Microsurgery of the Skull Base


Book Description

Drawing on decades of experience and wisdom, Dr. Ugo Fisch created this classic text/atlas on microsurgical procedures for the skull base. The authors have labored not to popularize skull base surgery, but to provide the details of each operation, giving surgeons the valuable information they need. Each chapter of the text discusses a specific procedure and is divided into two sections, covering both the general surgical steps of the procedure and also its application. Within each chapter you'll find: general considerations; surgical techniques; applications; tips and pratfalls; imaging scans of illustrative cases; and color plates of pre- and post-operative preparation and instrumentation. The final two chapters discuss anesthesia issues and the impact of neuroradiology on skull base surgery. All of the cases used in the book reflect actual procedures, not hypothetical situations. All neurosurgeons and otolaryngologists involved in skull base surgery will benefit from having this classic text in their professional library. It demonstrates the procedures that have proven to be both safe and reliable through the years.




Microsurgery of Skull Base Paragangliomas


Book Description

Representing the pinnacle of skull base surgery, paraganglioma management requires the advanced surgical skills and expertise that are presented by Dr. Mario Sanna and his team in this comprehensive reference. It incorporates extensive surgical and radiological data compiled over 20 years at the preeminent Gruppo Otologica Clinic in Piacenza, Italy, and features the exquisite intraoperative photographs and schematic diagrams that are a hallmark of the highly regarded Sanna texts. All head and neck and skull base surgeons will find their knowledge, technical proficiency, and ability to manage these challenging tumors vastly increased by this informative resource. Special Features: Step-by-step descriptions of the full range of head and neck paraganglioma procedures, including the infratemporal fossa approach type A, the extreme lateral approach, and the transcervical approach, plus guidance on managing complex tympanojugular paragangliomas More than 1,800 clearly labeled, high-quality intraoperative photographs correlated to full-color schematic drawings for an in-depth understanding of techniques Detailed discussion of managing the internal carotid artery during procedures, including the neuroradiological use of stents Pathology-oriented structure that allows the reader to identify a lesion at a particular stage and then follow the critical thinking, assessment, pre-operative management, and intra-operative course taken by the surgeon Comprehensive sections on pathology, physiology, anatomy, epidemiology, and new genetic breakthroughs that lay the groundwork for the surgical chapters Tips, hints, and pitfalls at the end of each chapter that offer valuable insights for managing different clinical scenarios Demonstrating the complex decision-making process in many actual cases and offering practical advice for handling complications, this book puts the reader into the operating room with the surgeon. It is indispensable for all head and neck and skull base surgeons who manage paragangliomas and related pathologies, as well as for otolaryngologists, neurosurgeons, maxillofacial surgeons, radiologists, and interventional radiologists involved in assessing these intricate conditions.




Atlas of Microsurgery of the Lateral Skull Base


Book Description

In this completely revised and enlarged new edition, Professor Sanna and his team provide systematic demonstrations of the major lateral skull base approaches, drawing from 20 years of experience of the eminent Gruppo Otologico located in Piacenza, Italy.Key features: Introductory chapters on the general principles, instrumentation, and special considerations that characterize this type of surgery Discussion of the radiology of skull base lesions as it relates to surgery, with particular emphasis on findings that can influence the choice of surgical approach, alter the course of surgery, or affect the prognosis Actual demonstrations of the anatomy seen during the different surgical approache -- standard anatomy textbooks fail to address this issue For each approach, step-by-step descriptions of the surgical technique and numerous clinical cases representing the most commonly encountered lesions so that the reader receives a comprehensive understanding of how to perform the approach and what to expect during surgery Pearls and Pitfalls at the end of most chapters gathered from the vast number of cases managed throughout the years by the authors and included to help others avoid mistakes Over 1300 superb and instructive illustrations consisting of photographs of live surgery and cadaver dissections, radiologic images, and drawings This essential text also covers other must-know, highly advanced topics, including: Combined approaches providing the necessary route to manage certain extensive skull base tumors that represent particular challenges Management strategies for different skull base lesions (e.g., surgical vs. nonsurgicalmanagement, the different factors that determine the choice of the surgical approach, cases that are managed conservatively or with radiosurgery) Management of the internal carotid artery in skull base surgery, including the new technique of using stents to facilitate tumor dissection from the internal carotid artery This outstanding surgical atlas is invaluable for any surgeon who seeks not only to master the different surgical approaches but also to grasp the real essence of skull base surgery.Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.




Microsurgical Anatomy and Surgery of the Central Skull Base


Book Description

The atlas covers the normal microsurgical anatomy of the central skull base as well as the pathological anatomy of the tumorous and vascular lesions of this region. The book gives a detailed description of the contemporary approaches to the individual pathologies in the central skull base which have evolved in the last 15 years. Complete or partial resection of the tumorous lesions, the exclusion of aneurysms and preservation of the patency of the internal carotid artery are given. A unique source of technical data and statistics that allows careful evaluation of the approaches to the region based on a precise understanding of the underlying anatomy.




Surgery of the Skull Base


Book Description

This book discusses all aspects of skull base surgery, from a neurosurgical point of view. The therapeutic options in the treatment of skull base lesions are explained and a systematic overview of relevant diseases is included. A strong emphasis is placed on practical aspects of skull base surgery: classic surgical approaches and also methods where there has been rapid recent development, such as stereotactic radiation therapy and interventional neuroradiology. Several international specialists systematically describe the treatment of traumatic lesions, tumors, vascular lesions, and developmental anomalies. Surgery of the Skull Base is aimed at neurosurgeons, ENT surgeons, maxillofacial surgeons, neurologists, and radiologists.




Microsurgical and Endoscopic Approaches to the Skull Base


Book Description

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions.




The Facial Nerve in Temporal Bone and Lateral Skull Base Microsurgery


Book Description

This lavishly illustrated atlas provides comprehensive coverage of the surgical management of facial nerve tumors and of the facial nerve in diseases affecting the temporal bone and lateral skull base. The surgical management and the different operative procedures involved are described step-by-step using full-color images of outstanding quality drawn from a collection of over 1700 cases of skull base surgery and 18000 case of middle ear surgery.The expert authors discuss the management of the facial nerve in various pathologies, the facial nerve in petrous bone cholesteatoma, the management of the facial nerve in vestibular schwannomas and meningiomas, and facial nerve management in glomus tumors, middle ear carcinomas, and with cochlear implants.Key features: Opening chapters on facial nerve anatomy, radiology, operating room set-up, and intraoperative facial nerve monitoring, representing the knowledge needed before considering surgery Chapters on facial nerve repair and reanimation, and comprehensive coverage of tumors of the facial nerve Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.




Atlas of Skull Base Surgery and Neurotology


Book Description

The second edition of Atlas of Skull Base Surgery and Neurotology presents an up-to-date reference for the latest techniques in the challenging area of skull base surgery.




Advances in Vestibular Schwannoma Microneurosurgery


Book Description

This volume describes the most relevant and cutting-edge technological news on the complex surgical procedure of acoustic neuroma. The clinical-radiological diagnosis and surgical indications are briefly presented and the surgical technique is illustrated step-by-step: video clips show the latest means of treating these patients. All these indications were prepared by highly experienced experts in the field, based on their personal experience. The new technologies discussed concern e.g. the intraoperative identification and position of the facial nerve, hearing preservation, techniques for dural closure, and the usefulness of laser and ultrasound aspirators. The book also discusses a number of ongoing projects, including those on: diluted papaverine for microvascular protection of cranial nerves, flexible endoscope for IAC control of tumor removal, fluid cement for bone closure, administering aspirin to control residual tumors larger than 7mm, and DTI for preoperative prediction of the position of the facial nerve. This is a highly informative presented book providing surgeon interested in acoustic neuroma with necessary information on modern technologies available for improving the results of patients.




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.