Beyin cerrahisi ve kulak burun boğaz hastaliklarinin işbirliğiyle opere edilen komplike frontal sinüs patolojilerinde dural invazyonun değerlendirilmesi

Amaç: Bu çalışmada frontal sinüsle ilişkili patolojilerde dural invazyonun beyin cerrahi ve kulak buran boğaz tarafından yapılan ortak müdahalelerin değrelndirilmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 2018 ile Temmuz 2023 tarihleri arasında frontal sinüsle ilişkili patolojiler için Kulak Burun Boğaz Hastalıkları ve Beyin Cerrahisi bölümleri tarafından işbirliğiyle cerrahi uygulanan 45 hasta üzerinde kapsamlı bir çalışma yapıldı. Hastaların demografik bilgileri, patoloji türleri ve cerrahi yaklaşımları; tıbbi kayıtlardan, cerrahi raporlardan, görüntüleme çalışmalarından ve videolardan toplandı. Cerrahi tercih kararları patolojiye özel verildi ve uygulanan teknikler kayıt altına alındı. Bulgular: 45 hastanın 31'i kadın (%68,8) olup yaş ortalaması 44'tür. Cerrahi sırasında arka duvar defekti 13 (%28,8) hastada tespit edilmiş olup sadece 8'ine müdahale gerekti. Tanımlanan dural invazyonu olan 8 (%17,7) hastada ise 5 (%11,1) vakada patolojik dural doku çıkarıldı ve duraplasti yapıldı. Hastalarda postoperatif dönemde nörolojik komplikasyon gözlenmedi. Sonuç: Sınırlamalara rağmen, bulgular gelişen literatüre katkıda bulunurken, hasta değerlendirme stratejilerini optimize etmek için ileriye yönelik çalışmalara ihtiyaç olduğunu da vurgulamaktadır.

Anahtar Kelimeler:

Dural tutulum, frontal sinüs, intrakraniyal komplikasyonlar, kulak burun boğaz, nöroşirürji, disiplinler arası işbirliği

Assessment of dural invasion in complex cases operated on by collaborative efforts of neurosurgery and otolaryngology for pathologies associated with the frontal sinus

Purpose: The aim of this study was to evaluate the common interventions performed by neurosurgery and otolaryngology in dural invasion in frontal sinus related pathologies. Materials and Methods: A comprehensive study involving 45 patients who underwent surgical interventions for frontal sinus-associated pathologies between January 2018 and July 2023 was conducted collaboratively by otorhinolaryngology and neurosurgery departments. Patient data, including demographics, pathology types, and surgical approaches, were collected from medical records, surgical reports, imaging studies, and videos. Interdisciplinary surgical teams executed tailored interventions with documented techniques. Results: Among 45 patients, 31 were female (68.8%) with a mean age of 44. Posterior wall defects were detected in 13 (28.8%) patients, and intervention was necessary for only 8 of them. Among the 8 (17.7%) patients with identified dural invasion, pathological dural tissue was excised, and duraplasty was performed in 5 (11.1%) cases. There were no neurological complications observed in patients during the postoperative period. Conclusion: Despite limitations, the findings contribute to evolving knowledge and highlight the need for prospective studies to optimize patient care strategies.

Keywords:

Dural invasion;, Frontal sinus, Otolaryngology;, Neurosurgery;, Interdisciplinary collaboration,

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