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This article explores the differences in neuroimaging findings between patients with medically refractory idiopathic intracranial hypertension (IIH) and spontaneous cerebrospinal fluid (CSF) leak (IIHwL) and patients with IIH without spontaneous CSF leak (IIHwoL). The study conducted a retrospective review of medical records and compared demographic information, clinical presentations, venous sinus manometry data, lumbar puncture opening pressure, and neuroimaging findings between the two patient groups. The results showed that patients with IIHwL had different neuroimaging findings compared to those with IIHwoL, highlighting the importance of recognizing these differences for the timely identification and management of CSF leak patients with IIH. [Extracted from the article]

This article examines the risk factors for spontaneous cerebrospinal fluid leaks (sCSF leaks) in patients with idiopathic intracranial hypertension (IIH). The study, which is based on a large multinational database, compares the demographic and treatment characteristics of patients with IIH who have sCSF leaks of the anterior or lateral skull base (IIHwL) to those without sCSF leaks (IIHwoL). The results show that IIHwL patients tend to be older, have a higher body mass index (BMI), and have more comorbidities compared to IIHwoL patients. They also experience a higher prevalence of symptoms such as headaches, tinnitus, and visual disturbance. The findings contribute to a better understanding of this unique subpopulation of IIH patients and may aid in their management. [Extracted from the article]

This article, published in the Journal of Neurological Surgery, explores the use of a wearable device called the "Upright Go" (UG) to improve surgical ergonomics and reduce musculoskeletal strain in rhinologic surgery. The study involved rhinologists at a tertiary-care center and consisted of three phases: baseline recording of posture and pain, incorporating biofeedback to correct poor posture, and post-intervention recording of posture without biofeedback. The results showed that the UG device improved posture with real-time feedback and had a sustained effect even after biofeedback was removed. However, there was no correlation between improved posture and reduced pain. The study highlights the potential for conditioning proper surgical posture and promoting ergonomic sustainability. [Extracted from the article]

This article discusses the impact of venous sinus stenting (VSS) on symptoms and quality of life in patients with idiopathic intracranial hypertension (IIH) and a spontaneous cerebrospinal fluid (CSF) leak. The study included nine female patients who underwent VSS for IIH complicated by a CSF leak. The results showed that VSS effectively alleviated symptoms such as tinnitus and headaches, and allowed for discontinuation of medication in some patients. Complications were minimal, and there was no recurrence of CSF leak in the early postoperative period. [Extracted from the article]

This article, published in the Journal of Neurological Surgery, explores the use of magnetic resonance imaging (MRI) and computed tomography (CT) to assess the thickness of the temporalis and masseter muscles as indicators of frailty in patients with sinonasal squamous cell carcinoma (SNSCC). The study found that both MRI and CT measurements correlated with frailty measures, but MRI measurements were better associated with frailty than CT measurements. The authors suggest that MRI should be considered the gold standard imaging for future studies on TMT and MMT in patients with SNSCC. [Extracted from the article]

This article, published in the Journal of Neurological Surgery, explores the presence of pigment incontinence in sinonasal mucosal melanoma (SNMM). The study conducted a retrospective chart review of patients diagnosed with SNMM at Thomas Jefferson University Hospital from 2007 to 2023. The results showed that pigment incontinence was present in 65% of patients, and regression was observed in 15 out of 17 patients. The study suggests that pigment incontinence can be a part of the natural tumor life cycle and may be mistaken for melanoma, especially after neoadjuvant therapy. Understanding these findings is important for diagnosis and clinical management of SNMM. [Extracted from the article]

This article explores the use of temporalis muscle thickness (TMT) and masseter muscle thickness (MMT) as measures of sarcopenia and proxies for frailty in patients with squamous cell carcinoma of the sinonasal tract (SNSCC) and sinonasal adenocarcinoma (SNAC). The study aimed to determine if lower TMT and MMT were associated with worse overall survival, 30-day readmission, and progression-free survival. However, the results showed that TMT and MMT measurements did not correlate with these outcomes in the study population. The authors suggest that further research with larger patient numbers and different types of pathology is needed to investigate the use of TMT and MMT as markers for frailty in sinonasal cancer. [Extracted from the article]

This article discusses the timing of neck dissection in patients with sinonasal malignancy (SNM) who undergo anterior cranial base resection. The study found that the timing of neck dissection did not significantly impact patient outcomes, including overall survival, incidence of emergency room visits, and instances of adjuvant radiotherapy. The majority of patients underwent neck dissection on the same day as primary resection, but those who had neck dissection more than 30 days after primary resection did not have worse outcomes. This study provides valuable insights into the treatment of SNM and the coordination of surgical teams. [Extracted from the article]

This article discusses the safety and timing of restarting continuous positive airway pressure (CPAP) following endoscopic anterior skull-base surgery (ESS). The study measured the pressures delivered to the sinonasal cavity during CPAP use and assessed the safety of restarting CPAP after sinonasal surgery. The results showed that restarting CPAP following ESS was found to be safe, with the pressures delivered to the postoperative sphenoid sinus being less than 65% of the delivered pressures in most patients. This suggests that factors such as mucosal edema and nasal packing may limit the amount of CPAP pressure that can access the sphenoid sinus. [Extracted from the article]