Lenox Hill Neurosurgeons Publish Two Novel Minimally Invasive Techniques for Complex Brain Surgery

Lenox Hill Hospital's John A. Boockvar, MD and David J. Langer, MD, senior authors on published papers.

Physicians from the department of neurosurgery at Lenox Hill Hospital, a member of Northwell Health, in collaboration with the New York Head & Neck Institute and the Hofstra Northwell School of Medicine, announced today that they have published two papers regarding the utilization of novel minimally invasive techniques for brain surgery. 

One of the papers published in the March 11th issue of World Neurosurgery, entitled “Frameless and Maskless Stereotactic Navigation with a Skull-Mounted Tracker: A Technical Report,” was co-authored by physicians at Lenox Hill’s Brain Tumor Center and the New York Head & Neck Institute. John A. Boockvar, MD; Peter D. Costantino, MD; and David J. Langer, MD, were the senior authors on the study.

“Intraoperative image-guided navigation has revolutionized neurosurgery,” said Dr. Boockvar, director of the Brain Tumor Centers at Lenox Hill Hospital and Manhattan Eye, Ear and Throat Hospital and co-author of the study. “Current navigational techniques require the use of markers on the skull and for rigid ‘pinning’ or fixation of the skull with pins. This report discusses the use of a single skull mounted tracker that avoids the need for rigid skull fixation. This, in turn, permits free movement of the head during surgery in order to optimize the surgical approach and to minimize complications.”

A separate paper published in the February 4th issue of the Cureus Journal of Medical Science, entitled, “Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report,” was co-authored by physicians from Lenox Hill Hospital’s department of neurosurgery and the Hofstra Northwell School of Medicine. Drs. Langer and Boockvar were the senior authors on this manuscript. 

“Accessing lesions deep in the brain presents multiple challenges, including the difficulty associated with navigating to small lesions beneath the skull, as well as minimizing disruption of the normal brain,” said Dr. Langer, Lenox Hill’s chair of neurosurgery and co-author of the study. “This article highlights the use of a novel technique to access these deep lesions through the use of a tubular retractor system that gently displaces normal brain out of the surgical corridor. Further discussion is presented on how the tubular retractor can be enfolded into the current surgical workflow and integrated with an operating microscope in order to target lesions deep in the brain with minimal retraction of surrounding normal brain. This approach improves both respectability of lesions and minimizes complications.”

The first author of both papers was Timothy G. White, BA a Hofstra Northwell School of Medicine student. Mr. White has recently matched to join the department of neurological surgery at Hofstra Northwell School of Medicine as a resident starting in July 2017. 

For a complete list of authors or for a copy of the report published in Cureus, click here. For a complete list of authors or for a copy of the report published in World Neurosurgery, click here.

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About Lenox Hill Hospital
Lenox Hill Hospital, a member of Northwell Health, is a 652-bed, fully accredited, acute care hospital located on Manhattan’s Upper East Side with a national reputation for outstanding patient care and innovative medical and surgical treatments. US News & World Report has ranked the hospital among the nation’s top 50 in Cardiology and Heart Surgery and among the top 10 hospitals in the state of New York with a total of 11 “high performing” designations for its clinical performance in Cancer, Diabetes & Endocrinology, Ear, Nose & Throat, Gastroenterology & GI Surgery, Geriatrics, Gynecology, Nephrology, Neurology & Neurosurgery, Orthopedics, Pulmonology and Urology. For more information, go to www.lenoxhillhospital.org

Contact:
Michelle Pipia-Stiles
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Lenox Hill Hospital

Lenox Hill Hospital is a 652-bed, acute care hospital located on Manhattan's Upper East Side. A staple in the community for more than 150 years, the hospital has earned a national reputation for outstanding patient care and innovative medical and surgical treatments. The mission of Lenox Hill Hospital is to deliver outstanding healthcare with compassion and respect, to promote wellness in its communities, and to advance the field of medicine through education and research.