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.




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.




Clinical Anatomy of the Head


Book Description

This volume on the clinical anatomy of the neurocranium, the orbit and the craniocervical junction is intended to provide a precise and detailed account for the use of neurosurgeons, otorhinolaryngologists, neuroradiologists and roentgenologists. In recent years diagnostic tech niques and the scope of surgical intervention have broadened and have become increasingly refined. Many procedures are nowadays carried out with the aid of magnifying lenses and operat ing microscopes which bring diminutive structures into the range of the surgeon's hand and eye. This means that an atlas of the clinical anatomy of the head must give the surgeon working with the operating microscope and the diagnostician using sophisticated equipment full details of the morphology relevant to the scope of each specialty. It would be a fascinating task to depict all the structures of the orbit and the head from the skull base upwards, but any such plan would have required a photoatlas in several volumes. For this reason I have confined myself to medical problems of current importance. In this volume I have included numerous variations which I have myself encountered, so as to underline the diversity of human anatomy. A more comprehensive presentation of the findings and the structures of the head will be published in the three volumes of LANZ-WACHSMUTH. All the dissections illustrated in this book were prepared and photographed by myself.




Photo Atlas of Skull Base Dissection


Book Description

Electronic book available in pdf format.




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.




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.




Cranial, Craniofacial and Skull Base Surgery


Book Description

The Fruits of Reinvention Surgery related to the human head, its compartment and contents has been reinvented over the past 40 years. A number of instruments, most notably the sophisticated medical imaging device and the operating microscope, have principally fueled this evolution. Along the way, endoscopy and sophisticated navigation capabilities have added to the realization of a unique comprehension of normal and abnormal microanatomy permitting corridors and manipu- tions that allow novel strategies for surgery in these highly vital functional areas. Cappabianca, Califano and Iaconetta have created a detailed and fully modern review of methods and strategies related to complex surgery and therapies associated with this robust reinvention. Technical innovations abound! Distinguished practitioners of these unique developments in the history of surgical - terprise present these amazing technical exercises. The catalog of these approaches, inst- mentation, techniques, strategies and manipulations is inspiring and stands as a testimony to the remarkable progress that we have witnessed in recent decades. The presentation in truly “modern” and represents in many aspects pinnacles of operative achievement. We must ask ourselves, what will be next? Los Angeles, November 2009 Michael L.J. Apuzzo, M.D., Ph.D (hon) Preface We belong to a lucky and happy generation, living during a period of many dramatic, if not revolutionary, technical and technological innovations, such as the digital era, which have changed and improved our routine surgical practice, together with the quality and quantity of life of our patients.




Anatomy and Physiology


Book Description




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.