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Autor Quiceno, Esteban
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Documentos disponibles escritos por este autor (2)
Clasificado(s) por (Año de edición descendente) Refinar búsquedaComparative analysis of surgical approaches in nonsyndromic multiple-suture synostosis: a systematic review and meta-analysis / Giraldo García, Gustavo ; Gutiérrez Pineda, Felipe ; Franklin, Brodus A ; Punukollu, Anuraag ; Chen, Hsien Chung ; Machado Silva, Anna Lydia ; Proctor, Mark ; Quiceno, Esteban
Título : Comparative analysis of surgical approaches in nonsyndromic multiple-suture synostosis: a systematic review and meta-analysis Tipo de documento : documento electrónico Autores : Giraldo García, Gustavo, Autor ; Gutiérrez Pineda, Felipe, Autor ; Franklin, Brodus A, Autor ; Punukollu, Anuraag, Autor ; Chen, Hsien Chung, Autor ; Machado Silva, Anna Lydia, Autor ; Proctor, Mark, Autor ; Quiceno, Esteban, Autor Fecha de publicación : 2025 Títulos uniformes : Journal of Neurosurgery: Pediatrics Idioma : Inglés (eng) Idioma original : Inglés (eng) Palabras clave : craniofacial; craniosynostosis; endoscopic surgery; meta-analysis; nonsyndromic multiple-suture synostosis; open surgery. Resumen : Objective: Nonsyndromic multiple-suture synostosis (MSS) is one of the rarest types of craniosynostosis. While both endoscopic and open surgical approaches have demonstrated efficacy for MSS patients, a comprehensive comparison of perioperative outcomes between the two approaches has yet to be fully explored. The aim of this systematic review and meta-analysis was to assess the available evidence among the two surgical approaches to better inform the management of complex craniosynostosis. Methods: PubMed, Embase, and Scopus were searched for studies published from the first reports through February 2024 that reported surgical outcomes of either endoscopic or open surgery for nonsyndromic MSS. The main outcome was the reoperation rate, with secondary endpoints including transfusion rates, intraoperative complications, and overall complications, with a subgroup analysis conducted for patients with nonsyndromic bicoronal synostosis.Results: Sixteen studies involving 310 patients were analyzed. Patients undergoing open surgery were older than those treated with endoscopy (mean age 10.39 vs 3.21 months). The pooled analysis showed a reoperation rate of 11% (95% CI 4%-23%, I2 = 25%) for endoscopic surgery compared with 22% (95% CI 14%-31%, I2 = 0) for open surgery (p = 0.11). Transfusion rates were 26% (95% CI 13%-45%, I2 = 50%) for endoscopic surgery and 50% (95% CI 22%-78%, I2 = 71%) for open surgery (p = 0.18). Intraoperative complications were similar: 17% (95% CI 7%-34%, I2 = 0%) for endoscopic vs 15% (95% CI 4%-42%, I2 = 76%) for open surgery (p = 0.85). Overall complication rates were 15% (95% CI 7%-31%, I2 = 45%) for endoscopic surgery and 20% (95% CI 9%-38%, I2 = 65%) for open surgery (p = 0.59). In the subgroup analysis of bicoronal synostosis, the reoperation rate was 10% (95% CI 4%-21%, I2 = 0%) for endoscopic surgery versus 16% (95% CI 7%-32%, I2 = 0%) for open surgery (p = 0.39).Conclusions: While both surgical approaches are reasonable options for nonsyndromic MSS, this meta-analysis suggests that endoscopic surgery could be associated with lower morbidity when compared with open surgery. Future studies with longer follow-up periods will be needed to validate these findings and contribute to the understanding of complex craniosynostosis management. Mención de responsabilidad : Felipe Gutierrez Pineda, Brodus A. Franklin MHA, MBA, Anuraag Punukollu MBBS, Hsien-Chung Chen MD, Gustavo Giraldo Garcia MD, Anna Lydia Machado Silva, Mark Proctor MD, and Esteban Quiceno Referencia : J Neurosurg Pediatr . 2025 Mar 7;35(5):449-459. DOI (Digital Object Identifier) : 10.3171/2024.11.PEDS24364 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/40053929/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Comparative analysis of surgical approaches in nonsyndromic multiple-suture synostosis: a systematic review and meta-analysis [documento electrónico] / Giraldo García, Gustavo, Autor ; Gutiérrez Pineda, Felipe, Autor ; Franklin, Brodus A, Autor ; Punukollu, Anuraag, Autor ; Chen, Hsien Chung, Autor ; Machado Silva, Anna Lydia, Autor ; Proctor, Mark, Autor ; Quiceno, Esteban, Autor . - 2025.
Obra : Journal of Neurosurgery: Pediatrics
Idioma : Inglés (eng) Idioma original : Inglés (eng)
Palabras clave : craniofacial; craniosynostosis; endoscopic surgery; meta-analysis; nonsyndromic multiple-suture synostosis; open surgery. Resumen : Objective: Nonsyndromic multiple-suture synostosis (MSS) is one of the rarest types of craniosynostosis. While both endoscopic and open surgical approaches have demonstrated efficacy for MSS patients, a comprehensive comparison of perioperative outcomes between the two approaches has yet to be fully explored. The aim of this systematic review and meta-analysis was to assess the available evidence among the two surgical approaches to better inform the management of complex craniosynostosis. Methods: PubMed, Embase, and Scopus were searched for studies published from the first reports through February 2024 that reported surgical outcomes of either endoscopic or open surgery for nonsyndromic MSS. The main outcome was the reoperation rate, with secondary endpoints including transfusion rates, intraoperative complications, and overall complications, with a subgroup analysis conducted for patients with nonsyndromic bicoronal synostosis.Results: Sixteen studies involving 310 patients were analyzed. Patients undergoing open surgery were older than those treated with endoscopy (mean age 10.39 vs 3.21 months). The pooled analysis showed a reoperation rate of 11% (95% CI 4%-23%, I2 = 25%) for endoscopic surgery compared with 22% (95% CI 14%-31%, I2 = 0) for open surgery (p = 0.11). Transfusion rates were 26% (95% CI 13%-45%, I2 = 50%) for endoscopic surgery and 50% (95% CI 22%-78%, I2 = 71%) for open surgery (p = 0.18). Intraoperative complications were similar: 17% (95% CI 7%-34%, I2 = 0%) for endoscopic vs 15% (95% CI 4%-42%, I2 = 76%) for open surgery (p = 0.85). Overall complication rates were 15% (95% CI 7%-31%, I2 = 45%) for endoscopic surgery and 20% (95% CI 9%-38%, I2 = 65%) for open surgery (p = 0.59). In the subgroup analysis of bicoronal synostosis, the reoperation rate was 10% (95% CI 4%-21%, I2 = 0%) for endoscopic surgery versus 16% (95% CI 7%-32%, I2 = 0%) for open surgery (p = 0.39).Conclusions: While both surgical approaches are reasonable options for nonsyndromic MSS, this meta-analysis suggests that endoscopic surgery could be associated with lower morbidity when compared with open surgery. Future studies with longer follow-up periods will be needed to validate these findings and contribute to the understanding of complex craniosynostosis management. Mención de responsabilidad : Felipe Gutierrez Pineda, Brodus A. Franklin MHA, MBA, Anuraag Punukollu MBBS, Hsien-Chung Chen MD, Gustavo Giraldo Garcia MD, Anna Lydia Machado Silva, Mark Proctor MD, and Esteban Quiceno Referencia : J Neurosurg Pediatr . 2025 Mar 7;35(5):449-459. DOI (Digital Object Identifier) : 10.3171/2024.11.PEDS24364 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/40053929/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD002363 AC-2025-046 Archivo digital Producción Científica Artículos científicos Disponible
Título : Efficacy and safety of endoscopic compared with open surgical repair of cerebrospinal fluid fistulas: a systematic review and meta-analysis Tipo de documento : documento electrónico Autores : Francisco Javier Londoño Ocampo, Autor ; Frusteri, Marco, Autor ; Gaviria Zapata, Miguel, Autor ; Suárez Sepúlveda, Juan Esteban, Autor ; Rivas, Carlos, Autor ; Quiceno, Esteban, Autor ; Londoño Herrera, Daniel, Autor Fecha de publicación : 2025 Títulos uniformes : Neurosurgical Review Idioma : Inglés (eng) Idioma original : Inglés (eng) Palabras clave : Cerebrospinal fluid leak; Endoscopy; Neurosurgery. Resumen : Background and objective: Cerebrospinal fluid leaks or fistulas are a relatively common neurosurgical pathology. Classically, this condition has been managed through an open surgical approach, but endoscopic surgery has emerged as a less invasive alternative with several advantages. Despite this, no meta-analysis has yet directly compared the clinical outcomes of these two management strategies. Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines. The PubMed, Embase, LILACS and Web of Science databases were rigoursly searched. Post-operative repair success rate, risk of recurrence and the risk of presenting any operation-related compilation and the all-cause mortality rate were analyzed. Data were analyzed using a common-effects meta-analysis, and statistical heterogeneity was assessed. The study was registered with PROSPERO (CRD42024606877). Results: Seven studies comprising 360 patients (140 endoscopic, 220 open) were included. Although the point estimate suggested a higher success rate with endoscopic repair, the difference was not statistically significant OR 1.32 (95% CI 0.55-3.16, I2 = 4.4%). The complication rate was significantly lower in the endoscopic group OR 0.26 (95% CI 0.10-0.67, I2 = 38%) and a leave-one-out analysis excluding the study by Gassner et al. found OR 0.10 (95% CI 0.03-0.32, I2 = 0%). Recurrence of CSF fistulas showed a trend favoring endoscopic repair (OR 0.78, 95% CI 0.42-1.43, I2 = 0%). No mortality was reported. Conclusions: Endoscopic CSF fistula repair demonstrates a superior safety profile and is non-inferior in terms of efficacy compared to open surgery. Given the limited number of high-quality studies, further research is needed and larger, well-designed studies are recommended to refine clinical decision-making and optimize patient care. Mención de responsabilidad : Marco Frusteri, Miguel Gaviria Zapata, Juan Esteban Suárez Sepúlveda, Carlos Rivas, Esteban Quiceno, Daniel Londoño Herrera, Francisco Javier Londoño Ocampo Referencia : Neurosurg Rev. 2025 Jul 15;48(1):567. doi: 10.1007/s10143-025-03686-9. DOI (Digital Object Identifier) : 10.1007/s10143-025-03754-0 PMID : 40779209 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/40663243/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Efficacy and safety of endoscopic compared with open surgical repair of cerebrospinal fluid fistulas: a systematic review and meta-analysis [documento electrónico] / Francisco Javier Londoño Ocampo, Autor ; Frusteri, Marco, Autor ; Gaviria Zapata, Miguel, Autor ; Suárez Sepúlveda, Juan Esteban, Autor ; Rivas, Carlos, Autor ; Quiceno, Esteban, Autor ; Londoño Herrera, Daniel, Autor . - 2025.
Obra : Neurosurgical Review
Idioma : Inglés (eng) Idioma original : Inglés (eng)
Palabras clave : Cerebrospinal fluid leak; Endoscopy; Neurosurgery. Resumen : Background and objective: Cerebrospinal fluid leaks or fistulas are a relatively common neurosurgical pathology. Classically, this condition has been managed through an open surgical approach, but endoscopic surgery has emerged as a less invasive alternative with several advantages. Despite this, no meta-analysis has yet directly compared the clinical outcomes of these two management strategies. Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines. The PubMed, Embase, LILACS and Web of Science databases were rigoursly searched. Post-operative repair success rate, risk of recurrence and the risk of presenting any operation-related compilation and the all-cause mortality rate were analyzed. Data were analyzed using a common-effects meta-analysis, and statistical heterogeneity was assessed. The study was registered with PROSPERO (CRD42024606877). Results: Seven studies comprising 360 patients (140 endoscopic, 220 open) were included. Although the point estimate suggested a higher success rate with endoscopic repair, the difference was not statistically significant OR 1.32 (95% CI 0.55-3.16, I2 = 4.4%). The complication rate was significantly lower in the endoscopic group OR 0.26 (95% CI 0.10-0.67, I2 = 38%) and a leave-one-out analysis excluding the study by Gassner et al. found OR 0.10 (95% CI 0.03-0.32, I2 = 0%). Recurrence of CSF fistulas showed a trend favoring endoscopic repair (OR 0.78, 95% CI 0.42-1.43, I2 = 0%). No mortality was reported. Conclusions: Endoscopic CSF fistula repair demonstrates a superior safety profile and is non-inferior in terms of efficacy compared to open surgery. Given the limited number of high-quality studies, further research is needed and larger, well-designed studies are recommended to refine clinical decision-making and optimize patient care. Mención de responsabilidad : Marco Frusteri, Miguel Gaviria Zapata, Juan Esteban Suárez Sepúlveda, Carlos Rivas, Esteban Quiceno, Daniel Londoño Herrera, Francisco Javier Londoño Ocampo Referencia : Neurosurg Rev. 2025 Jul 15;48(1):567. doi: 10.1007/s10143-025-03686-9. DOI (Digital Object Identifier) : 10.1007/s10143-025-03754-0 PMID : 40779209 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/40663243/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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