The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note
Bifrontal craniotomy frequently involves opening the frontal sinus and mucosal injury. We report a new technique for mucosal repair in the frontal sinus using surgical titanium microclips. Six consecutive patients who underwent bifrontal craniotomy with frontal sinus exposure and mucosal injury unde...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Japan Neurosurgical Society
2024-03-01
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| Series: | Neurologia Medico-Chirurgica |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/nmc/64/3/64_2023-0175/_pdf/-char/en |
| _version_ | 1797223712358924288 |
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| author | Motohide TAKAHARA Tomoaki MURAKAMI Shingo TOYOTA Shuki OKUHARA Kazuhiro TOUHARA Yuhei HOSHIKUMA Shuhei YAMADA Takamune ACHIHA Maki KOBAYASHI Haruhiko KISHIMA |
| author_facet | Motohide TAKAHARA Tomoaki MURAKAMI Shingo TOYOTA Shuki OKUHARA Kazuhiro TOUHARA Yuhei HOSHIKUMA Shuhei YAMADA Takamune ACHIHA Maki KOBAYASHI Haruhiko KISHIMA |
| author_sort | Motohide TAKAHARA |
| collection | DOAJ |
| description | Bifrontal craniotomy frequently involves opening the frontal sinus and mucosal injury. We report a new technique for mucosal repair in the frontal sinus using surgical titanium microclips. Six consecutive patients who underwent bifrontal craniotomy with frontal sinus exposure and mucosal injury underwent mucosal repair using surgical titanium microclips between April 2019 and August 2022. In all cases, the frontal sinus mucosa was peeled from the inner walls of the frontal sinus to ensure sufficient mucosal margin for clipping using ORBEYE. The repair was accomplished with the microclips in all cases. We also sealed the mucosal wound using fibrin glue and sufficiently filled the frontal sinus with bone debris, resulting in zero incidence of postoperative liquorrhea in all cases. Repairing the mucosa using surgical titanium microclips using ORBEYE may be a simple and quick technique when the frontal sinus mucosa is injured during craniotomy. |
| first_indexed | 2024-04-24T13:41:35Z |
| format | Article |
| id | doaj.art-39fd30cc058846a580c05612f1c82c6b |
| institution | Directory Open Access Journal |
| issn | 1349-8029 |
| language | English |
| last_indexed | 2024-04-24T13:41:35Z |
| publishDate | 2024-03-01 |
| publisher | The Japan Neurosurgical Society |
| record_format | Article |
| series | Neurologia Medico-Chirurgica |
| spelling | doaj.art-39fd30cc058846a580c05612f1c82c6b2024-04-04T07:49:49ZengThe Japan Neurosurgical SocietyNeurologia Medico-Chirurgica1349-80292024-03-0164313113510.2176/jns-nmc.2023-01752023-0175The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical NoteMotohide TAKAHARA0Tomoaki MURAKAMI1Shingo TOYOTA2Shuki OKUHARA3Kazuhiro TOUHARA4Yuhei HOSHIKUMA5Shuhei YAMADA6Takamune ACHIHA7Maki KOBAYASHI8Haruhiko KISHIMA9Department of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Kansai Rosai HospitalDepartment of Neurosurgery, Osaka University Graduate School of MedicineBifrontal craniotomy frequently involves opening the frontal sinus and mucosal injury. We report a new technique for mucosal repair in the frontal sinus using surgical titanium microclips. Six consecutive patients who underwent bifrontal craniotomy with frontal sinus exposure and mucosal injury underwent mucosal repair using surgical titanium microclips between April 2019 and August 2022. In all cases, the frontal sinus mucosa was peeled from the inner walls of the frontal sinus to ensure sufficient mucosal margin for clipping using ORBEYE. The repair was accomplished with the microclips in all cases. We also sealed the mucosal wound using fibrin glue and sufficiently filled the frontal sinus with bone debris, resulting in zero incidence of postoperative liquorrhea in all cases. Repairing the mucosa using surgical titanium microclips using ORBEYE may be a simple and quick technique when the frontal sinus mucosa is injured during craniotomy.https://www.jstage.jst.go.jp/article/nmc/64/3/64_2023-0175/_pdf/-char/enfrontal sinus mucosal repairanterior skull base surgerysurgical titanium microclipsexoscope |
| spellingShingle | Motohide TAKAHARA Tomoaki MURAKAMI Shingo TOYOTA Shuki OKUHARA Kazuhiro TOUHARA Yuhei HOSHIKUMA Shuhei YAMADA Takamune ACHIHA Maki KOBAYASHI Haruhiko KISHIMA The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note Neurologia Medico-Chirurgica frontal sinus mucosal repair anterior skull base surgery surgical titanium microclips exoscope |
| title | The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note |
| title_full | The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note |
| title_fullStr | The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note |
| title_full_unstemmed | The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note |
| title_short | The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note |
| title_sort | usefulness of surgical titanium microclips for mucosal repair in the frontal sinus using orbeye a technical note |
| topic | frontal sinus mucosal repair anterior skull base surgery surgical titanium microclips exoscope |
| url | https://www.jstage.jst.go.jp/article/nmc/64/3/64_2023-0175/_pdf/-char/en |
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