinology & Allergy·Xiao Bing ChenDe Yun Wang
Mar 28, 2012·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Alessandro PaluzziCarl Snyderman
May 31, 2012·American Journal of Rhinology & Allergy·Julia S KimbellJohn S Rhee
Aug 29, 2012·International Forum of Allergy & Rhinology·Dennis O FrankJohn S Rhee
Jan 15, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Daniel E CannonJohn S Rhee
Mar 14, 2013·The Laryngoscope·Pornthep KasemsiriEmiro Caicedo
Mar 23, 2013·International Forum of Allergy & Rhinology·Jeffrey C BedrosianTheodore H Schwartz
Sep 7, 2013·International Forum of Allergy & Rhinology·Dennis O FrankJulia S Kimbell
Jul 6, 2014·Allergy & Rhinology·Mohammad FaramarziAmin Baradaranfar
May 1, 2012·American Journal of Rhinology & Allergy·Julia S KimbellJohn S Rhee
Citations
May 4, 2017·World Neurosurgery·Maria Peris CeldaCarlos D Pinheiro-Neto
Oct 19, 2017·The Laryngoscope·Tracy ChengDennis O Frank-Ito
May 12, 2017·American Journal of Rhinology & Allergy·Do Hyun KimSung Won Kim
Feb 13, 2016·American Journal of Rhinology & Allergy·Kevin J ChoiDennis O Frank-Ito
Mar 19, 2015·American Journal of Rhinology & Allergy·Jivianne T Lee
Nov 30, 2018·International Forum of Allergy & Rhinology·Guillermo MazaKai Zhao
Nov 19, 2019·Acta Oto-laryngologica·Lifeng LiDemin Han
Feb 1, 2019·Journal of Biophotonics·Jian JuQuan Liu
Sep 17, 2020·International Forum of Allergy & Rhinology·Pu LiZhenlin Wang
Oct 3, 2018·Neurosurgical Review·Martin MajovskyDavid Netuka
Jul 25, 2019·Plastic and Reconstructive Surgery. Global Open·Dennis O Frank-ItoJeffrey R Marcus
Jul 29, 2020·International Journal of Oral Science·Bing Shi, Hanyao Huang
Oct 14, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Dennis Onyeka Frank-Ito, Seth Morris Cohen
May 22, 2021·Respiratory Physiology & Neurobiology·Hang LiDennis O Frank-Ito