{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T12:41:27Z","timestamp":1755693687961},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Radiofrequency ablation is widely utilized in otorhinolaryngology. It is used for ablation, coagulation and resection, and hemostasis. It causes tissue destruction through a chemical interaction of ions. The potential benefit is to cause less thermal injury to surrounding tissues compared with other coagulative tools. In this article, we present novel uses of radiofrequency ablation in endoscopic endonasal, and transcranial surgery. This is the first study to describe its use in transcranial cases.<\/jats:p><jats:p>\n          Design, Setting, and Participants\u2003This is a retrospective study of patients between 2016 and 2018 who underwent either endoscopic endonasal or transcranial surgery where radiofrequency ablation was used.<\/jats:p><jats:p>\n          Main Outcome Measures\u2003We looked at indication for usage, blood loss, postoperative imaging to identify any stroke or edema, and clinical outcomes of these patients.<\/jats:p><jats:p>\n          Results\u2003The radiofrequency device was used in eight endoscopic endonasal cases and four craniotomies. Four cases were for encephalocele repair and eight were for various intracranial pathologies. In endonasal encephalocele repair, the radiofrequency ablation helped in shrinking the herniated brain while minimizing thermal injury to the surrounding tissue. In tumors resection, the combination of ablation and coagulation effect was particularly effective for highly vascularized tumors. There were no vascular or major neurologic injuries. Postoperative periencephalocele edema was noted in one case.<\/jats:p><jats:p>\n          Conclusion\u2003Initial experience with radiofrequency ablation showed that it was a safe technique to use in both endonasal skull-base and transcranial procedures. It seemed particularly useful for highly vascularized tumors but a greater experience is needed to further clarify its role in these procedures.<\/jats:p>","DOI":"10.1055\/s-0040-1721820","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T23:41:26Z","timestamp":1615333286000},"page":"312-316","source":"Crossref","is-referenced-by-count":3,"title":["Use of Radiofrequency Technology in Endonasal Skull Base and Transcranial Procedures"],"prefix":"10.1055","volume":"83","author":[{"given":"Shahed","family":"Tish","sequence":"additional","affiliation":[{"name":"Minimally-Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghaith","family":"Habboub","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Section of Skull Base Surgery, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Borghei-Razavi","sequence":"additional","affiliation":[{"name":"Minimally-Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio, United States"},{"name":"Department of Neurological Surgery, Section of Skull Base Surgery, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Troy D.","family":"Woodard","sequence":"additional","affiliation":[{"name":"Minimally-Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio, United States"},{"name":"Section of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raj","family":"Sindwani","sequence":"additional","affiliation":[{"name":"Minimally-Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio, United States"},{"name":"Section of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varun R.","family":"Kshettry","sequence":"additional","affiliation":[{"name":"Minimally-Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio, United States"},{"name":"Department of Neurological Surgery, Section of Skull Base Surgery, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo F.","family":"Recinos","sequence":"additional","affiliation":[{"name":"Minimally-Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio, United States"},{"name":"Department of Neurological Surgery, Section of Skull Base Surgery, Cleveland Clinic, Cleveland, Ohio, United States"},{"name":"Section of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,9]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1002\/lary.22420","article-title":"Early experience of radio frequency coblation in the management of intranasal and sinus tumors","volume":"122","author":"M I 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Woloszko","year":"2002","journal-title":"IEEE Trans Plasma Sci"},{"issue":"02","key":"ref15","first-page":"E149","article-title":"Nucleoplasty, a minimally invasive procedure for disc decompression: a systematic review and meta-analysis of published clinical studies","volume":"17","author":"P M Eichen","year":"2014","journal-title":"Pain Physician"},{"issue":"S 02","key":"ref16","doi-asserted-by":"crossref","first-page":"S29","DOI":"10.1017\/S0022215113000510","article-title":"Collateral thermal injury during endoscopic skull base surgery from endonasal CO2 laser and coblation","volume":"127","author":"D Chin","year":"2013","journal-title":"J Laryngol Otol"}],"container-title":["Journal of Neurological Surgery Part B: Skull 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