FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2946656356> ?p ?o ?g. }

• W2946656356 endingPage "256" @default.
• W2946656356 startingPage "249" @default.
• W2946656356 abstract "OBJECTIVE Patient positioning in vestibular schwannoma (VS) surgery is a matter of ongoing discussion. Factors to consider include preservation of cranial nerve functions, extent of tumor resection, and complications. The objective of this study was to determine the optimal patient positioning in VS surgery. METHODS A subgroup analysis of a randomized, multicenter trial that investigated the efficacy of prophylactic nimodipine in VS surgery was performed to investigate the impact of positioning (semisitting or supine) on extent of resection, functional outcomes, and complications. The data of 97 patients were collected prospectively. All procedures were performed via a retrosigmoid approach. The semisitting position was chosen in 56 patients, whereas 41 patients were treated while supine. RESULTS Complete resection was obtained at a higher percentage in the semisitting as compared to the supine position (93% vs 73%, p = 0.002). Logistic regression analysis revealed significantly better facial nerve function in the early postoperative course in the semisitting group (p = 0.004), particularly concerning severe facial nerve paresis (House-Brackmann grade IV or worse; p = 0.002). One year after surgery, facial nerve function recovered. However, there was still a tendency for better facial nerve function in the semisitting group (p = 0.091). There were no significant differences between groups regarding hearing preservation rates. Venous air embolism with the necessity to terminate surgery occurred in 2 patients in the semisitting position (3.6%). Supplementary analysis with a 2-tailed permutation randomization with 10,000 permutations of treatment choice and a propensity score matching showed either a tendency or significant results for better facial nerve outcomes in the early postoperative course and extent of resection in the semisitting group. CONCLUSIONS Although the results of the various statistical analyses are not uniform, the data indicate better results concerning both a higher rate of complete removal (according to the intraoperative impression of the surgeon) and facial nerve function after a semisitting as compared to the supine position. These advantages may justify the potential higher risk for severe complications of the semisitting position in VS surgery. The choice of positioning has to consider all individual patient parameters and risks carefully." @default.
• W2946656356 created "2019-05-29" @default.
• W2946656356 creator A5003741894 @default.
• W2946656356 creator A5006178441 @default.
• W2946656356 creator A5009506955 @default.
• W2946656356 creator A5012840218 @default.
• W2946656356 creator A5023138602 @default.
• W2946656356 creator A5036019319 @default.
• W2946656356 creator A5040200486 @default.
• W2946656356 creator A5040859612 @default.
• W2946656356 creator A5044195004 @default.
• W2946656356 creator A5062502137 @default.
• W2946656356 creator A5070719102 @default.
• W2946656356 creator A5078471814 @default.
• W2946656356 creator A5088925456 @default.
• W2946656356 date "2020-07-01" @default.
• W2946656356 modified "2023-09-23" @default.
• W2946656356 title "A critical comparison between the semisitting and the supine positioning in vestibular schwannoma surgery: subgroup analysis of a randomized, multicenter trial" @default.
• W2946656356 cites W1746384894 @default.
• W2946656356 cites W1968669906 @default.
• W2946656356 cites W1983288066 @default.
• W2946656356 cites W1987252930 @default.
• W2946656356 cites W1993198037 @default.
• W2946656356 cites W1994946167 @default.
• W2946656356 cites W2006442688 @default.
• W2946656356 cites W2007001516 @default.
• W2946656356 cites W2007766217 @default.
• W2946656356 cites W2008928751 @default.
• W2946656356 cites W2045192768 @default.
• W2946656356 cites W2053170357 @default.
• W2946656356 cites W2062139349 @default.
• W2946656356 cites W2063201000 @default.
• W2946656356 cites W2064332561 @default.
• W2946656356 cites W2065045234 @default.
• W2946656356 cites W2068770354 @default.
• W2946656356 cites W2084264937 @default.
• W2946656356 cites W2094258356 @default.
• W2946656356 cites W2104327753 @default.
• W2946656356 cites W2106299619 @default.
• W2946656356 cites W2125886826 @default.
• W2946656356 cites W2143215577 @default.
• W2946656356 cites W2146566827 @default.
• W2946656356 cites W2150301814 @default.
• W2946656356 cites W2220651716 @default.
• W2946656356 cites W2465519528 @default.
• W2946656356 cites W2597677591 @default.
• W2946656356 cites W2778906685 @default.
• W2946656356 cites W4206714658 @default.
• W2946656356 doi "https://doi.org/10.3171/2019.1.jns181784" @default.
• W2946656356 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31051465" @default.
• W2946656356 hasPublicationYear "2020" @default.
• W2946656356 type Work @default.
• W2946656356 sameAs 2946656356 @default.
• W2946656356 citedByCount "12" @default.
• W2946656356 countsByYear W29466563562020 @default.
• W2946656356 countsByYear W29466563562021 @default.
• W2946656356 countsByYear W29466563562022 @default.
• W2946656356 countsByYear W29466563562023 @default.
• W2946656356 crossrefType "journal-article" @default.
• W2946656356 hasAuthorship W2946656356A5003741894 @default.
• W2946656356 hasAuthorship W2946656356A5006178441 @default.
• W2946656356 hasAuthorship W2946656356A5009506955 @default.
• W2946656356 hasAuthorship W2946656356A5012840218 @default.
• W2946656356 hasAuthorship W2946656356A5023138602 @default.
• W2946656356 hasAuthorship W2946656356A5036019319 @default.
• W2946656356 hasAuthorship W2946656356A5040200486 @default.
• W2946656356 hasAuthorship W2946656356A5040859612 @default.
• W2946656356 hasAuthorship W2946656356A5044195004 @default.
• W2946656356 hasAuthorship W2946656356A5062502137 @default.
• W2946656356 hasAuthorship W2946656356A5070719102 @default.
• W2946656356 hasAuthorship W2946656356A5078471814 @default.
• W2946656356 hasAuthorship W2946656356A5088925456 @default.
• W2946656356 hasConcept C125567185 @default.
• W2946656356 hasConcept C126322002 @default.
• W2946656356 hasConcept C126838900 @default.
• W2946656356 hasConcept C12770488 @default.
• W2946656356 hasConcept C141071460 @default.
• W2946656356 hasConcept C143409427 @default.
• W2946656356 hasConcept C168563851 @default.
• W2946656356 hasConcept C187960798 @default.
• W2946656356 hasConcept C204243189 @default.
• W2946656356 hasConcept C2777107124 @default.
• W2946656356 hasConcept C2778987478 @default.
• W2946656356 hasConcept C2780858735 @default.
• W2946656356 hasConcept C2781447767 @default.
• W2946656356 hasConcept C44249647 @default.
• W2946656356 hasConcept C71924100 @default.
• W2946656356 hasConcept C86605331 @default.
• W2946656356 hasConceptScore W2946656356C125567185 @default.
• W2946656356 hasConceptScore W2946656356C126322002 @default.
• W2946656356 hasConceptScore W2946656356C126838900 @default.
• W2946656356 hasConceptScore W2946656356C12770488 @default.
• W2946656356 hasConceptScore W2946656356C141071460 @default.
• W2946656356 hasConceptScore W2946656356C143409427 @default.
• W2946656356 hasConceptScore W2946656356C168563851 @default.
• W2946656356 hasConceptScore W2946656356C187960798 @default.
• W2946656356 hasConceptScore W2946656356C204243189 @default.
• W2946656356 hasConceptScore W2946656356C2777107124 @default.

• next