The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform

Manuel D. Tomás - One of the best experts on this subject based on the ideXlab platform.

  • Transcaruncular electrocoagulation of anterior Ethmoidal Artery for the treatment of severe epistaxis.
    The Laryngoscope, 2011
    Co-Authors: Eduardo Morera, Christian Artigas, Francisca Trobat, Luis Ferrén, Manuel D. Tomás
    Abstract:

    Objective: The irrigation of the upper third of the nasal fossa is supplied by the anterior Ethmoidal Artery. We describe a surgical technique to deal with epistaxis due to anterior Ethmoidal Artery bleeding. Patients and Methods: From January 2006 to March 2010 transcaruncular coagulation of the anterior Ethmoidal Artery was done on nine patients with epistaxis of the upper third of the nasal fossa. Results: The procedure was successful on all cases. No bleeding relapse, major complications, or nasal or orbital sequelae were present in any of the patients. Discussion/Conclusions: Transcaruncular electrocoagulation of the anterior Ethmoidal Artery is a safe and effective technique to deal with upper third nasal fossa bleeding. Laryngoscope, 2011

Silvio Mazziotti - One of the best experts on this subject based on the ideXlab platform.

  • Evaluation of the anterior Ethmoidal Artery by 3D dual volume rotational digital subtraction angiography and native multidetector CT with multiplanar reformations. Initial findings.
    European radiology, 2006
    Co-Authors: Ignazio Pandolfo, Sergio Vinci, Ignazio Salamone, Francesca Granata, Silvio Mazziotti
    Abstract:

    Our purpose is to codify the anterior Ethmoidal Artery (AEA) course and its relationship with adjacent structures. Twenty patients with cerebrovascular disease underwent selective internal carotid dual volume angiography. Fusion of the vascular and bony images was obtained successively on a second console. MDCT of the cranium was performed in all patients. To identify the AEA course, multiplanar CT reformations were obtained. In all cases the entry-point of AEA and its course were identified by means of dual volume angiography. The information was confirmed by MDCT. In a second phase, we studied another 78 patients affected by inflammatory disease and polyposis only by means of MDCT, in order to confirm the previous data obtained by comparison between angiography and MDCT. In this second phase, 110/156 vessels were indirectly detected by means of visualization of the Ethmoidal entry point. In the remaining cases, AEA was directly shown due to integrity of the thin Ethmoidal bone lamellae or bony canal. Dual volume angiography is essential to identify the course of the AEA (standard of reference for the interpretation of CT). In patients with benign rhinosinusal pathology, where invasivity techniques are not justified, MPR reconstructions were of pivotal importance in the evaluation of the course of the Artery with particular reference to its relationship with the frontal recess.

Eduardo Morera - One of the best experts on this subject based on the ideXlab platform.

  • Transcaruncular electrocoagulation of anterior Ethmoidal Artery for the treatment of severe epistaxis.
    The Laryngoscope, 2011
    Co-Authors: Eduardo Morera, Christian Artigas, Francisca Trobat, Luis Ferrén, Manuel D. Tomás
    Abstract:

    Objective: The irrigation of the upper third of the nasal fossa is supplied by the anterior Ethmoidal Artery. We describe a surgical technique to deal with epistaxis due to anterior Ethmoidal Artery bleeding. Patients and Methods: From January 2006 to March 2010 transcaruncular coagulation of the anterior Ethmoidal Artery was done on nine patients with epistaxis of the upper third of the nasal fossa. Results: The procedure was successful on all cases. No bleeding relapse, major complications, or nasal or orbital sequelae were present in any of the patients. Discussion/Conclusions: Transcaruncular electrocoagulation of the anterior Ethmoidal Artery is a safe and effective technique to deal with upper third nasal fossa bleeding. Laryngoscope, 2011

Peter-john Wormald - One of the best experts on this subject based on the ideXlab platform.

  • endoscopic anterior Ethmoidal Artery ligation a cadaver study
    Laryngoscope, 2006
    Co-Authors: Stephen Floreani, Salil B. Nair, Michael C Switajewski, Peter-john Wormald
    Abstract:

    Objective: The objective of this study was to investigate the radiologic and endoscopic anatomy of the anterior Ethmoidal canal (AEC) and feasibility of endoscopic ligation of the anterior Ethmoidal Artery (AEA). Study Design: The authors conducted a prospective analysis of computed tomography (CT) of the paranasal sinuses and endoscopic cadaver dissection. Methods: Twenty-two cadaver heads had CT scans of the paranasal sinuses. The height of the lateral lamella of the cribriform plate was calculated and staged according to the Keros staging system. The presence of a bony mesentery, distance from AEC to the skull base, and dehiscence of the AEC were documented. Forty-four dissections were performed, the AECs identified, and AEA ligation attempted. Results: The mean height of the lateral lamella was 5.4 mm on the right and 4.7 mm on the left. In all cadaver heads with asymmetry, the right lateral lamella was longer (P <.005). A Keros type 1 pattern was seen in 23%, type 2 in 50%, and type 3 in 27%. Thirty-six percent of AECs were in a bony mesentery. AEC distance from the skull base was greater on the right (P <.009). A longer lateral lamella was correlated with the Artery being in a mesentery. Sixteen percent of the AECs were dehiscent. Sixty-six percent of AEAs were unable to be clipped. Twenty percent were clipped effectively, all in a mesentery. In 14%, the AEA was not effectively clipped. Conclusions: Endoscopic AEA ligation may be possible in some patients. The AEA should be in a mesentery for an effective clip to be placed and be associated with a dehiscence of the AEC. If the lateral lamella is classified as Keros grade 2 or 3, it is likely the AEC will be found in a mesentery.

  • Endoscopic anterior Ethmoidal Artery ligation: a cadaver study.
    The Laryngoscope, 2006
    Co-Authors: Stephen Floreani, Salil B. Nair, Michael C Switajewski, Peter-john Wormald
    Abstract:

    Objective: The objective of this study was to investigate the radiologic and endoscopic anatomy of the anterior Ethmoidal canal (AEC) and feasibility of endoscopic ligation of the anterior Ethmoidal Artery (AEA). Study Design: The authors conducted a prospective analysis of computed tomography (CT) of the paranasal sinuses and endoscopic cadaver dissection. Methods: Twenty-two cadaver heads had CT scans of the paranasal sinuses. The height of the lateral lamella of the cribriform plate was calculated and staged according to the Keros staging system. The presence of a bony mesentery, distance from AEC to the skull base, and dehiscence of the AEC were documented. Forty-four dissections were performed, the AECs identified, and AEA ligation attempted. Results: The mean height of the lateral lamella was 5.4 mm on the right and 4.7 mm on the left. In all cadaver heads with asymmetry, the right lateral lamella was longer (P

Gang Sun - One of the best experts on this subject based on the ideXlab platform.

  • Evaluation of anterior Ethmoidal Artery by 320-slice CT angiography with comparison to three-dimensional spin digital subtraction angiography: initial experiences.
    Korean journal of radiology, 2012
    Co-Authors: Juan Ding, Gang Sun, Zhao Hui Peng, Xu Ping Zhang
    Abstract:

    Objective To explore the usefulness of 320-slice CT angiography (CTA) for evaluating the course of the anterior Ethmoidal Artery (AEA) and its relationship with adjacent structures by using three-dimensional (3D) spin digital subtraction angiography (DSA) as standard reference. Materials and methods From December 2008 to December 2010, 32 patients with cerebrovascular disease, who underwent both cranial 3D spin DSA and 320-slice CTA within a 30 day period from each other, were retrospectively reviewed. AEA course in ethmoid was analyzed in DSA and CTA. In addition, adjacent bony landmarks (bony notch in medial orbital wall, anterior Ethmoidal canal, and anterior Ethmoidal sulcus) were evaluated with CTA using the MPR technique oriented along the axial, coronal and oblique coronal planes in all patients. The dose length product (DLP) for CTA and the dose-area product (DAP) for 3D spin DSA were recorded. Effective dose (ED) was calculated. Results The entire course of the AEA was seen in all 32 cases (100%) with 3D spine DSA and in 29 of 32 cases (90.1%) with 320-slice CTA, with no significant difference (p = 0.24). In three cases where AEA was not visualized on 320-slice CTA, two were due to the dominant posterior Ethmoidal Artery, while the remaining case was due to diminutive AEA. On MPR images of 320-slice CT, a bony notch in the orbital medial walls was detected in all cases (100%, 64 of 64); anterior Ethmoidal canal was seen in 28 of 64 cases (43.8%), and the anterior Ethmoidal sulcus was seen in 63 of 64 cases (98.4%). The mean effective dose in CTA was 0.6 ± 0.25 mSv, which was significantly lower than for 3D spin DSA (1.3 ± 0.01 mSv) (p Conclusion 320-slice CTA has a similar detection rate for AEA to that of 3D spin DSA; however, it is noninvasive, and may be preferentially used for the evaluation of AEA and its adjacent bony variations and pathologic changes in preoperative patients with paranasal sinus diseases.

  • Evaluation of anterior Ethmoidal Artery by 320-slice CT angiography with comparison to 3D spin digital subtraction angiography: initial experiences
    2011
    Co-Authors: Gang Sun
    Abstract:

    Poster: "ECR 2011 / B-249 / Evaluation of anterior Ethmoidal Artery by 320-slice CT angiography with comparison to 3D spin digital subtraction angiography: initial experiences" by: "G. Sun, J. Ding, M. Li, Z.-H. Peng; Jinan/CN"