Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas


Book Description

Become familiar with the key anatomic "corridors" in the skull base, the sinonasal tract, and adjacent areas to guide and greatly expand your endoscopic surgical competence. Highlighting the most recent experience from seven top leaders and innovators in the field, this seminal new work presents detailed topographic anatomy of the skull base and adjacent areas in a way not previously seen before. The result is a multidisciplinary atlas merging anatomy, otolaryngology, neurosurgery, and radiology, so as to facilitate creation of a mental "virtual reconstruction" of the complete approach and operative situs. The result is a greatly extended range of surgical possibilities into previously uncharted territory using endoscopic technology. Key Features: Provides the basis for cultivating a firm and confident understanding of the 3D anatomy of this intricately complex region Emphasizes the ability of the endoscopic surgeon to integrate CT and MRI findings into the surgical planning process A logical and modular organization of the contents intends to make for easy correlation with the surgical literature Brilliant step-by-step presentation of dissections using cadavers, helping readers to fully understand all the anatomical nuances Numerous previously unpublished approaches covered here for the first time in a book, step by step Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas is an indispensable resource for fellows and specialists in neurosurgery and ENT surgery wishing to widen their competence in endoscopic skull base surgery.




Anterior Skull Base Tumors


Book Description

In recent years, interest in the management of anterior skull base tumors has been fostered by the introduction and subsequent rapid expansion of indications of transnasal endoscopic techniques. In parallel, extraordinary progress has been made in all the other disciplines which are involved in the complex process of managing anterior skull base tumors, leading to substantial improvements in diagnosis and treatment. The anterior skull base can be involved in a large variety of tumors of a varying nature and histology, which in the majority of cases originate from adjacent anatomic sites. In fact, primary lesions of the anterior skull base mainly include osteoma and other tumors originating from bone and cartilage. Tumors involving the anterior skull base have their origin prevalently in the sinonasal tract, but lesions developing on the intracranial site, such as meningiomas, may also extend caudally to encroach upon this area. All these lesions are rare, which means that the pertinent literature does not include prospective studies or treatment guidelines based on a high level of evidence. In view of the extreme histological variability of lesions involving the anterior skull base, much emphasis has been placed on addressing the different nuances of treatment in relation to histology, especially for malignant tumors. The chapters focusing on surgery provide divergent views on selection criteria for a specific surgical technique, which is the aim of this publication.




Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas


Book Description

Become familiar with the key anatomic "corridors" in the skull base, the sinonasal tract, and adjacent areas to guide and greatly expand your endoscopic surgical competence. Highlighting the most recent experience from seven top leaders and innovators in the field, this seminal new work presents detailed topographic anatomy of the skull base and adjacent areas in a way not previously seen before. The result is a multidisciplinary atlas merging anatomy, otolaryngology, neurosurgery, and radiology, so as to facilitate creation of a mental "virtual reconstruction" of the complete approach and operative situs. The result is a greatly extended range of surgical possibilities into previously uncharted territory using endoscopic technology. Key Features: Provides the basis for cultivating a firm and confident understanding of the 3D anatomy of this intricately complex region Emphasizes the ability of the endoscopic surgeon to integrate CT and MRI findings into the surgical planning process A logical and modular organization of the contents intends to make for easy correlation with the surgical literature Brilliant step-by-step presentation of dissections using cadavers, helping readers to fully understand all the anatomical nuances Numerous previously unpublished approaches covered here for the first time in a book, step by step Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas is an indispensable resource for fellows and specialists in neurosurgery and ENT surgery wishing to widen their competence in endoscopic skull base surgery.




Transnasal Endoscopic Skull Base and Brain Surgery


Book Description

Tips and pearls on the latest developments on endoscopic approaches to skull base and brain surgery from experts around the globeIdeal for both otolaryngologisthead and neck surgeons and neurosurgeons, Transnasal Endoscopic Skull Base and Brain Surgery: Tips and Pearls gathers together in one comprehensive volume invaluable advice from world-renowned authorities on state-of-the-art endoscopic technologies and techniques.Each succinct chapter begins with a summary of key takeaway points and features an easily accessible outline format. After uniquely detailed coverage of macroscopic and endoscopic anatomy, the expert authors discuss the most up-to-date surgical approaches integrated with key information on technologic advances, such as 3D reconstruction and navigation. Clearly labeled illustrations demonstrate each step of the various procedures. The book closes with practical guidance on postoperative care and guidelines for avoiding and managing the potential complications encountered in these complex surgeries.Features In-depth information on endoscopic surgical procedures for the paranasal sinuses, anterior skull base, and the craniocervical junction Easy-to-reference bullet-points in each chapter distill the renowned authors vast experience Step-by-step surgical descriptions cover the full spectrum of skull base pathology Stunningly detailed illustrations, including more than 500 in full-color, enhance the text throughout This landmark work will improve the accuracy and precision of every surgeon and fellow in otolaryngologyhead and neck surgery and neurosurgery who deals with this delicate anatomic region.




Techniques and Key Points for Endoscopic Cranial Base Reconstruction


Book Description

The quintessential guide to endoscopic skull base reconstruction from multidisciplinary experts Due to close collaboration between otorhinolaryngologists and neurosurgeons, endoscopic endonasal brain surgery has become part of the surgical armamentarium for successful treatment of various cranial base pathologies. Today, it is considered the gold standard surgical technique for many types of skull base tumors. Techniques and Key Points for Endoscopic Cranial Base Reconstruction by pioneering otorhinolaryngologist Carlos D. Pinheiro-Neto and neurosurgeon Maria Peris-Celda, co-editor of Thieme's acclaimed Rhoton's Atlas of Head, Neck, and Brain, encompasses the most important endoscopic cranial base reconstruction techniques performed in the last two decades. The book features contributions from an impressive group of additional experts in this field. Comprised of 26 reader-friendly chapters divided into seven sections, the book starts with discussion of general principles of endoscopic cranial base reconstruction. Sections II through VI provide step-by-step descriptions of reconstructive approaches utilizing diverse flaps including nasoseptal, intranasal, extranasal, and free grafts, followed by free flaps. The final section details management of seven challenging cases that enrich practical clinical experience, from free flap reconstruction to recalcitrant cerebrospinal fluid leak. Key Highlights Decision-making rationales and pearls regarding selection of the most efficacious reconstructive techniques. Consistently formatted chapters feature a succinct review of anatomical concepts integral to each procedure, detailed descriptions for each surgical step, and alternative options. High-quality and meticulous anatomical dissections performed at the editors' anatomy laboratory and beautiful illustrations depict the flow of operations essential to understanding surgical nuances. Nineteen narrated videos visually demonstrate techniques and consolidate learning. This must-have, comprehensive resource will help skull base surgeons master the latest techniques, avoid complications, and achieve improved outcomes for their patients.




Endoscopic Approaches to the Skull Base


Book Description

Reviews the role of endoscopic endonasal techniques During the last decade the endoscopic endonasal approach (EEA) to the skull base has become a very powerful method to add to the array of neurosurgical technologies. This volume provides a broad overview of the role of transnasal approaches in a wide spectrum of skull base diseases. It starts with a historical perspective of the evolution from the microscope to the endoscope in endonasal surgery and then explores in depth the principles and techniques of the various methods. Discussed are topics based on anatomical boundaries: pituitary fossa to the suprasellar space to the cavernous sinus, clivus and the anterior cranial fossa. Access to the infratemporal and posterior fossae via both the endoscopic endonasal and the retrosigmoid approaches are reviewed. In addition, the critical topic of reconstruction following 'minimally invasive' skull base surgery and finally the learning curve and complications associated with the applications of these new and exciting approaches are discussed. This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique.




Integrated Management of Complex Intracranial Lesions


Book Description

"The combined endoscopic endonasal, transethmoidal, transcribriform approach with endoscope-assisted supraorbital craniotomy is a minimally invasive approach that can be used as an alternative to the classic transcranial, transfacial, or combined craniofacial approaches to lesions of the anterior cranial fossa. This approach is best used for lesions that extend anteriorly to the frontal sinus, laterally beyond the lamina papyracea, and inferiorly into the ethmoid sinus. This chapter details the approach as well as closure of the combined endoscopic endonasal, transethmoidal, transcribriform approach with endoscope-assisted supraorbital craniotomy"--




Skull Base Surgery of the Posterior Fossa


Book Description

This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.




Rhoton's Atlas of Head, Neck, and Brain


Book Description

Masterful 2D and 3D head, neck, and brain dissections provide unsurpassed insights into head, neck, and brain anatomy An internationally renowned and beloved author, educator, brain anatomist, and neurosurgeon, Professor Albert Rhoton has a special place in medical history. He was revered by students and colleagues and is regarded as one of the fathers of modern microscopic neurosurgery. A driving principle in his anatomy lab was the simple phrase, "Every Second." This was embraced in his philosophy that every second of every day, a patient's life was improved by a surgeon assisted by the anatomic knowledge his lab helped elucidate and distribute. Rhoton's Atlas of Head, Neck, and Brain is the visually exquisite crowning achievement of Dr. Rhoton's brilliant career and unwavering dedication to the intertwined pursuits of surgical anatomy and neurosurgery. The atlas reflects the unparalleled contributions Dr. Rhoton made to the contemporary understanding of neurosurgical anatomy. Dr. Peris-Celda, with the collaboration of an impressive cadre of international multidisciplinary experts, worked closely under Dr. Rhoton's tutelage on this project. This book is the culmination of 5 years of work and experience gleaned from more than 40 years of surgical anatomy research and exquisite dissection techniques performed in Dr. Rhoton's laboratory. Special Features Each anatomic dissection meticulously labeled with English and Latin descriptors for easy cross referencing with other resources. Multiple views of the most complex regions of the head, neck, and brain provide a deeper understanding of anatomy. More than 600 anatomical images systematically organized in four major sections: Osteology of the Head and Neck; Face and Neck; Ear, Nose, Pharynx, Larynx, and Orbit; and Neuroanatomy and Cranial Base. Superb 2D images presented in a large printed format to optimize the viewing experience. 3D digital images fully realize the beauty of the dissections and enhance the learning process. Specimens injected with colored silicone provide better visualization of arteries and veins. Breathtakingly stunning, this atlas is certain to be a treasured reference for medical students, residents, and clinicians specializing in neurosurgery, facial plastic surgery, otolaryngology, maxillofacial surgery, and craniofacial surgery for many years to come.




Endoscopic Approaches to the Paranasal Sinuses and Skull Base


Book Description

Endoscopic Approaches to the Paranasal Sinuses and Skull Base With the continuing evolution of endoscopic techniques for surgery of lesions of the paranasal sinuses and skull base, and the reduced morbidity associated with this minimally invasive modality, the method has gained widespread use in recent years. This work offers a thorough review of all endoscopic approaches for access to the nose and paranasal sinuses and, through them, to the skull base. Central to this guide is the emphasis on profound knowledge of the complex anatomy in this area, as well as the many vital structures that can be endangered there. To this end, more than 900 full-color images, most photographs from cadaver dissections, are put to brilliant use. Key Features: Internationally renowned specialists and pioneers from Europe and the United States as editors and contributors Full-color photos from fresh cadaver dissections illustrate all steps for each approach Specific anatomic landmarks as revealed during each step are detailed, providing confidence in spatial orientation Correlative CT sections provide crucial additional information Risks and potential complications are included, as well as methods to reduce them Endoscopic Approaches to the Paranasal Sinuses and Skull Base is intended as an indispensable guide for residents, fellows, and specialist surgeons in otolaryngology, neurosurgery, and skull base surgery.