Comprehensive Techniques in CSF Leak Repair and Skull Base Reconstruction


Book Description

Written by international leading experts in the field of skull base surgery, this publication provides a comprehensive description of both the etiology and management of defects arising in the anterior skull base. The contributions explore the cutting edge techniques in cranial base repair including free grafting, pedicled endonasal and extranasal grafts as well as free flap reconstruction. Further, this volume provides a detailed description of how to enhance success in cerebrospinal fluid leak and encephalocele repair using an evidence-based approach to the diagnosis and localization.The contributions are accompanied by high-definition online videos that enable the reader to watch endoscopic skull base repairs performed by the masters while providing a step-by-step explanation of the techniques utilized.Otolaryngologist, neurosurgeons as well as physicians interested in learning about or wishing to optimize their techniques in anterior skull base reconstruction will find this publication indispensable reading.




Comprehensive Techniques in CSF Leak Repair and Skull Base Reconstruction


Book Description

Cutting edge techniques presented in print and through instructive online videos Written by international leading experts in the field of skull base surgery, this publication provides a comprehensive description of both the etiology and management of defects arising in the anterior skull base. The contributions explore the cutting edge techniques in cranial base repair including free grafting, pedicled endonasal and extranasal grafts as well as free flap reconstruction. Further, this volume provides a detailed description of how to enhance success in cerebrospinal fluid leak and encephalocele repair using an evidence-based approach to the diagnosis and localization. The contributions are accompanied by high-definition online videos that enable the reader to watch endoscopic skull base repairs performed by the masters while providing a step-by-step explanation of the techniques utilized. Otolaryngologist, neurosurgeons as well as physicians interested in learning about or wishing to optimize their techniques in anterior skull base reconstruction will find this publication indispensable reading.




Endoscopic Endonasal Transsphenoidal Surgery


Book Description

Currently, surgical management provides the definitive treatment of choice for most pituitary adenomas, craniopharyngiomas and meningiomas of the sellar region. The elegant minimally invasive transnasal endoscopic approach to the sella turcica and the anterior skull base has added a new dimension of versatility to pituitary surgery and can be adapted to many lesions in the region. In this multi-author book with numerous color illustrations the main aspects of the endonasal endoscopic approach to the skull base are presented, starting with a clear description of the endoscopic anatomy, the panoramic view afforded by the endoscope and the development of effective instruments and adjuncts. After the diagnostic studies, the strictly surgical features are considered in detail. The standard technique is described and particular aspects are treated, including the new extended approaches to the cavernous sinus, spheno-ethmoid planum and clival regions. The book stresses the importance of teamwork and has been produced by one of the pioneering groups in the field of endoscopic approaches to the pituitary. It is a useful guide primarily for neurosurgeons and sinonasal endoscopic surgeons but also for other specialists involved in the diagnosis and treatment of skull base lesions.




Cranial Base Surgery


Book Description

This comprehensive new reference addresses the entire spectrum of cranial base surgery today. The clinically oriented text is enhanced by numerous illustrations and is highly practical in its orientation. Each chapter has been written by a carefully chosen expert from within the field.




The Frontal Sinus


Book Description

This is the only book dedicated solely to frontal sinus disorders. It is a richly illustrated and comprehensive mine of information on the anatomy and management of these disorders. This updated second edition offers much new information. Additional topics include balloon dilation, frontal surgery as part of skull base surgery, and advances in endoscopic techniques and tools that have occurred since 2004 and have made open osteoplastic procedures almost obsolete. The anatomy and surgery of the supraorbital ethmoid cell and its significance in the pathology of frontal sinus disease are also covered. Throughout the book, particularly important areas of text are highlighted and core messages, emphasized. Videos of described procedures are available online.




Manual of Endoscopic Sinus Surgery


Book Description

By focusing on how to establish clear indications for surgery and how to improve surgical approaches in endoscopic paranasal sinus surgery, this practical operating manual appeals to the beginner as well as to the practicing surgeon. Techniques covered range from simple procedures to the most advanced applications, including tumor and trauma surgery, and procedures involving the anterior skull base.Based on their clinical and considerable teaching experience, the authors have chosen an approach that responds directly to patients concerns and which is set within a simple framework based on the questions of Who? When? Why? and How?:Who? offers guidelines on patient selection and dealing with patients' expectations,When? discusses optimizing the diagnosis and medical management as well as the timing of surgery,Why? evaluates realistic surgical goals with regard to patients' symptoms and their quality of life,How? describes surgical techniques step-by-step, explains terminology, discusses surgical modifications and alternatives, and offers guidelines for the management of complications.Nearly 1,000 illustrations of exceptional quality and a 3-hour DVD of surgical procedures and interviews with patients supplement the step-by-step instructions and practical tips in the text.




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.




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.




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.




Minimal Access Skull Base Surgery


Book Description

Minimal Access Skull Base Surgery – Open and Endoscopic Assisted Approaches is a highly illustrated guide to a range of approaches in ENT surgery, edited by Kofi Boahene and Alfredo Quiñones-Hinojosa from the John Hopkins Medical Institute, Baltimore, USA. The book focuses on minimal access approaches to skull base compartments using an endoscope, via natural and secondary openings into the head. Comprised of 31 chapters, across seven sections, the book begins with a general introductory section which covers imaging of the skull base, surgical pathology of the skull base and anaesthetic requirements for skull base surgery. Further sections cover approaches to surgery via particular anatomical areas, including transorbital, supraorbital, transnasal, infratemporal fossa, and transoral approaches. The concluding sections cover the management of selected skull base lesions, skull base reconstruction and postoperative management. Minimal Access Skull Base Surgery – Open and Endoscopic Assisted Approaches is enhanced by 428 images and illustrations and an accompanying DVD featuring practical guidance on several procedures. This is an essential resource for neurosurgeons, otolaryngologists, head and neck surgeons, and any health care providers involved in these minimal access procedures. Key Points Comprehensive guide to minimal access procedures in skull base surgery Covers minimal access skull base surgery via nose, mouth, eye socket and infratemporal fossa 428 images and illustrations Instructional DVD for several skull base procedures Edited Kofi Boahene and Alfredo Quiñones-Hinojosa based at John Hopkins Medical Institute, Baltimore, USA