Safety and usefulness of flexible hand-held laser fibers in microsurgical removal of acoustic neuromas (vestibular schwannomas).
Identifieur interne : 000010 ( PubMed/Checkpoint ); précédent : 000009; suivant : 000011Safety and usefulness of flexible hand-held laser fibers in microsurgical removal of acoustic neuromas (vestibular schwannomas).
Auteurs : Luciano Mastronardi [Italie] ; Guglielmo Cacciotti [Italie] ; Ettore Di Scipio [Italie] ; Giuseppe Parziale [Italie] ; Raffaelino Roperto [Italie] ; Maria Pia Tonelli [Italie] ; Ettore Carpineta [Italie]Source :
- Clinical neurology and neurosurgery [ 1872-6968 ] ; 2016.
Abstract
We performed a retrospective non-randomized study to analyze the results of microsurgery of acoustic neuromas (AN) using two different flexible hand-held laser fibers, CO2 (Omniguide(®)) and 2μ-Thulium (Revolix jr(®)).
DOI: 10.1016/j.clineuro.2016.03.019
PubMed: 27064860
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Electronic address: mastro@tin.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Cacciotti, Guglielmo" sort="Cacciotti, Guglielmo" uniqKey="Cacciotti G" first="Guglielmo" last="Cacciotti">Guglielmo Cacciotti</name><affiliation wicri:level="3"><nlm:affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region 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sortKey="Mastronardi, Luciano" sort="Mastronardi, Luciano" uniqKey="Mastronardi L" first="Luciano" last="Mastronardi">Luciano Mastronardi</name><affiliation wicri:level="3"><nlm:affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy. Electronic address: mastro@tin.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Cacciotti, Guglielmo" sort="Cacciotti, Guglielmo" uniqKey="Cacciotti G" first="Guglielmo" last="Cacciotti">Guglielmo Cacciotti</name><affiliation wicri:level="3"><nlm:affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Scipio, Ettore Di" sort="Scipio, Ettore Di" uniqKey="Scipio E" first="Ettore Di" last="Scipio">Ettore Di Scipio</name><affiliation wicri:level="3"><nlm:affiliation>Unit of Neurophysiopathology, ASL-Roma 1, Roma, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Neurophysiopathology, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Parziale, Giuseppe" sort="Parziale, Giuseppe" uniqKey="Parziale G" first="Giuseppe" last="Parziale">Giuseppe Parziale</name><affiliation wicri:level="3"><nlm:affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Roperto, Raffaelino" sort="Roperto, Raffaelino" uniqKey="Roperto R" first="Raffaelino" last="Roperto">Raffaelino Roperto</name><affiliation wicri:level="3"><nlm:affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Tonelli, Maria Pia" sort="Tonelli, Maria Pia" uniqKey="Tonelli M" first="Maria Pia" last="Tonelli">Maria Pia Tonelli</name><affiliation wicri:level="3"><nlm:affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Carpineta, Ettore" sort="Carpineta, Ettore" uniqKey="Carpineta E" first="Ettore" last="Carpineta">Ettore Carpineta</name><affiliation wicri:level="3"><nlm:affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author></analytic><series><title level="j">Clinical neurology and neurosurgery</title><idno type="eISSN">1872-6968</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We performed a retrospective non-randomized study to analyze the results of microsurgery of acoustic neuromas (AN) using two different flexible hand-held laser fibers, CO2 (Omniguide(®)) and 2μ-Thulium (Revolix jr(®)).</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">27064860</PMID><DateCreated><Year>2016</Year><Month>4</Month><Day>11</Day></DateCreated><DateRevised><Year>2016</Year><Month>4</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-6968</ISSN><JournalIssue CitedMedium="Internet"><Volume>145</Volume><PubDate><Year>2016</Year><Month>Mar</Month><Day>25</Day></PubDate></JournalIssue><Title>Clinical neurology and neurosurgery</Title><ISOAbbreviation>Clin Neurol Neurosurg</ISOAbbreviation></Journal><ArticleTitle>Safety and usefulness of flexible hand-held laser fibers in microsurgical removal of acoustic neuromas (vestibular schwannomas).</ArticleTitle><Pagination><MedlinePgn>35-40</MedlinePgn></Pagination><ELocationID EIdType="pii">S0303-8467(16)30117-2</ELocationID><ELocationID EIdType="doi">10.1016/j.clineuro.2016.03.019</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">We performed a retrospective non-randomized study to analyze the results of microsurgery of acoustic neuromas (AN) using two different flexible hand-held laser fibers, CO2 (Omniguide(®)) and 2μ-Thulium (Revolix jr(®)).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">From September 2010 to June 2015, 84 patients suffering from AN have been operated on with microsurgical technique via retrosigmoid (RS) approach. In 42 cases tumor resection was performed with the assistance of hand-held flexible laser (L-group): in 8 cases CO2-fiber and in 34 2μ-Thulium-fiber. Fortytwo patients, operated on without laser-assistance, were used as comparison group (C-group) (matched-pair-technique). Facial nerve function was assessed with the House-Brackmann (HB) scale preoperatively, 1 week postoperatively, and 6-month or more after surgery.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall time from incision to skin suture changed in relation to size of tumor (165-575min) and was not affected by the use of laser. In 2 cases preoperative facial nerve palsy was observed. In the remaining 82 cases, at 6-month follow-up facial nerve preservation rate (HB I) was 90.2%. Hearing preservation rate (AAO-HNS A/B classes) was 68.4% (26 out of 38). Adopting a 0-3-scale, the mean surgeon satisfaction rate of usefulness of laser fiber was 2.64.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of a hand-held flexible laser fiber in AN-microsurgery seems to be safe and subjectively facilitates tumor resection especially in "difficult" conditions (e.g., highly vascularized and hard tumors). In this limited retrospective trial, the good functional outcome following conventional microsurgery had not further improved, nor the surgical time reduced by laser. Focusing its use on "difficult" (large and vascularized) cases may lead to different results in future.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList><Author><LastName>Mastronardi</LastName><ForeName>Luciano</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy. Electronic address: mastro@tin.it.</Affiliation></AffiliationInfo></Author><Author><LastName>Cacciotti</LastName><ForeName>Guglielmo</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</Affiliation></AffiliationInfo></Author><Author><LastName>Scipio</LastName><ForeName>Ettore Di</ForeName><Initials>ED</Initials><AffiliationInfo><Affiliation>Unit of Neurophysiopathology, ASL-Roma 1, Roma, Italy.</Affiliation></AffiliationInfo></Author><Author><LastName>Parziale</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</Affiliation></AffiliationInfo></Author><Author><LastName>Roperto</LastName><ForeName>Raffaelino</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</Affiliation></AffiliationInfo></Author><Author><LastName>Tonelli</LastName><ForeName>Maria Pia</ForeName><Initials>MP</Initials><AffiliationInfo><Affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</Affiliation></AffiliationInfo></Author><Author><LastName>Carpineta</LastName><ForeName>Ettore</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>San Filippo Neri Hospital, Department of Neurological Sciences, Division of Neurosurgery, ASL-Roma 1, Roma, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>3</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><MedlineTA>Clin Neurol Neurosurg</MedlineTA><NlmUniqueID>7502039</NlmUniqueID><ISSNLinking>0303-8467</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">2-μ Thulim laser</Keyword><Keyword MajorTopicYN="N">Acoustic neuroma</Keyword><Keyword MajorTopicYN="N">CO(2) Laser</Keyword><Keyword MajorTopicYN="N">Facial nerve preservation</Keyword><Keyword MajorTopicYN="N">Hearing preservation</Keyword><Keyword MajorTopicYN="N">Retrosigmoid approach</Keyword><Keyword MajorTopicYN="N">Vestibular schwannoma</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>2</Month><Day>4</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>2</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>3</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>4</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>4</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>4</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0303-8467(16)30117-2</ArticleId><ArticleId IdType="doi">10.1016/j.clineuro.2016.03.019</ArticleId><ArticleId IdType="pubmed">27064860</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><country name="Italie"><region name="Latium"><name sortKey="Mastronardi, Luciano" sort="Mastronardi, Luciano" uniqKey="Mastronardi L" first="Luciano" last="Mastronardi">Luciano Mastronardi</name></region><name sortKey="Cacciotti, Guglielmo" sort="Cacciotti, Guglielmo" uniqKey="Cacciotti G" first="Guglielmo" last="Cacciotti">Guglielmo Cacciotti</name><name sortKey="Carpineta, Ettore" sort="Carpineta, Ettore" uniqKey="Carpineta E" first="Ettore" last="Carpineta">Ettore Carpineta</name><name sortKey="Parziale, Giuseppe" sort="Parziale, Giuseppe" uniqKey="Parziale G" first="Giuseppe" last="Parziale">Giuseppe Parziale</name><name sortKey="Roperto, Raffaelino" sort="Roperto, Raffaelino" uniqKey="Roperto R" first="Raffaelino" last="Roperto">Raffaelino Roperto</name><name sortKey="Scipio, Ettore Di" sort="Scipio, Ettore Di" uniqKey="Scipio E" first="Ettore Di" last="Scipio">Ettore Di Scipio</name><name sortKey="Tonelli, Maria Pia" sort="Tonelli, Maria Pia" uniqKey="Tonelli M" first="Maria Pia" last="Tonelli">Maria Pia Tonelli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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