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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.
Endoscopic Sinonasal Dissection Guide demonstrates the most relevant techniques that enable residents to safely navigate the complex anatomy of the nose and paranasal sinuses. Organized in a stepwise approach and designed to mirror a residents progression in the lab, this succinct and user-friendly manual includes the most pertinent information on instrumentation, anteroposterior and postero-anterior approaches, and basic and advanced dissection techniques. Each chapter presents sagittal and endoscopic images accompanied by radiologic correlations with key anatomical landmarks highlighted throughout. Features 122 detailed surgical illustrations with easy-to-read labels guide the reader through basic and advanced endoscopic procedures Includes online access to videos that demonstrate dissection techniques, as well as a typical complex surgical case with nasal polyps A convenient spiral binding facilitates easy use in the lab A special section elucidates critical landmarks for performing advanced transnasal endoscopic procedures of the skull base and cervical spine This highly visual text is ideal for residents in otolaryngology-head and neck surgery and skull base surgery who are working in an endoscopic cadaver laboratory, as well as specialists who need to refresh their dissection techniques.
Temporal Bone Dissection Guide elucidates the key concepts of otologic surgery in a user-friendly manner that is refreshingly accessible to beginning surgeons. Users are provided with only the most relevant information to ensure they are not distracted from the mail goal -- to hone their surgical skills so as to mature into safe and effective temporal bone surgeons.The organization of this highly visual guidebook is designed to teach users to confidently navigate the complex anatomy of the temporal bone and to visualize the surgical steps within a clinical context. Concise descriptions of procedure, anatomy, and surgical objectives are accompanied by clearly labeled image sequences.Features 141 detailed, high-quality drawings depict each surgical step Histologic sections and CT images illustrate the intricate anatomic relationships within the temporal bone A convenient lay-flat wire binding facilitates easy reference in the lab Invaluable advice from the experts, including tips on precisely how to sculpt cortical planes, the technical nuances of the mastoidectomy, and much more The ideal companion in the temporal bone lab, this step-by-step guide will provide residents in otolaryngology--head and neck surgery and skull base surgery with a firm grasp of the basics. It is also an effective tool for specialists who need to refresh their dissection skills.
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.
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.
Handbook of Skull Base Surgery is a state-of-the-art surgical guide that provides clinicians and surgeons with step-by-step instructions on how to perform microscopic and endoscopic procedures. Encompassing the entire skull base, this handbook is designed for busy residents and clinicians seeking to hone their surgical skills. It presents a multidisciplinary approach to the pathologies, diagnosis, and management of skull base lesions. Key Features: Bulleted format with step-by-step descriptions of procedures accompanied by high-quality illustrations of key points Succinct summaries of content enable readers to quickly obtain the information they need Includes coverage of relevant basic sciences, advanced imaging, and adjunctive treatments such as radiosurgery and chemotherapy Comprehensive yet conveniently compact, this book is a must-have reference for residents, clinicians, nurses and researchers caring for patients with skull base pathologies.
The quintessential guide to endoscopic skull base reconstruction from multidisciplinary experts Due to close collaboration between otorhinolaryngologists and neurosurgeons, endoscopic endonasal brain surgery has become part of the surgical armamentarium for successful treatment of various cranial base pathologies. Today, it is considered the gold standard surgical technique for many types of skull base tumors. Techniques and Key Points for Endoscopic Cranial Base Reconstruction by pioneering otorhinolaryngologist Carlos D. Pinheiro-Neto and neurosurgeon Maria Peris-Celda, co-editor of Thieme's acclaimed Rhoton's Atlas of Head, Neck, and Brain, encompasses the most important endoscopic cranial base reconstruction techniques performed in the last two decades. The book features contributions from an impressive group of additional experts in this field. Comprised of 26 reader-friendly chapters divided into seven sections, the book starts with discussion of general principles of endoscopic cranial base reconstruction. Sections II through VI provide step-by-step descriptions of reconstructive approaches utilizing diverse flaps including nasoseptal, intranasal, extranasal, and free grafts, followed by free flaps. The final section details management of seven challenging cases that enrich practical clinical experience, from free flap reconstruction to recalcitrant cerebrospinal fluid leak. Key Highlights Decision-making rationales and pearls regarding selection of the most efficacious reconstructive techniques. Consistently formatted chapters feature a succinct review of anatomical concepts integral to each procedure, detailed descriptions for each surgical step, and alternative options. High-quality and meticulous anatomical dissections performed at the editors' anatomy laboratory and beautiful illustrations depict the flow of operations essential to understanding surgical nuances. Nineteen narrated videos visually demonstrate techniques and consolidate learning. This must-have, comprehensive resource will help skull base surgeons master the latest techniques, avoid complications, and achieve improved outcomes for their patients.
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.