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An extensively illustrated surgical atlas from pioneers of the technique! In Wolfgang Koos' final work, a lifetime of experience in the surgical treatment of the acoustic neurinoma is presented in the style of the brilliantly successful Koos-Spetzler microneurosurgery series. Diagnosis is a strong point of this atlas, as surgical strategies are planned according to the anatomic location and growth pattern of these tumors. The preoperative considerations, operating room set-up, patient positioning, and neuronavigational equipment are described for microsurgery in the cerebellopontine angle region. The operative techniques for removing acoustic neurinomas in correlation with size and extension of the tumor are then provided in step-by-step detail; intraoperative photographs are paired with explanatory colored line drawings of astonishing clarity. Finally, the tumors of the cerebellopontine angle that may mimic acoustic neurinoma are described.
Modern microsurgical techniques have opened up a new horizon for the otoneurosurgeon. This volume is a very important contribu tion to the student who is learning these surgical approaches. Surgical otoneurology has now passed the infancy stage, but is still an adolescent. As more otologists and neurosurgeons become skilled in this type of surgery, new and better approaches will evolve. Certainly there needs to be much better management of the carotid artery as it passes through the temporal bone. Better techniques to preserve the IX, X, and XI nerves in the jugular bulb area should be developed, and more delicate procedures for management of lesions inside the cochlea and vestibular labyrinth should be developed. As our diagnostic techniques have improved, particularly through imaging, surgical techniques to match the improved diagnostic techniques will emerge. For future otoneurologists who are pre pared, many problems involving the temporal bone that are now considered untreatable will be successfully managed for very grateful patients. The purpose of this text is to familiarize the otoneurosur geon with the anatomy of the temporal bone, skull base, infratem poral fossa, and cerebellopontine angle. This anatomy will be taught by demonstrating surgical procedures. This atlas which is an example of cooperation between the schools of Los Angeles and Verona will permit the reader to rehearse otoneurosurgical procedures in the laboratory, and, when the techniques have been mastered, apply the various approaches in the treatment of inner ear and skull base lesions. William F. House MD.
In Wolfgang Koos' final work, a lifetime of experience in the surgical treatment of the acoustic neurinoma is presented in the style of the brilliantly successful Koos-Spetzler microneurosurgery series.Diagnosis is a strong point of this atlas, as surgical strategies are planned according to the anatomic location and growth pattern of these tumors.The preoperative considerations, operating room set-up, patient positioning, and neuronavigational equipment are described for microsurgery in the cerebellopontine angle region.The operative techniques for removing acoustic neurinomas in correlation with size and extension of the tumor are then provided in step-by-step detail; intraoperative photographs are paired with explanatory colored line drawings of astonishing clarity.Finally, the tumors of the cerebellopontine angle that may mimic acoustic neurinoma are described.
During the last few years stereotactic radiosurgery has become a partner of equal rank within the discipline of neurosurgery. Today it is regarded as being of the same importance as microsurgery and endovascular neurosurgery, branches which have also progressed rapidly in recent years. Breakthrough success, however, requires a combined effort of all partners involved. The editors have brought together leading experts in the fields of neurosurgery, neuroradiology, neurology, neuropathology, neuroanatomy, radiation oncology, and biophysics to discuss indications and therapeutic strategies in the treatment of arteriovenous malformations and intracranial tumors and to find a common basis for their future work.
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.
Introducing Vestibular Schwannomas with 26 new chapters, a concise and practical style with accurate, evidence-based explanations, illustrations and simple tables deliberately chosen to make this monograph easy to read and understand. All chapters are arranged according to practical clinical needs. Various aspects of vestibular schwannomas are comprehensively presented in this monograph. Understand the clinical presentation with detailed explanation of neurological cause, natural history and tumour growth predictive factors. The chapters review various topics on the application of audiological tests in the diagnosis of Vestibular schawnnomas, rationale and criteria for conservative management, surgical excision, factors involving the operation theatre during surgery, transtemporal surgical approaches for accessing vestibular schwannomas. Retrosigmoid approach to vestibular schwannomas, applications of endoscopy, Radiosurgery, nursing care, complication avoidance and management, Auditory rehabilitation, physiotherapy subjects are discussed in detail. The definitive useful resource on medical control of vestibular schwannoma from global famend professionals Although a histologically benign and comparatively unusual tumor, otolaryngologists and neurosurgeons have maintained an enduring and deep-rooted fascination with vestibular schwannoma, additionally referred to as acoustic neuroma. Advancements in microsurgical technique, radiosurgery, and radiotherapy, coupled with an multiplied knowledge of the herbal records of the disease, have made cutting-edge control of this tumor extensively extra complex. Concurrently, new controversies have introduced to the unique debates amongst pioneering surgeons, with the pendulum swinging among conservatism and definitive cure. Vestibular schwannomas are benign neoplasms springing up from vestibular of cranial nerve and comprising round 5% of all number one intracranial tumours. Hearing loss and tinnitus are the maximum not unusualplace offering features. MRI is the imaging modality of desire. Surgery is the remedy of desire in medically suit patients; however, some instances can be controlled via way of means of conservative method or via way of means of radiosurgery. Surgical procedures want to be individualized in step with length of tumour and listening to status. The maximum critical difficulty after surgical treatment stays facial paresis. Outcome is ideal in majority of instances and recurrence fees are low. This book should be kept by every neurosurgeon and postgraduate student as a ready reference to all aspects of vestibular schwannomas—from history and conservative treatment to radiosurgery and prevention and restoration of seventh and eighth nerve dysfunction. A book which discusses surgical aspects of schwannoma tumor surgery and the different surgical techniques used in schwannoma tumor surgery.A book explaining how to perform vestibular schwannoma surgery with the use of surgical videos.A book about how to navigate vestibular schwannoma surgery.
Technological progress in neurosurgery - preoperative investigation of the exact anatomy of the patient, detailed planning of the procedure, and use of endoscopes and videosurgery – have made approaches for intracranial microsurgical procedures smaller compared to historically standard neurosurgical approaches. Building on the previous works "Endoscopic Anatomy for Neurosurgery" and "Keyhole Concept in Neurosurgery," this book offers a systematic overview of keyhole approaches in the daily work of a neurosurgeon. The approaches, strategies, indications and technical details described here are complemented by anatomical pictures, schemes, and artists’ illustrations, and analyzed with regard to geometric boundaries and the topography of the target structures.
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.
"The authors have definitely achieved their goal of providing a reference that is easy for both the expert surgeon and the neurosurgeon in training to consult in daily clinical practice ."-Child's Nervous System This important work - featuring complete information on all cranial approaches and techniques, and more than 2000 four-color photographs- marks a new level of achievement in neurosurgery publishing. Superbly conceived and designed, CRANIAL MICROSURGERY leads the neurosurgeon through each procedure in step-by-step detail, and brings together complete coverage of both surgical anatomy and real operative cases. This synthesis of anatomical information and extensive case-based data (including diagnostic histories, radiographic images, and intraoperative photographs) sets the book apart from other works in the field, and will be helpful to neurosurgeons at all levels.
This book provides a practically applicable guide to the all the different imaging modalities used in the diagnosis and management of ENT & Head and Neck patients. It bridges the gap in understanding between surgeons treating ENT & Head and Neck conditions and radiologists who oversee the process of scan requests, interpretation and delivering reports that best inform the subsequent management. Chapters cover a variety of sub-specialist areas including plain films, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), auditory implantation, paediatrics, head and neck cancer, trauma, three dimensional (3D) reconstruction and rehabilitation including swallow. This book facilitates surgeons and radiologists to further develop their understanding of each other’s perspectives on clinical decision-making and appropriately interpreting the outputs from a range of imaging modalities. Head and Neck Imaging: A Multi-Disciplinary Team Approach is a resource well-suited to all trainees, residents, consultants who use these techniques to treat patients with head and neck symptoms. Furthermore, it is vital for those individuals preparing for exams in disciplines such as ear nose and throat, maxillofacial surgery and radiology.