Drs. Villwock, Deshaies, and Goyal publish study on pituitary tumor surgery

Dr. Eric Deshaies

Dr. Eric Deshaies

Dr. Goyal

Dr. Parul Goyal

Dr. Jennifer Villwock, researcher Mark Villwock, Dr. Eric Deshaies, and Dr. Parul Goyal recently conducted a study on patients undergoing surgery for pituitary tumors.  The article, Significant increases of pituitary tumors and resections from 1993 to 2011, was published in the September issue of the International Forum of Allergy & Rhinology.  Dr. Eric Deshaies is the incoming Medical Director for Endovascular and Cerebrovascular Neurosurgery at Crouse Hospital and Dr. Goyal is a Rhinologist and Skull Base Surgeon at Syracuse Otolaryngology.

The pituitary gland is a gland located in the skull, at the base of the brain.  The gland secretes hormones that help control many functions throughout the body.  Patients can sometimes develop tumors in the pituitary gland.  For some tumors, surgery may be the best treatment option.

The researchers studied trends in pituitary tumor diagnosis and pituitary tumor surgery.  They found that there were significant increases in the diagnosis of pituitary tumors over the years 1993 to 2011.  In addition, more patients diagnosed with pituitary tumors underwent surgery for these tumors.  Data was obtained from the Nationwide Inpatient Sample, the largest public database of inpatient admissions in the United States.

According to the study, a possible reason for the higher rate of diagnosis of pituitary tumors is the greater availability of diagnostic technology like MRI.  There have also been significant advancements in surgery for these tumors in recent years.  Many tumors are now treated with a procedure called endoscopic pituitary tumor resection.  With this type of technique, surgeons go through the nostril and can reach the tumor without making any incisions on the outside of the face or skull.  Patients recover rapidly and have excellent outcomes.  The availability of these types of surgical techniques may be one reason for the increase in rates of surgery for pituitary tumors.

Dr. Deshaies and Dr. Goyal are surgeons who specialize in surgery for pituitary tumors and other skull base tumors.  Because these tumors involve the region at the junction of the brain, the nose, and the sinuses, the two surgeons work together to treat patients with these types of complex problems.  Both surgeons are committed to achieving outstanding results in patients undergoing surgery for tumors of the skull base.  The team also works to conduct research and provide education on skull base surgery.

This paper is one of a series of studies the team has conducted on pituitary tumors.  In September, the team is presenting another study at the Annual Meeting of the American Academy of Otolaryngology -- Head and Neck Surgery.  This study, entitled The Effect of Surgical Approach on Outcomes Following Pituitary Tumor Resection, studies differences in complications between different types of procedures used to treat pituitary tumors.

A link to the article is below:

Significant increases of pituitary tumors and resections from 1993 to 2011

Drs. John Craig and Parul Goyal study safety of nasal endoscopes

Craig, John 5X7

Dr. John Craig

Dr. Goyal

Dr. Parul Goyal

Dr. John Craig, of the University of Pennsylvania Department of Otolaryngology, and Dr. Parul Goyal, of Syracuse Otolaryngology, recently conducted a study regarding the safety of nasal endoscopes.  The article was published in the medical journal International Forum of Allergy & Rhinology

A nasal endoscope is a piece of equipment used during nasal and sinus surgery.  It allows surgeons to look inside the nose and sinuses during surgery.

Studies performed previously have shown that the endoscopes used during sinus surgery can become very warm during sinus surgery.  If care is not taken, the heat can be transmitted to the sinuses.  Drs. Craig and Goyal looked to see if irrigation sheaths can help decrease the maximum temperatures of the endoscopes.  These sheaths are typically used during surgery to help the surgeon rinse the tip of the endoscope.  This can make it easier for the surgeon to see the important structures in the nose.

The study found that sheaths can help insulate the endoscopes against dangerous temperatures.  The sheaths led to approximately a 5% decrease in endoscope temperatures.  With active irrigation, the temperatures decreased by over 12%.

Dr. Craig and Dr. Goyal concluded that while the sheaths are used to improve visualization, they may also help keep endoscope temperatures at lower levels.

A link to the article is below:

Insulating and cooling effects of nasal endoscope sheaths and irrigation

Drs. Craig, Goyal, & Suryadevara publish article about nasal surgery in AJRA

Craig, John 5X7

Dr. John Craig

suryadea

Dr. Amar Suryadevara

Dr. Goyal

Dr. Parul Goyal

AJR cover page

Cover of the January-February 2014 issue of AJRA featuring picture from article by Drs. Craig, Goyal, & Suryadevara

Drs. John Craig, Parul Goyal, & Amar Suryadevara’s paper selected for the cover image of the American Journal of Rhinology & Allergy

Dr. John Craig, Dr. Parul Goyal, & Dr. Amar Suryadevara recently conducted a study about a new type of surgical technique used to treat chronic nasal congestion.  Drs. Craig and Suryadevara are from SUNY Upstate Medical University and Dr. Goyal is from Syracuse Otolaryngology.

The doctors described using a special type of cartilage graft to treat patients with narrow nasal valves.  The nasal valve is a part of the nose that can cause problems with nasal congestion.  Using cartilage from a different part of the nose, the physicians described a way the nasal valve could be widened.

The doctors note that many patients suffer from chronic nasal congestion.  Narrow nasal valves can limit airflow very significantly and can have a very large impact on patients' quality-of-life.  Treating narrowing in this area can be challenging. 

Dr. Goyal is a Rhinologist (a surgeon who focuses on problems affecting the inside of the nose and the sinuses) and Dr. Suryadevara is a Facial Plastic & Reconstructive Surgeon (a surgeon who focuses on external nasal surgery and facial surgery).  They work together to treat patients with complex nasal problems affecting both the inside and outside of the nose.  The doctors plan to use the procedure described in the study in those patients who have severe narrowing in this area.

A link to the article is posted below:

Article at the American Journal of Rhinology & Allergy website