Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit
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03-MAY-2014 HAMZEH SALEEM QASEM 23 YEARS CHORDOMA OF THE
RIGHT MAXILLO-SPHENOIDAL AREA WITH SECONDARY EXOPHTHALMUS.
The patient came to the clinic 29-April-2014
complaining of difficult breathing fro the right
nostril with progressive exophthalmus right eye
for one year. He was operated for septal
deviation elsewhere without benefit. CT-scan
done 29-April-2014 showing a huge mass in the
right maxillo- sphenoidal area, pushing the
septum to the left and elevating the medial wall
of the right orbit up and lateral.
On examination; the patient has no visual
problems except the right exophthalmus. The
lacrimal duct is closed and the tears are
running outside the canal. It was possible to
see the tumor through the right nostril. It was
totally obstructing the passage.
The patient was sent for MRI investigations with
contrast with MRA of the brain and carotid
systems. There was no arterial involvement and
the mass was totally extracranial, but reaching
and abutting the pituitary floor and shifting
the right optic nerve medially.
Through the right nostril, the tumor was
attacked and piece-meal resection was performed.
Fresh frozen biopsy telling that it is either
meningioma or fibrous dysplasia. Inspection of
the tumor bed cavity was negative.
Intraoperative MRI done showing huge remnant of
the tumor, which was followed and resected.
Hemostasis. 2 nasal tubes were inserted.
Smooth postoperative recovery.
The patient is not characteristic for
either meningioma, nor for fibrous dysplasia. It
is benign and grossly looking as chordoma.
Intraoperative MRI is superior to the usual
inspection, as in this case.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Notice: Not all operative activities
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .