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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.
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.
A practical guide to best practice in managing the perioperative care of pediatric neurosurgical patients.
Featuring over 400 full-color surgical photographs and drawings, this text/atlas is a step-by-step guide to the surgical approaches used to expose the facial skeleton. The authors describe in detail the key anatomic structures and the technical aspects of each approach, so that the surgeon can safely gain access to the region of the craniofacial skeleton requiring surgery. This Second Edition includes full-color intraoperative photographs that complement the surgical drawings. Several new approaches have been added—the transconjunctival approach to the medial orbit, subtarsal approach to the internal orbit, Weber-Ferguson approach to the midface, and facial degloving approach to the midface.
Part of the best-selling Operative Techniques series, Operative Techniques in Plastic Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the best procedure, how to avoid complications and what outcomes to expect. This stand-alone book offers focused, easy-to-follow coverage of injuries and diseases afflicting the craniofacial region, all taken directly from the larger text. It covers nearly all plastic surgery operations for this area that are in current use, and is ideal for residents and physicians in daily practice.
This clinical book + videos embraces the spectrum of craniofacial surgery Written by the world's foremost experts, Atlas of Operative Craniofacial Surgery with its accompanying videos is a unique resource that offers the reader a succinct yet comprehensive guide to performing craniofacial operations. In each chapter, renowned specialists share their strategies for selecting patients, executing effective preoperative planning, comprehending detailed operative techniques, instituting postoperative care best practices, dealing with possible complications, and much more. Key Features The wide array of covered topics includes the cranial vault, reconstruction of the facial bones, orbital fracture repair, rhinoplasty, maxillary and mandibular operations, ear reconstruction, and cleft lip and palate repair Over 1400 intraoperative photos and 300 drawings guide the reader through each operative procedure in a step-by-step fashion Emphasis on how the procedures are performed, rather than on theory Includes case studies that show the results of the discussed techniques Accompanied by 20 surgical technique videos Presented in cooperation with the American Society of Maxillofacial Surgeons (ASMS) and the American Society of Craniofacial Surgery (ASCFS), this beautiful atlas is essential for all those involved with craniofacial surgery, including craniofacial surgeons, craniofacial surgery fellows, maxillofacial residents, and others.
Craniofacial Distraction Osteogenesis addresses one of today's hottest topics in orthodontics and oral and maxillofacial surgery! This comprehensive, full-color text presents the latest information on extraoral and intraoral distraction appliances, including tooth-borne, bone-borne, and hybrid fixation methods. Readers will learn how to minimize or avoid potential complications of osteodistraction by using proper preoperative planning and execution. It includes detailed discussions of mandibular lengthening and widening, mandibular bone transport, alveolar distraction, maxillary, mid-face, and cranial distraction, and more. An extensive library of case studies collected from world-renowned surgeons demonstrates the clinical application of the various techniques.
The management of tumors in and adjacent to the skullbase is challenging given the complex and critically important anatomy of the region and the wide diversity of tumor pathologies that may be encountered. To help navigate the complexities of contemporary multidisciplinary management of these patients, Drs. Hanna and DeMonte bring you Comprehensiv
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.
Recent developments in our understanding of the complex anatomy of the cranial base and the biological behaviour of tumours in this area have significantly improved the outcome of patients with skull base tumours. The contributors present a systemic introduction and summary of contemporary knowledge in skull base surgery. The book has three major parts: (i) clinical, pathological and radiological management of patients, (ii) open and endoscopic surgical approaches to the skull base, and (iii) outcome, morbidity and postoperative follow-up of patients. The book is meant for medical students, residents and consultants in various disciplines, including otolaryngology, head and neck surgery, neurosurgery, plastic surgery, maxillofacial surgery and oncology. The emphasis is on the clinical approach to the patient rather than on surgical techniques per se.