Publications by authors named "Waleed Abdelfattah Azab"

Article Synopsis
  • - Osteomas are the most common primary bone tumors found in the skull, particularly the forehead, where they primarily appear for cosmetic reasons, prompting patients to seek treatment.
  • - Traditional removal methods include direct incisions or bicoronal flaps, but recent advancements introduced fully endoscopic techniques which have shown promising outcomes.
  • - The endoscopic approach is quicker, more efficient, and minimally invasive, resulting in superior cosmetic results compared to conventional methods.
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Background: Fully endoscopic or endoscope-controlled approaches are essentially keyhole approaches in which rigid endoscopes are the sole visualization tools used during the whole procedure. At the early attempts of endoscope-assisted cranial surgery, it was noted that rigid endoscopes enabled overcoming the problem of suboptimal visualization when small exposures are used. The technical specifications and design of the currently available rigid endoscopes are associated with a group of unique features that define the endoscopic view and lay the basis for its superiority over the microscopic view during brain surgery.

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Background: Anterior cranial base meningiomas include those meningiomas originating from the tuberculum sellae, the planum sphenoidale, or the olfactory groove, with surgical excision being the main treatment modality for these tumors. Conventional microscopic and endoscope-assisted versions of the supraorbital keyhole approach via an eyebrow incision emerged into minimally invasive options that are frequently utilized nowadays for treating these tumors. At the early attempts of endoscope-assisted cranial surgery, it was noted that rigid endoscopes enabled overcoming the problem of suboptimal visualization when small exposures are used.

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Article Synopsis
  • - The study discusses the advantages and technical specifics of fully endoscopic approaches in cranial surgery, emphasizing how they overcome visualization issues with traditional methods.
  • - Fully endoscopic surgeries, particularly for intraparenchymal brain tumors, are minimally invasive yet not widely practiced due to a steep learning curve and concerns over visibility.
  • - Research analyzed clinical data to develop a surgical technique for fully endoscopic nontubular retractor approaches, demonstrating its feasibility and efficiency.
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This chapter is intended to provide a brief overview of the optics of surgical microscopes and rigid endoscopes, with the aim of providing the reader with the principles dictating the nature of surgical visualization when either of the visual control systems is used. It is not by any means geared toward elaborating on the detailed optical physics of these systems, which is beyond the scope and objective of this chapter.

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Background: One of the main difficulties in third ventricle surgery is its deep and central location within the brain, surrounded by many eloquent neurovascular structures. Such anatomical environment obviously makes it very hard to safely approach and excise lesions in there.

Methods: The introduction of the surgical microscope into the neurosurgical field undoubtedly played an important and pivotal role in improving the surgical results and increasing the safety of operations in and around the third ventricle.

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Article Synopsis
  • * Methods: A review of operative charts and videos from patients who underwent endoscopic procedures identified twelve cases, including nine trans-foraminal and three trans-septal approaches.
  • * Conclusions: The surgical technique varies based on the specific characteristics of the cyst, with the trans-foraminal rotational technique potentially leading to more complete removal and lower chances of cyst recurrence.
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Rosai-Dorfman disease (RDD) is a rare but well-recognized idiopathic histioproliferative disease affecting the systemic lymph nodes. It is characterized by an unusual proliferation of histiocytic cells. Intracranial localization is a rare manifestation of RDD.

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