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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021

Skull Base Surgery with Minimal Resources.

Deepak K Jha¹, Mukul Jain², Sujata Chaturvedi³

¹Department of Neurosurgery, Institute of Human Behavior and Allied Sciences, Delhi, India.

World Neurosurgery

|January 23, 2017

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This summary is machine-generated.

Skull base surgery in India faces resource limitations. However, utilizing basic instruments and indigenous innovations allowed for the successful treatment of numerous patients in public hospitals.

Area of Science:

Neurosurgery
Public Health
Medical Innovation

Background:

Skull base surgery requires advanced equipment, often unavailable in Indian public hospitals.
Financial and infrastructural constraints limit facilities for a large patient population needing surgery.

Purpose of the Study:

To assess the feasibility of performing skull base surgery with limited resources.
To evaluate the outcomes of surgery using basic and indigenously designed instruments.

Main Methods:

Surgery was performed on neurologically deteriorating patients who could not access care at overloaded public hospitals.
Basic neurosurgical instruments and available resources, including indigenous designs, were utilized.
Lesions were analyzed based on location and surgical approach.

Keywords:

Craniovertebral junction Endoscope assisted Equipment Resource scarcity Skull base surgery

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Main Results:

Ninety-one skull base surgeries were performed on 84 patients between 2013 and 2015.
Procedures included craniovertebral junction (n=43) and anterior (n=7), middle (n=10), and posterior skull base (n=31) lesions.
Approaches included anterior (n=10), lateral (n=14), and posterior/posterolateral (n=67) routes.

Conclusions:

Resource scarcity in low-income countries like India challenges skull base surgery access for the poor.
Indigenous innovations, resourcefulness, and interdisciplinary coordination can mitigate scarcity for safe and efficient patient management in under-equipped hospitals.