Tanner Zachem

Journal article J Neurosurg · July 1, 2026 OBJECTIVE: The objective of this study was to evaluate the prognostic value of intraoperative blink reflex (BR) monitoring in predicting postoperative facial nerve outcomes following vestibular schwannoma (VS) resection. Given the limitations of existing i ... Full text Link to item Cite

Insufflatable Modular Abdominal Simulation Environment (MASE) for Surgical Training Simulation.

Journal article Surg Innov · May 8, 2026 Background/NeedLaparoscopic abdominal surgery requires navigating unique technical challenges with precision, dexterity, and a thorough understanding of anatomy. There is a need for higher-fidelity training models to assist in improving trainee competence. ... Full text Link to item Cite

Contemporary Management of Radiation Necrosis: Insights and Avenues.

Journal article Clin Cancer Res · May 1, 2026 Radiation necrosis (RN) remains a challenging complication of upfront radiotherapy for both brain metastases and primary tumors. Despite the development of an array of advanced imaging modalities to differentiate RN from true tumor progression, tissue diag ... Full text Link to item Cite

Vertebral metastatic disease: A paradigm shift.

Journal article Neurooncol Adv · May 2026 Vertebral metastatic disease results from many types of cancer and can have a devastating impact on patient mobility, psychological health, quality of life, and ultimately overall patient survival. However, the development of radiotherapy and surgical tech ... Full text Link to item Cite

Cranial Nerve Injury in Endoscopic Endonasal Approach to Skull Base Surgery: A Systematic Review.

Journal article Int Forum Allergy Rhinol · April 2026 The endoscopic endonasal approach (EEA) to the skull base has revolutionized the management of ventral skull base lesions, offering superior visualization and reduced morbidity. Yet, iatrogenic cranial nerve (CN) injuries, causing temporary or permanent de ... Full text Link to item Cite

Heterogenous effect of automated alerts on mortality.

Journal article Journal of the American Medical Informatics Association : JAMIA · March 2026 ObjectiveTo understand the heterogeneous treatment effects of electronic alerts for acute kidney injury (AKI).Materials and methodsSecondary analysis of individual patient data from 3 randomized controlled trials. Our outcome measure was ... Full text Cite

Deciding when and when not to reconstruct the orbit: How I do it.

Journal article Acta neurochirurgica · February 2026 Deciding whether to reconstruct the orbit after combined transcranial and orbital surgery is uniquely challenging. Although frequently debated, upfront reconstruction is critical for lesions that have not caused bony remodeling, orbital wall hyperostosis, ... Full text Cite

Tendon-Actuated Galvanometer Robot (TAGR) Towards Minimally Invasive Hybrid Surgical Laser Steering

Journal article IEEE Robotics and Automation Letters · January 1, 2026 Surgical lasers are becoming increasingly prevalent in minimally invasive procedures, as laser fibers are thin and flexible, allowing for precise targeting. The use of surgical lasers spans tissue manipulation, energy delivery (in laser interstitial therma ... Full text Cite

A Comprehensive General Model of Tendon-Actuated Concentric Tube Robots with Multiple Tubes and Tendons

Journal article IEEE Transactions on Medical Robotics and Bionics · January 1, 2026 Tendon-actuated concentric tube mechanisms combine the advantages of tendon-driven continuum robots and concentric tube robots while addressing their respective limitations. They overcome the restricted degrees of freedom often seen in tendon-driven design ... Full text Cite

Tendon-Actuated Concentric Tube Endonasal Robot (TACTER)

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 Open Access 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 Open Access 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