L Madison Michael’s research while affiliated with The University of Tennessee Medical Center at Knoxville and other places

What is this page?


This page lists works of an author who doesn't have a ResearchGate profile or hasn't added the works to their profile yet. It is automatically generated from public (personal) data to further our legitimate goal of comprehensive and accurate scientific recordkeeping. If you are this author and want this page removed, please let us know.

Publications (84)


Transorbital Approach Through a Transpalpebral Incision for Resection of a Meningioma Involving the Lateral Anterior Clinoid Process: 2-Dimensional Operative Video
  • Article

November 2024

·

7 Reads

Operative Neurosurgery

Camille Milton

·

Emal Lesha

·

Andrew H. Miller

·

[...]

·

L. Madison Michael

Table 4 ).
Increasing Neurosurgical Resident Research Productivity Through Cultural Shift: Choosing Carrots Over Sticks
  • Article
  • Full-text available

September 2024

·

15 Reads

Cureus

Introduction As part of the Milestones Initiative of the Accreditation Council for Graduate Medical Education (ACGME), residents in neurosurgery are expected to participate in either clinical research or basic science research. Therefore, each neurosurgical training program must offer the support and opportunity to achieve this goal. In 2012, a structured effort to promote a resident culture of research was introduced into the authors’ neurosurgery residency training curriculum. This study reviews this experience over the last decade. Methods Data were collected from the authors’ departmental neurosurgery website and Scopus to create a database of neurosurgical residents who graduated 10 years before and after 2012 and their publication output. Bibliometric measures were collected for all articles published by residents. Results were compared between residents who graduated before and after the introduction of the research initiative. Results A total of 127 publications were analyzed from 37 residents, constituting 174 authorships. There was a statistically significant increase in the number of publications per resident (P < 0.001), citation number per author (P = 0.002), and author h-index (P < 0.001) after implementing the initiative. There were no significant differences in the pre-residency and baseline demographic variables between the two groups. Conclusion This study relates the experience of initiating a research culture at the authors’ neurosurgery training program, which did not emphasize scholarly productivity historically. The effort focused on creating a culture of curiosity as opposed to formal requirements. The results provided evidence that this strategy yielded a significant increase in academic output and impact. These findings have important implications for neurosurgical training programs.

Download

Surgical resection of a symptomatic intra‐axial lesion in a patient with Hennekam's syndrome: Case report with review of the literature

March 2024

·

1 Read

Neurology and Clinical Neuroscience

Hennekam syndrome (HS) is a rare genetic disorder involving malformations of the lymphatic system. Structural abnormalities and malformations within the central nervous system (CNS) have also been reported along with intellectual disability and developmental delay. We report a patient with HS who presented with seizures and was found to have an intra‐axial lesion, which was resected via craniotomy. While this case represents, to our knowledge, the first instance in the literature that a HS patient has been treated for a CNS abnormality via neurosurgical intervention, we provide a literature review of CNS lesions in patients with HS.








Case Curve: A Novel Web-Based Platform and Mobile Phone Application to Evaluate Surgical Competence in Graduate Medical Education

January 2024

·

29 Reads

·

2 Citations

Neurosurgery

BACKGROUND AND OBJECTIVES Competency-based medical education is well established, yet methods to evaluate and document acquisition of surgical skill remain underdeveloped. We describe a novel web-based application for competency-based surgical education at a single neurosurgical department over a 3-year period. METHODS We used a web-based application to track procedural and cognitive skills acquisition for neurosurgical residents. This process included self-assessment, resident peer evaluations, evaluations from supervising attending physicians, and blinded video reviews. Direct observation by faculty and video recordings were used to evaluate surgical skill. Cases were subdivided into component skills, which were evaluated using a 5-point scale. The learning curve for each skill was continuously updated and compared with expectations. Progress was reviewed at a monthly surgical skills conference that involved discussion and analysis of recorded surgical performances. RESULTS During an escalating 3-year pilot from 2019 to 2022, a total of 1078 cases in 39 categories were accrued by 17 resident physicians with 10 neurosurgical faculty who participated as evaluators. A total of 16 251 skill performances in 110 categories were evaluated. The most evaluated skills were those that were common to several types of procedures, such as positioning, hemostasis, and wound closure. The concordance between attending evaluations and resident self-evaluations was 76%, with residents underestimating their performance in 17% of evaluations and overestimating in 7%. CONCLUSION We developed a method for evaluating and tracking surgical resident skill performance with an application that provides timely and actionable feedback. The data collected from this system could allow more accurate assessments of surgical skills and deeper insights into factors influencing surgical skill acquisition.


Citations (46)


... When the solution is injected through the catheter, a small mass of polymeric gel forms that adheres to the tip and swells when more solution is administered. It solidifies completely within 5 min after injection and forms a spongy gel that traps tantalum powder [36]. A film forms at the solution-blood interface as the material precipitates, forming a bag full of solution that is further expanded by the growing mass of fresh solution exiting the catheter tip [37]. ...

Reference:

OnyxTMGel or Coil versus Hydrogel as Embolic Agents in Endovascular Applications: Review of the Literature and Case Series
Onyx or Glue? A Representative Case Comparison of Embolic Agents for Direct Puncture Embolization of Juvenile Nasopharyngeal Angiofibroma
  • Citing Conference Paper
  • February 2024

Journal of Neurological Surgery Part B Skull Base

... [1][2][3] The paper introduces a novel mobile web-based application, Case Curve, for tracking surgical skills in neurosurgical residents. 4 The use of technology for more frequent and granular measurements of surgical skills is proposed in this study which uses self, peer, and faculty evaluations, as well as blinded video reviews to draw conclusions. Through this multifaceted approach, the article explores the integration of Case Curve, for evaluating surgical residents in a neurosurgical department over 3 years. ...

Case Curve: A Novel Web-Based Platform and Mobile Phone Application to Evaluate Surgical Competence in Graduate Medical Education
  • Citing Article
  • January 2024

Neurosurgery

... [5][6][7][8][9][10] Removal of the zygomatic arch can decrease the working distance but does not significantly increase access to lesions of the anterior and middle cranial fossae. 2,4,6,[11][12][13][14][15][16][17][18][19][20][21][22] Modifications based on decremental removal of the bony anatomy have produced approaches, such as the supraorbital, lateral supraorbital, mini-pterional, and miniorbitozygomatic (MOZ), tailored to access supratentorial pathologies along the skull base. [22][23][24][25][26] Techniques such as interfascial temporalis dissection, retrograde temporalis dissection, and osteoplastic craniotomy have been developed to address outcomes associated with temporalis muscle injury. ...

Modified Orbitozygomatic Craniotomy, Anterior Clinoidectomy and Retrograde Suction Decompression "Dallas Technique” for Large Unruptured Clinoidal-Ophthalmic Segment Aneurysm
  • Citing Article
  • March 2023

World Neurosurgery

... [1] Various techniques like a reverse Trendelenburg position, use of tranexamic acid, control of heart rate (HR) and blood pressure by α-agonists and β-blockers, propofol infusion [2] and preoperative embolisation have been described to control bleeding during endoscopic nasal surgery. [3] Few studies have described the anaesthesia management of JNA. [4][5][6][7][8] However, a bundle approach has not been studied. ...

Preoperative Embolization Techniques in the Treatment of Juvenile Nasopharyngeal Angiofibroma: A Systematic Review
  • Citing Article
  • February 2023

Otolaryngology Head and Neck Surgery

... However, 18% of patients included in our study, fell below this minimum threshold. Interestingly, smaller prior single-center analyses have reported a variety of average usage rates between 60% and 91.6% depending on centers (11,(16)(17)(18)(19). Notably, the first study conducted in our clinic, encompassing a cohort of 40 patients undergoing TTFields in both primary and recurrent GBMs, reported higher mean usage rates of 86% (9). ...

Determinants of Tumor Treating Field Usage in Patients with Primary Glioblastoma: A Single Institutional Experience

Neuro-Oncology Advances

... A ventral spinal CSF leak is found occasionally [6]. A posterior fossa CSF leak causing SIH has been described in a 2-year-old boy [9]. However, that a cranial CSF leak causes SIH is generally questioned or at least very rare [10]. ...

Spontaneous intracranial hypotension due to skull‐base CSF leak
  • Citing Article
  • July 2021

Annals of Neurology

... In retrosigmoid (RS) approaches, CSF can be drained from the cisterna magna (CM) to provide brain relaxation in the posterior fossa. For a useful overview of the RS approach variations and CSF drainage options, we like to refer to the excellent paper of Basma et al. [1]. To our knowledge, most techniques to achieve CSF release from the cisterns concern an intradural approach and dissection. ...

History, Variations, and Extensions of the Retrosigmoid Approach: Anatomical and Literature Review
  • Citing Article
  • July 2021

Journal of Neurological Surgery Part B Skull Base

... There is growing evidence that specialist care in pediatric neurosurgery leads to decreased operative mortality and improved outcomes overall [20], in some countries like the USA, Canada, East Africa, Asia, and Australia, pediatric neurosurgery needs to be performed by a pediatric specialist [21][22][23]. The ISPN website lists only 3 pediatric fellowship programs in Latin America, this can be the reason why the majority of pediatric neurosurgeons surveyed applied for fellowship programs outside the continent, with language barriers, regulations for international graduates, and a lack of hands-on opportunities during training for international medical graduates play a central role at the time to choose a pediatric neurosurgery program [24][25][26][27]. ...

Resident operative experience in pediatric neurosurgery across the United States
  • Citing Article
  • April 2021

Journal of Neurosurgery Pediatrics

... Robotized navigation systems represent the new generation of computer-assisted systems with the aim of further enhancing surgical precision, which is of particular significance in the tight bony anatomy of the cervical spine. Recently, use of robotic systems has been expanded to CVJ surgery, both for the posterior [1,16,67] and anterior approaches [3,48]. In their review, Lebl et al. describe the various applications of robot-assisted surgery in the cervical spine and, in particular, at the CVJ, C1 lateral mass instrumentation, C2 odontoid fracture fixation, C2 pedicle screw placement, and C2 translaminar screw fixation [43]. ...

Robotic-Assisted Tubular Transoral Parapharyngeal Approach to the Ventral Craniovertebral Junction
  • Citing Article
  • February 2021

Operative Neurosurgery

... In December 2020, after 25 years, Congress authorized an additional 1000 residency spots, emphasizing the limited funding available. 31,32 According to the AAMC Survey of Resident/Fellow Stipends and Benefits report only 44.5% of institutions consider COL when allocating funds for resident stipends. 7,31 Additionally, it was reported that 65.5% of hospitals and institutions use the AAMC Survey of Resident/Fellow Stipends and Benefits Report to benchmark their salaries against similar geographic regions and types of training facilities. ...

The economic value of an on-call neurosurgical resident physician
  • Citing Article
  • September 2020

Journal of Neurosurgery