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Wang Y, Guo S, Tamiya T, Hirata H, Ishihara H, Yin X. A virtual-reality simulator and force sensation combined catheter operation training system and its preliminary evaluation. Int J Med Robot 2016; 13. [DOI: 10.1002/rcs.1769] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Revised: 07/18/2016] [Accepted: 07/20/2016] [Indexed: 01/22/2023]
Affiliation(s)
- Yu Wang
- Graduate School of Engineering; Kagawa University; Takamatsu Kagawa Japan
| | - Shuxiang Guo
- Key Lab of Convergence Medical Engineering System and Healthcare Technology, The Ministry of Industry and Information; School of Life Science, Beijing Institute of Technology; Haidian District Beijing China
- Intelligent Mechanical Systems, Engineering Department; Kagawa University; Takamatsu Kagawa Japan
| | - Takashi Tamiya
- Department of Neurological Surgery Faculty of Medicine; Kagawa University; Takamatsu Kagawa Japan
| | - Hideyuki Hirata
- Intelligent Mechanical Systems, Engineering Department; Kagawa University; Takamatsu Kagawa Japan
| | - Hidenori Ishihara
- Intelligent Mechanical Systems, Engineering Department; Kagawa University; Takamatsu Kagawa Japan
| | - Xuanchun Yin
- Graduate School of Engineering; Kagawa University; Takamatsu Kagawa Japan
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Lantos JE, Pearlman AN, Gupta A, Chazen JL, Zimmerman RD, Shatzkes DR, Phillips CD. Protrusion of the Infraorbital Nerve into the Maxillary Sinus on CT: Prevalence, Proposed Grading Method, and Suggested Clinical Implications. AJNR Am J Neuroradiol 2015; 37:349-53. [PMID: 26564432 DOI: 10.3174/ajnr.a4588] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2015] [Accepted: 06/17/2015] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE The infraorbital nerve arises from the maxillary branch of the trigeminal nerve and normally traverses the orbital floor in the infraorbital canal. Sometimes, however, the infraorbital canal protrudes into the maxillary sinus separate from the orbital floor. We systematically studied the prevalence of this variant. MATERIALS AND METHODS We performed a retrospective review of 500 consecutive sinus CTs performed at our outpatient centers. The infraorbital nerve protruded into the maxillary sinus if the entire wall of the infraorbital canal was separate from the walls of the sinus. We recorded the length of the bony septum that attached the infraorbital canal to the wall of the maxillary sinus and noted whether the protrusion was bilateral. We also measured the distance from the inferior orbital rim where the infraorbital canal begins to protrude into the sinus. RESULTS There was a prevalence of 10.8% for infraorbital canal protrusion into the maxillary sinus and 5.6% for bilateral protrusion. The median length of the bony septum attaching the infraorbital canal to a maxillary sinus wall, which was invariably present, was 4 mm. The median distance at which the infraorbital nerve began to protrude into the sinus was 11 mm posterior to the inferior orbital rim. CONCLUSIONS Although this condition has been reported in only 3 patients previously, infraorbital canal protrusion into the maxillary sinus was present in >10% of our cohort. Identification of this variant on CT could help a surgeon avoid patient injury.
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Affiliation(s)
- J E Lantos
- From the Departments of Radiology (J.E.L., A.G., J.L.C., R.D.Z., C.D.P.)
| | - A N Pearlman
- Otolaryngology (A.N.P.), Weill Cornell Medical College, New York, New York
| | - A Gupta
- From the Departments of Radiology (J.E.L., A.G., J.L.C., R.D.Z., C.D.P.)
| | - J L Chazen
- From the Departments of Radiology (J.E.L., A.G., J.L.C., R.D.Z., C.D.P.)
| | - R D Zimmerman
- From the Departments of Radiology (J.E.L., A.G., J.L.C., R.D.Z., C.D.P.)
| | - D R Shatzkes
- Department of Radiology (D.R.S.), Lenox Hill Hospital, New York, New York
| | - C D Phillips
- From the Departments of Radiology (J.E.L., A.G., J.L.C., R.D.Z., C.D.P.)
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García-Garrigós E, Arenas-Jiménez JJ, Monjas-Cánovas I, Abarca-Olivas J, Cortés-Vela JJ, De La Hoz-Rosa J, Guirau-Rubio MD. Transsphenoidal Approach in Endoscopic Endonasal Surgery for Skull Base Lesions: What Radiologists and Surgeons Need to Know. Radiographics 2015; 35:1170-85. [PMID: 26046941 DOI: 10.1148/rg.2015140105] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
In the last 2 decades, endoscopic endonasal transsphenoidal surgery has become the most popular choice of neurosurgeons and otolaryngologists to treat lesions of the skull base, with minimal invasiveness, lower incidence of complications, and lower morbidity and mortality rates compared with traditional approaches. The transsphenoidal route is the surgical approach of choice for most sellar tumors because of the relationship of the sphenoid bone to the nasal cavity below and the pituitary gland above. More recently, extended approaches have expanded the indications for transsphenoidal surgery by using different corridors leading to specific target areas, from the crista galli to the spinomedullary junction. Computer-assisted surgery is an evolving technology that allows real-time anatomic navigation during endoscopic surgery by linking preoperative triplanar radiologic images and intraoperative endoscopic views, thus helping the surgeon avoid damage to vital structures. Preoperative computed tomography is the preferred modality to show bone landmarks and vascular structures. Radiologists play an important role in surgical planning by reporting extension of sphenoid pneumatization, recesses and septations of the sinus, and other relevant anatomic variants. Radiologists should understand the relationships of the sphenoid bone and skull base structures, anatomic variants, and image-guided neuronavigation techniques to prevent surgical complications and allow effective treatment of skull base lesions with the endoscopic endonasal transsphenoidal approach.
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Affiliation(s)
- Elena García-Garrigós
- From the Departments of Radiology (E.G.G., J.J.A.J., J.D.L.H.R., M.D.G.R.), Otolaryngology (I.M.C.), and Neurosurgery (J.A.O.), Hospital General Universitario de Alicante, Avenida Pintor Baeza 12, 03010 Alicante, Spain; and Department of Radiology, Complejo Hospitalario la Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain (J.J.C.V.)
| | - Juan José Arenas-Jiménez
- From the Departments of Radiology (E.G.G., J.J.A.J., J.D.L.H.R., M.D.G.R.), Otolaryngology (I.M.C.), and Neurosurgery (J.A.O.), Hospital General Universitario de Alicante, Avenida Pintor Baeza 12, 03010 Alicante, Spain; and Department of Radiology, Complejo Hospitalario la Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain (J.J.C.V.)
| | - Irene Monjas-Cánovas
- From the Departments of Radiology (E.G.G., J.J.A.J., J.D.L.H.R., M.D.G.R.), Otolaryngology (I.M.C.), and Neurosurgery (J.A.O.), Hospital General Universitario de Alicante, Avenida Pintor Baeza 12, 03010 Alicante, Spain; and Department of Radiology, Complejo Hospitalario la Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain (J.J.C.V.)
| | - Javier Abarca-Olivas
- From the Departments of Radiology (E.G.G., J.J.A.J., J.D.L.H.R., M.D.G.R.), Otolaryngology (I.M.C.), and Neurosurgery (J.A.O.), Hospital General Universitario de Alicante, Avenida Pintor Baeza 12, 03010 Alicante, Spain; and Department of Radiology, Complejo Hospitalario la Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain (J.J.C.V.)
| | - Jesús Julián Cortés-Vela
- From the Departments of Radiology (E.G.G., J.J.A.J., J.D.L.H.R., M.D.G.R.), Otolaryngology (I.M.C.), and Neurosurgery (J.A.O.), Hospital General Universitario de Alicante, Avenida Pintor Baeza 12, 03010 Alicante, Spain; and Department of Radiology, Complejo Hospitalario la Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain (J.J.C.V.)
| | - Javier De La Hoz-Rosa
- From the Departments of Radiology (E.G.G., J.J.A.J., J.D.L.H.R., M.D.G.R.), Otolaryngology (I.M.C.), and Neurosurgery (J.A.O.), Hospital General Universitario de Alicante, Avenida Pintor Baeza 12, 03010 Alicante, Spain; and Department of Radiology, Complejo Hospitalario la Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain (J.J.C.V.)
| | - Maria Dolores Guirau-Rubio
- From the Departments of Radiology (E.G.G., J.J.A.J., J.D.L.H.R., M.D.G.R.), Otolaryngology (I.M.C.), and Neurosurgery (J.A.O.), Hospital General Universitario de Alicante, Avenida Pintor Baeza 12, 03010 Alicante, Spain; and Department of Radiology, Complejo Hospitalario la Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain (J.J.C.V.)
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Kumaran AM, Sundar G, Chye LT. Traumatic optic neuropathy: a review. Craniomaxillofac Trauma Reconstr 2014; 8:31-41. [PMID: 25709751 DOI: 10.1055/s-0034-1393734] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2014] [Accepted: 05/03/2014] [Indexed: 01/08/2023] Open
Abstract
The aim of this article is to evaluate current literature on investigation and management of traumatic optic neuropathy (TON), propose recommendations for diagnosis and management, and explore novel future treatments. TON, though uncommon, causes substantial visual loss. Without clear guidelines, there is much ambiguity regarding its diagnosis and management. Investigation and treatment (conservative, medical, surgical, and combined) vary widely between centers. Electronic databases PubMed, MEDLINE, PROSPERO, CENTRAL, and EMBASE were searched for content that matched "Traumatic optic neuropathy." Articles with abstracts and full text available, published in the past 10 years, written English and limited to human adults, were selected. All study designs were acceptable except case reports and case series with fewer 10 patients. All abstracts were then evaluated for relevance. References of these studies were evaluated and if also relevant, included. A total of 2,686 articles were retrieved and 43 examined for relevance. Of these, 23 articles were included. TON is a clinical diagnosis. Visual-evoked potential is useful in diagnosis and prognosis. Computed tomography demonstrates canal fractures and concomitant injuries. Magnetic resonance images should be reserved for select and stable patients. Conservative treatment is appropriate in mild TON. Steroids are of questionable benefit and may be harmful. Surgery should be reserved for patients with radiological evidence of compression and individualized.
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Affiliation(s)
| | - Gangadhara Sundar
- Department of Ophthalmology, National University Hospital, National University Health System, Singapore
| | - Lim Thiam Chye
- Division of Plastic, Reconstructive and Aesthetic Surgery, National University Hospital, National University Health System, Singapore
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Hart CK, Theodosopoulos PV, Zimmer LA. Anatomy of the optic canal: a computed tomography study of endoscopic nerve decompression. Ann Otol Rhinol Laryngol 2010; 118:839-44. [PMID: 20112517 DOI: 10.1177/000348940911801203] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Endoscopic optic nerve decompression has variable success rates. Our goal was to further delineate the radiographic anatomy of the optic canal to determine whether the variable success can be explained on anatomic principles. METHODS The optic canal dimensions and the degree of optic canal exposure to the sphenoid sinus were measured on sinus computed tomography images of 96 patients. RESULTS A total of 191 optic canals were analyzed (111 female subjects and 80 male subjects). The average medial canal wall length was 1.48 cm (range, 0.7 to 2.3 cm). The length in male subjects was 1.61 cm (range, 1.1 to 2.3 cm), as compared to 1.39 cm (range, 0.7 to 2.0 cm) in female subjects (p < 0.001). Onodi cells and pneumatized anterior clinoid processes were present on 14 and 16 images, respectively. The average degree of exposure of the optic canal to the sphenoid sinus in optic canals without Onodi cells or clinoid pneumatization was 99.3 degrees, and in optic canals with both Onodi cells and clinoid pneumatization it was 117.7 degrees. The potential area of canal exposed was 0.66 cm2, or 28% of the total surface area. CONCLUSIONS A wide variation in medial canal wall length and exposure of the optic canal to the sphenoid sinus exists on computed tomography images. Variation in medial canal wall length and optic canal exposure may limit the surface area of nerve available for endoscopic optic nerve decompression.
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Affiliation(s)
- Catherine K Hart
- Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio 45267, USA
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