Tanner Zachem

Journal Article Journal of Medical Robotics Research · December 1, 2025 Endoscopic endonasal approaches (EEA) have become more prevalent for minimally invasive skull base and sinus surgeries. However, rigid scopes and tools significantly decrease the surgeon’s ability to operate in tight anatomical spaces and avoid critical st ... Full text Cite

Current state of intraoperative neuromonitoring of the facial nerve during skull base surgery: A systematic review.

Journal Article J Clin Neurosci · October 2025 Intraoperative neuromonitoring of the facial nerve (cranial nerve VII) is critical during skull base surgery due to the nerve's proximity to surgical pathologies and the significant morbidity associated with a facial nerve injury. Objective: This systemati ... Full text Link to item Cite

Intraoperative blink reflex monitoring during skull base surgery: a single-institution method.

Journal Article Neurosurg Focus · September 1, 2025 OBJECTIVE: Cranial nerve (CN) preservation remains a challenge for skull base neurosurgeons, and neurophysiological intraoperative monitoring presents many methods for CN identification and mapping. The blink reflex, which is the electrophysiological repre ... Full text Link to item Cite

Heterogeneous Effect of Automated Alerts on Mortality.

Preprint · August 13, 2025 Full text Link to item Cite

Intraoperative brain tumor classification via laser-induced fluorescence spectroscopy and machine learning.

Journal Article J Neurosurg · August 1, 2025 Featured Publication OBJECTIVE: To optimize neurosurgical tumor resection, tissue types and borders must be appropriately identified. Authors of this study established the use of a nondestructive laser-based endogenous fluorescence spectroscopy device, "TumorID," to almost imm ... Full text Open Access Link to item Cite

Investigating distress levels in patients with metastatic spine disease undergoing surgical intervention.

Journal Article Neurosurg Focus · May 1, 2025 OBJECTIVE: Cancer patients often experience high levels of distress, which are particularly pronounced in the perioperative period. However, there is a dearth of research on distress rates in patients with metastatic spine disease (MSD). This study aims to ... Full text Link to item Cite

Tendon-Actuated Concentric Tube Endonasal Robot (TACTER)

Preprint · April 28, 2025 Link to item Cite

Machine learning in the diagnosis, management, and care of patients with low back pain: a scoping review of the literature and future directions.

Journal Article Spine J · January 2025 BACKGROUND CONTEXT: Low back pain (LBP) remains the leading cause of disability globally. In recent years, machine learning (ML) has emerged as a potentially useful tool to aid the diagnosis, management, and prognostication of LBP. PURPOSE: In this review, ... Full text Open Access Link to item Cite

Keyhole Mini-Craniotomy Middle Fossa Approach for Tegmen Repair: A Case Series and Technical Instruction.

Journal Article Journal of neurological surgery reports · January 2025 Background and Importance Tegmen defects associated with cerebrospinal fluid (CSF) leaks are a rare pathology that can result in severe complications if left untreated. There is no universal optimal surgical algorithm for repair, although the most ... Full text Cite

Validation of the graded prognostic assessment and recursive partitioning analysis as prognostic tools using a modern cohort of patients with brain metastases.

Journal Article Neurooncol Pract · December 2024 BACKGROUND: Prognostic indices for patients with brain metastases (BM) are needed to individualize treatment and stratify clinical trials. Two frequently used tools to estimate survival in patients with BM are the recursive partitioning analysis (RPA) and ... Full text Link to item Cite

Machine learning approaches in non-contact autofluorescence spectrum classification.

Journal Article PLOS Digit Health · October 2024 Manual surgical resection of soft tissue sarcoma tissue can involve many challenges, including the critical need for precise determination of tumor boundary with normal tissue and limitations of current surgical instrumentation, in addition to standard ris ... Full text Link to item Cite

Towards the Development of a Tendon-Actuated Galvanometer for Endoscopic Surgical Laser Scanning

Preprint · June 5, 2024 Link to item Cite

Perioperative Blindness in Spine Surgery: A Scoping Literature Review.

Journal Article J Clin Med · February 12, 2024 Perioperative vision loss (POVL) is a devastating surgical complication that impacts both the recovery from surgery and quality of life, most commonly occurring after spine surgery. With rates of spine surgery dramatically increasing, the prevalence of POV ... Full text Open Access Link to item Cite