Techniques and key points for endoscopic cranial base reconstruction:
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[2022]
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245 | 1 | 0 | |a Techniques and key points for endoscopic cranial base reconstruction |c Carlos D. Pinheiro-Neto, MD, PhD, Maria Peris-Celda, MD, PhD |
264 | 1 | |a New York ; Stuttgart ; Delhi ; Rio de Janeiro |b Thieme |c [2022] | |
264 | 4 | |c © 2022 | |
300 | |a xx, 169 Seiten |b 250 Illustrationen |c 27.9 cm x 21.6 cm | ||
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337 | |b n |2 rdamedia | ||
338 | |b nc |2 rdacarrier | ||
500 | |a Auf dem Umschlag: + Online ad MedOne Videos | ||
653 | |a skull base defect | ||
653 | |a CSF leak | ||
653 | |a nasoseptal flap | ||
653 | |a inferior turbinate flap | ||
653 | |a pericranial flap | ||
653 | |a temporalis muscle flap | ||
653 | |a free flap | ||
653 | |a endoscopic skull base surgery | ||
700 | 1 | |a Pinheiro-Neto, Carlos D. |4 edt |4 wpr |4 aut | |
700 | 1 | |a Peris-Celda, Maria |0 (DE-588)1151972401 |4 edt |4 wpr |4 aut | |
710 | 2 | |a Thieme Medical Publishers, Inc. (im Thieme Verlag KG) |0 (DE-588)1065861079 |4 pbl | |
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Datensatz im Suchindex
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adam_text | Contents Videos....................................................................................................................................................................... xiv Foreword................................................................................................................................................................ xvi Preface................................................................................................................................................................... xvii Acknowledgments.............................................................................................................................................. xviii Contributors........................................................................................................................................................... xix Section I 1. Introduction Principles of Endoscopic Cranial Base Reconstruction.................................................................... 2 Tyler Kenning, Laura Salgado-Lopez, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 1.1 Introduction................................................. 2 1.4 Vascularized Reconstruction....................... 3 1.2 Fundamentals of Endonasal Reconstruction.............................................. 2 1.5 Reconstruction Decalogue.......................... 1.3 Repair Options.............................................. 2 2. 3 Operative Planning and Treatment Algorithm.................................................................................. 6 Serdar Aydin, Carlos D.
Pinheiro-Neto, and Maria Peris-Celda 2.1 Introduction................................................. 6 2.4 Treatment Algorithm................................... 6 2.2 Preoperative Planning................................. 6 2.5 Postoperative Considerations...................... 2.3 Perioperative and Intraoperative Considerations.............................................. 6 2.5.1 2.5.2 Inpatient Care.................................................... 6 Outpatient Care.................................................. 6 Nasoseptal Flap and Variations........................................................ 9 Standard Nasoseptal Flap.......................................................................... 10 Section II 3. 6 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, Natalia C. Rezende, and Maria Peris-Celda 3.1 Anatomy....... 10 3.5 Surgical Technique............. 13 3.2 Fundamentals 10 3.5.1 3.5.2 Harvest.................................. Reconstruction...................... 13 15 3.3 Indications... 13 3.6 Postoperative Care............. 15 3.4 Limitations... 13 3.7 Managing Complications .. 18 4. Rescue Nasoseptal Flap........................................................................................................................... 21 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonei, and Maria Peris-Celda 4.1 Fundamentals.............................................. 21 4.2 Indications................................................... 21
Contents 4.3 Limitations...................................................... 21 4.5 Postoperative Care 21 4.4 Surgical Technique........................................ 21 4.6 Complications........ 21 5. Extended Nasoseptal Flap................................................ 26 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 5.1 Fundamentals................................................ 26 5.2 Indications...................................................... 26 5.3 Limitations...................................................... 26 5.4 Surgical Technique........................................ 26 5.4.1 Harvest.............................................................. 26 6. 5.4.2 Reconstruction................................................. 30 5.5 Postoperative Care........................................ 30 5.5.1 5.5.2 5.5.3 One-Week Postoperative Visit........................ 30 One-Month Postoperative Visit....................... 30 Four-Month Postoperative Visit....................... 30 5.6 Complications................................................ 30 33 Nasoseptal Flap Pedicle Release.................................... Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 6.1 Anatomy......................................................... 33 6.2 Fundamentals................................................ 33 6.3 Indications...................................................... 33 6.4 Limitations...................................................... 36 6.5 Surgical
Technique........................................ 36 6.5.1 360-Degree Bone Removal around the SPA Foramen (Osseous Release)............................. 36 7. 6.5.2 6.5.3 Ipsilateral Transpterygoid Approach................ 36 360-Degree Circumferential Incision in the Periosteum of the PPF around the SPA (Periosteal Release).......................................... 36 6.6 Postoperative Care........................................ 40 6.6.1 6.6.2 One-Week Postoperative Visit........................ 40 One-Month Postoperative Visit....................... 40 6.7 Complications................................................ 40 43 Composite Cartilagomucosal Nasoseptal Flap.......... Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 7.1 Fundamentals........................................ ....... 43 7.2 Indications............................................. ....... 43 7.3 Limitations............................................. ....... 43 7.4 Surgical Technique....................................... 43 8. Resurface of the Septum Donor Site 7.4.1 7.4.2 Flap Harvest.............. Reconstruction......... 43 7.5 Postoperative Care. 45 7.6 Complications........ 45 45 50 Carlos D. Pinheiro-Neto and Maria Peris-Celda viii 8.1 Fundamentals................................................ 50 8.2 Indications..................................................... 50 8.3 Limitations..................................................... 50 8.3.1 8.3.2 Reverse Contralateral NSF............................... 50 Inferior Meatal Flap.........................................
50 8.4 Surgical Technique........................................ 50 8.4.1 8.4.2 Reverse Contralateral NSF............................... 50 Inferior Meatal Flap......................................... 51
Contents 8.5 Postoperative Care....................................... 51 8.6 Complications................................................ 51 Free Mucosal Crafts 51 Other Intranasal Flaps............................................................................... 57 Middle Turbinate Flap............................................................................................ 58 Section III 9. 8.7 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 9.1 Anatomy................................. ....................... 58 9.5 Surgical Technique... 58 9.2 Fundamentals........................ ........................ 58 9.5.1 9.5.2 Harvest......................... Reconstruction............. 58 61 9.3 Indications............................. ....................... 58 9.6 Postoperative Care... 61 9.4 Limitations............................. ....................... 58 9.7 Complications............ 61 10. Posterior-Based Lateral Nasal Wall Flaps 64 Carl H. Snyderman and Paul A. Gardner 10.5.1 10.5.2 10.5.3 Standard Posterior LNWF.................................. 64 Extended Posterior LNWF................................ 67 Extended Posterior LNWF with Nasal Septum...................................................... 67 10.6 Postoperative Care....................................... 67 10.7 Complications................................................ 67 10.1 Anatomy........................................................ 64 10.2 Fundamentals................................................ 64 10.3
Indications..................................................... 64 10.4 Limitations..................................................... 64 10.5 Surgical Technique....................................... 64 11. Anterior-Based Lateral Nasal Wall Flaps...................... 73 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 11.1 Anatomy........................................................ 73 11.5 Surgical Technique....................................... 73 11.2 Fundamentals................................................ 73 11.5.1 11.5.2 Harvest............................................................... 73 Reconstruction.................................................. 75 11.3 Indications..................................................... 73 11.6 Postoperative Care....................................... 75 11.4 Limitations..................................................... 73 11.7 Complications............................................... 75 Section IV 12. Extranasal Flaps....................................................... Pericranial Flap.................................................................. Laura Salgado-Lopez, Maria Peris-Celda, and Carlos 0. Pinheiro-Neto 12.1 Anatomy................................ ........................ 80 12.3 Indications... 12.2 Fundamentals........................ ........................ 80 12.4 Limitations...
Contents 12.5 Surgical Technique........................................... 81 12.5.1 12.5.2 Pericranial Flap Harvest via Coronal Approach.. . 81 Pericranial Flap Harvest via Endoscopic Approach.............................................................. 83 13. Temporoparietal Fascia Flap............... 12.6 Postoperative Care............................ .. 83 12.7 Complications......................................... .. 83 .. 87 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Felipe 5. C. Fortes 13.5.1 13.5.2 13.5.3 Endoscopic Infratemporal Fossa Approach.. .. 90 Temporoparietal Fascia Flap Harvest and Transposition.................................................... .. 90 Reconstruction................................................ .. 92 13.6 Postoperative Care....................................... .. 92 13.7 Complications................................................ .. 92 13.1 Anatomy........................................................... . 87 13.2 Fundamentals............................................. . 87 13.3 Indications.................................................. . 87 13.4 Limitations....................................................... . 90 13.5 Surgical Technique......................................... . 90 14. Composite Extranasal Flaps: Osteopericranial and Osteotemporoparietal Fascia Flaps ... .. 93 Carlos D. Pinheiro-Neto and Maria Peris-Celda 14.1 Anatomy........................................................... . 93 14.5 Surgical Technique....................................... .. 93 14.2
Fundamentals.................................................. . 93 14.5.1 14.5.2 Harvest............................................................. ..93 Reconstruction................................................ .. 96 14.3 Indications....................................................... . 93 14.6 Postoperative Care....................................... .. 96 14.4 Limitations.................................................. 93 14.7 Complications........................................... .. 96 15. Temporalis Muscle Flap......................... . 100 Roberto M. Soriano and C. Arturo Solares 15.5.1 15.5.2 15.5.3 Widening of Pterygoid Passage.................... . 102 Temporalis Muscle Flap Harvest.................. . 102 Flap Transposition and Inset............................ 102 15.6 Postoperative Care...................................... . 102 15.7 Complications............................................... .. 107 15.1 Anatomy.................................................. . 100 15.2 Fundamentals................................................ . 100 15.3 indications..................................................... . 100 15.4 Limitations..................................................... . 100 15.5 Surgical Technique...................................... . 102 16. Other Extranasal Flaps: Facial Artery Buccinator Flap and Palatal Flap................................... Garret И/. Choby X 16.1 Anatomy............................... ...................... 108 16.3 Indications... 16.2 Fundamentals...................... ...................... 108 16.4
Limitations... 108
Contents 16.5 Surgical Technique........................................... 108 16.6 Postoperative Care........................................... 109 Section V 17. 16.7 Complications..................................................... 109 Free Crafts................................................................. 113 Mucosal Crafts................................................................... 114 Ramón Moreno-Luna, Morìa Perìs-Celda, and Carlos D. Pinheiro-Neto 17.1 Fundamentals 114 17.2 Indications... 114 17.3 Limitations 114 17.4 Surgical Technique........................................... 114 17.4.5 Lateral Nasal Wall Free Mucosal Graft (Anterior)................................................ 117 17.5 Postoperative Care......................... 117 17.6 Complications 118 17.6.1 Nasal Floor Free Mucosal Graft........... 118 17.6.2 Middle Turbinate Free Mucosal Graft. 118 17.6.3 Nasal Septum Free Mucosal Graft 118 17.6.4 Inferior Turbinate Free Mucosal Graft. 118 17.6.5 Lateral Nasal Wall Free Mucosal Graft 17.4.1 Nasal Floor Free Mucosal Graft......................... 114 17.4.2 Middle Turbinate Free Mucosal Graft............. 117 17.4.3 Nasal Septum Free Mucosal Graft................... 117 17.4.4 Inferior Turbinate Free Mucosal Graft.............. 117 18. Nonmucosal Grafts: Fat, Muscle, Fascia Lata, and Septal Cartilage................................................ (Anterior)................................................ 118 119 Laura Salgado-Lopez, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 18.1
Anatomy.............................................................. 119 18.5 Surgical Technique.......................................... 120 18.2 Fundamentals.................................................... 119 18.6 Postoperative Care.......................................... 123 18.3 Indications.......................................................... 119 18.7 Complications.................................................... 123 18.4 Li mitations........................................................... 120 Section VI 19. Free Flaps........................................................................................................................................... 125 Endoscopic Cranial Base Free Flap Reconstruction.................................................................................... 126 Akina Tamaki, Abdulazlz Alrasheed, Daniel Prevedello, Enver Ozer, Ricardo L. Carrau, and Stephen Y. Kang 19.1 Anatomy.............................................................. 126 19.2 Fundamentals.................................................... 126 19.3 Indications.......................................................... 126 19.4 Limitations.......................................................... 126 19.5 Surgical Technique........................................... 126 19.5.1 Preparation of Recipient Site............................. 127 19.5.2 Free Flap Harvest................................................ 127 19.5.3 Free Flap Inset...................................................... 127 19.6 Postoperative
Care.......................................... 129 19.7 Complications.................................................... 129 xi
Contents Section VII 20. Challenging Cases............. ................... 131 Free Flap Reconstruction....................................................................................................... ................... 132 Adedamola Adepoju, Courtney Carpenter, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 20.1 Case Description............................. .......... 132 20.1.1 Presentation........................................ .......... 132 20.1.2 Surgical Procedure............................. .......... 132 20.1.3 Postoperative Course.......................... .......... 132 20.3 Discussion.............................. ..................... 135 20.4 Alternatives............................ ..................... 135 20.5 Conclusions............................ ..................... 135 20.2 Challenges.................................................... 132 21. Galeal-Frontalis Muscle Flap...................................................................................................................... 136 Adedamola Adepoju, Tyler Kenning, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 21.1 Case Description.................................... ... 136 21.1.1 Presentation.............................................. .... 136 21.1.2 Surgical Procedure................................... .... 136 21.1.3 Postoperative Course............................... .... 136 21.2 Challenges............................................. .... 136 22. Necrotic Pericranial Scalp Flap.... 21.3 Discussion............................ ....................... 136 21.4
Alternatives.......................... ....................... 139 21.5 Conclusions.......................... ....................... 139 ...................... 140 Carl H. Snyderman and Paul A. Gardner 22.1 Case Description................................... .... 140 22.1.1 22.1.2 22.1.3 Presentation............................................. .... 140 Surgical Procedure................................... .... 140 Postoperative Course............................... .... 140 22.2 Challenges............................................. .... 140 23. Necrotic Nasoseptal Flap............... 22.3 Discussion............................ ....................... 140 22.4 Alternatives.......................... ....................... 144 22.5 Conclusions.......................... ....................... 144 ....................... 145 Carl H. Snyderman and Paul A. Gardner 23.1 Case Description................................... .... 145 23.1.1 23.1.2 23.1.3 Presentation............................................. .... 145 Surgical Procedure................................... .... 145 Postoperative Course............................... .... 145 23.2 Challenges.................................................... 145 24. 23.3 Discussion........................... ........................ 145 23.4 Alternatives......................... ........................ 145 23.5 Conclusions........................ ........................ 150 What to Do When a Nasoseptal Flap Is Not Perfusing?......................................... ...................... 151 Jamie j. Van Compel, Janalee
Stokken, and Salomon Cohen Cohen 24.1 Case Description................................. ....... 151 24.1.1 24.1.2 24.1.3 Presentation........................................... ....... 151 Surgical Procedure................................. ....... 151 Postoperative Course............................. ....... 151 24.2 Challenges........................................... ....... 151 24.3 Discussion.......................... ........................ 151 24.4 Alternatives........................ ........................ 151 24.5 Conclusion.......................... ........................ 156
Contents 25. Persistent Subcutaneous/Epidural Pneumocephalus Following Skull Base Surgery............. 157 Michael J. Link, Maria Peris-Celda, and Garret W. Choby 25.1 Case Description.............................................. 157 25.1.1 25.1.2 25.1.3 25.1.4 Presentation......................................................... Surgical Procedure.............................................. Postoperative Course.......................................... Surgical Repair................................................... 25.2 Challenges......................................................... 162 26. 157 157 157 157 25.3 Discussion........................................................ 162 25.4 Alternatives....................................................... 163 25.5 Conclusions....................................................... 163 Recalcitrant Cerebrospinal Fluid Leak........................................................................................................... 164 Abduiaziz Alrasheed, Akina Tamaki, Daniel Prevedello, Stephen Y. Kang, Enver Ozer, Mathew Old, Nolan Seim, AmitAgrawal, and Ricardo L Carrau 26.1 Case Description.............................................. 164 26.3 Discussion ........................................................ 164 26.1.1 26.1.2 26.1.3 Presentation......................................................... 164 Surgical Procedure............................................. 164 Postoperative Course.......................................... 164 26.4 Alternatives....................................................... 164
26.5 Conclusion........................................................ 164 26.2 Challenges......................................................... 164 Index 167 xiii
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. Carlos D. Pinheiro-Neto, MD, PhD, is Associate Professor, Department of Otorhinolaryngology/Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA. Maria Peris-Celda, MD, PhD, is Associate Professor, Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA. An award-winning international medical and scientific publisher, Thieme has demonstrated its commitment to the highest standard of quality in the state-of-the-art content and presentation of all its products. Founded in 1886, the Thieme name has become synonymous with high quality and excellence in online and print publishing.
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Contents Videos. xiv Foreword. xvi Preface. xvii Acknowledgments. xviii Contributors. xix Section I 1. Introduction Principles of Endoscopic Cranial Base Reconstruction. 2 Tyler Kenning, Laura Salgado-Lopez, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 1.1 Introduction. 2 1.4 Vascularized Reconstruction. 3 1.2 Fundamentals of Endonasal Reconstruction. 2 1.5 Reconstruction Decalogue. 1.3 Repair Options. 2 2. 3 Operative Planning and Treatment Algorithm. 6 Serdar Aydin, Carlos D.
Pinheiro-Neto, and Maria Peris-Celda 2.1 Introduction. 6 2.4 Treatment Algorithm. 6 2.2 Preoperative Planning. 6 2.5 Postoperative Considerations. 2.3 Perioperative and Intraoperative Considerations. 6 2.5.1 2.5.2 Inpatient Care. 6 Outpatient Care. 6 Nasoseptal Flap and Variations. 9 Standard Nasoseptal Flap. 10 Section II 3. 6 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, Natalia C. Rezende, and Maria Peris-Celda 3.1 Anatomy. 10 3.5 Surgical Technique. 13 3.2 Fundamentals 10 3.5.1 3.5.2 Harvest. Reconstruction. 13 15 3.3 Indications. 13 3.6 Postoperative Care. 15 3.4 Limitations. 13 3.7 Managing Complications . 18 4. Rescue Nasoseptal Flap. 21 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonei, and Maria Peris-Celda 4.1 Fundamentals. 21 4.2 Indications. 21
Contents 4.3 Limitations. 21 4.5 Postoperative Care 21 4.4 Surgical Technique. 21 4.6 Complications. 21 5. Extended Nasoseptal Flap. 26 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 5.1 Fundamentals. 26 5.2 Indications. 26 5.3 Limitations. 26 5.4 Surgical Technique. 26 5.4.1 Harvest. 26 6. 5.4.2 Reconstruction. 30 5.5 Postoperative Care. 30 5.5.1 5.5.2 5.5.3 One-Week Postoperative Visit. 30 One-Month Postoperative Visit. 30 Four-Month Postoperative Visit. 30 5.6 Complications. 30 33 Nasoseptal Flap Pedicle Release. Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 6.1 Anatomy. 33 6.2 Fundamentals. 33 6.3 Indications. 33 6.4 Limitations. 36 6.5 Surgical
Technique. 36 6.5.1 360-Degree Bone Removal around the SPA Foramen (Osseous Release). 36 7. 6.5.2 6.5.3 Ipsilateral Transpterygoid Approach. 36 360-Degree Circumferential Incision in the Periosteum of the PPF around the SPA (Periosteal Release). 36 6.6 Postoperative Care. 40 6.6.1 6.6.2 One-Week Postoperative Visit. 40 One-Month Postoperative Visit. 40 6.7 Complications. 40 43 Composite Cartilagomucosal Nasoseptal Flap. Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 7.1 Fundamentals. . 43 7.2 Indications. . 43 7.3 Limitations. . 43 7.4 Surgical Technique. 43 8. Resurface of the Septum Donor Site 7.4.1 7.4.2 Flap Harvest. Reconstruction. 43 7.5 Postoperative Care. 45 7.6 Complications. 45 45 50 Carlos D. Pinheiro-Neto and Maria Peris-Celda viii 8.1 Fundamentals. 50 8.2 Indications. 50 8.3 Limitations. 50 8.3.1 8.3.2 Reverse Contralateral NSF. 50 Inferior Meatal Flap.
50 8.4 Surgical Technique. 50 8.4.1 8.4.2 Reverse Contralateral NSF. 50 Inferior Meatal Flap. 51
Contents 8.5 Postoperative Care. 51 8.6 Complications. 51 Free Mucosal Crafts 51 Other Intranasal Flaps. 57 Middle Turbinate Flap. 58 Section III 9. 8.7 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 9.1 Anatomy. . 58 9.5 Surgical Technique. 58 9.2 Fundamentals. . 58 9.5.1 9.5.2 Harvest. Reconstruction. 58 61 9.3 Indications. . 58 9.6 Postoperative Care. 61 9.4 Limitations. . 58 9.7 Complications. 61 10. Posterior-Based Lateral Nasal Wall Flaps 64 Carl H. Snyderman and Paul A. Gardner 10.5.1 10.5.2 10.5.3 Standard Posterior LNWF. 64 Extended Posterior LNWF. 67 Extended Posterior LNWF with Nasal Septum. 67 10.6 Postoperative Care. 67 10.7 Complications. 67 10.1 Anatomy. 64 10.2 Fundamentals. 64 10.3
Indications. 64 10.4 Limitations. 64 10.5 Surgical Technique. 64 11. Anterior-Based Lateral Nasal Wall Flaps. 73 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Maria Peris-Celda 11.1 Anatomy. 73 11.5 Surgical Technique. 73 11.2 Fundamentals. 73 11.5.1 11.5.2 Harvest. 73 Reconstruction. 75 11.3 Indications. 73 11.6 Postoperative Care. 75 11.4 Limitations. 73 11.7 Complications. 75 Section IV 12. Extranasal Flaps. Pericranial Flap. Laura Salgado-Lopez, Maria Peris-Celda, and Carlos 0. Pinheiro-Neto 12.1 Anatomy. . 80 12.3 Indications. 12.2 Fundamentals. . 80 12.4 Limitations.
Contents 12.5 Surgical Technique. 81 12.5.1 12.5.2 Pericranial Flap Harvest via Coronal Approach. . 81 Pericranial Flap Harvest via Endoscopic Approach. 83 13. Temporoparietal Fascia Flap. 12.6 Postoperative Care. . 83 12.7 Complications. . 83 . 87 Carlos D. Pinheiro-Neto, Luciano C. P. C. Leonel, and Felipe 5. C. Fortes 13.5.1 13.5.2 13.5.3 Endoscopic Infratemporal Fossa Approach. . 90 Temporoparietal Fascia Flap Harvest and Transposition. . 90 Reconstruction. . 92 13.6 Postoperative Care. . 92 13.7 Complications. . 92 13.1 Anatomy. . 87 13.2 Fundamentals. . 87 13.3 Indications. . 87 13.4 Limitations. . 90 13.5 Surgical Technique. . 90 14. Composite Extranasal Flaps: Osteopericranial and Osteotemporoparietal Fascia Flaps . . 93 Carlos D. Pinheiro-Neto and Maria Peris-Celda 14.1 Anatomy. . 93 14.5 Surgical Technique. . 93 14.2
Fundamentals. . 93 14.5.1 14.5.2 Harvest. .93 Reconstruction. . 96 14.3 Indications. . 93 14.6 Postoperative Care. . 96 14.4 Limitations. 93 14.7 Complications. . 96 15. Temporalis Muscle Flap. . 100 Roberto M. Soriano and C. Arturo Solares 15.5.1 15.5.2 15.5.3 Widening of Pterygoid Passage. . 102 Temporalis Muscle Flap Harvest. . 102 Flap Transposition and Inset. 102 15.6 Postoperative Care. . 102 15.7 Complications. . 107 15.1 Anatomy. . 100 15.2 Fundamentals. . 100 15.3 indications. . 100 15.4 Limitations. . 100 15.5 Surgical Technique. . 102 16. Other Extranasal Flaps: Facial Artery Buccinator Flap and Palatal Flap. Garret И/. Choby X 16.1 Anatomy. . 108 16.3 Indications. 16.2 Fundamentals. . 108 16.4
Limitations. 108
Contents 16.5 Surgical Technique. 108 16.6 Postoperative Care. 109 Section V 17. 16.7 Complications. 109 Free Crafts. 113 Mucosal Crafts. 114 Ramón Moreno-Luna, Morìa Perìs-Celda, and Carlos D. Pinheiro-Neto 17.1 Fundamentals 114 17.2 Indications. 114 17.3 Limitations 114 17.4 Surgical Technique. 114 17.4.5 Lateral Nasal Wall Free Mucosal Graft (Anterior). 117 17.5 Postoperative Care. 117 17.6 Complications 118 17.6.1 Nasal Floor Free Mucosal Graft. 118 17.6.2 Middle Turbinate Free Mucosal Graft. 118 17.6.3 Nasal Septum Free Mucosal Graft 118 17.6.4 Inferior Turbinate Free Mucosal Graft. 118 17.6.5 Lateral Nasal Wall Free Mucosal Graft 17.4.1 Nasal Floor Free Mucosal Graft. 114 17.4.2 Middle Turbinate Free Mucosal Graft. 117 17.4.3 Nasal Septum Free Mucosal Graft. 117 17.4.4 Inferior Turbinate Free Mucosal Graft. 117 18. Nonmucosal Grafts: Fat, Muscle, Fascia Lata, and Septal Cartilage. (Anterior). 118 119 Laura Salgado-Lopez, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 18.1
Anatomy. 119 18.5 Surgical Technique. 120 18.2 Fundamentals. 119 18.6 Postoperative Care. 123 18.3 Indications. 119 18.7 Complications. 123 18.4 Li mitations. 120 Section VI 19. Free Flaps. 125 Endoscopic Cranial Base Free Flap Reconstruction. 126 Akina Tamaki, Abdulazlz Alrasheed, Daniel Prevedello, Enver Ozer, Ricardo L. Carrau, and Stephen Y. Kang 19.1 Anatomy. 126 19.2 Fundamentals. 126 19.3 Indications. 126 19.4 Limitations. 126 19.5 Surgical Technique. 126 19.5.1 Preparation of Recipient Site. 127 19.5.2 Free Flap Harvest. 127 19.5.3 Free Flap Inset. 127 19.6 Postoperative
Care. 129 19.7 Complications. 129 xi
Contents Section VII 20. Challenging Cases. . 131 Free Flap Reconstruction. . 132 Adedamola Adepoju, Courtney Carpenter, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 20.1 Case Description. . 132 20.1.1 Presentation. . 132 20.1.2 Surgical Procedure. . 132 20.1.3 Postoperative Course. . 132 20.3 Discussion. . 135 20.4 Alternatives. . 135 20.5 Conclusions. . 135 20.2 Challenges. 132 21. Galeal-Frontalis Muscle Flap. 136 Adedamola Adepoju, Tyler Kenning, Maria Peris-Celda, and Carlos D. Pinheiro-Neto 21.1 Case Description. . 136 21.1.1 Presentation. . 136 21.1.2 Surgical Procedure. . 136 21.1.3 Postoperative Course. . 136 21.2 Challenges. . 136 22. Necrotic Pericranial Scalp Flap. 21.3 Discussion. . 136 21.4
Alternatives. . 139 21.5 Conclusions. . 139 . 140 Carl H. Snyderman and Paul A. Gardner 22.1 Case Description. . 140 22.1.1 22.1.2 22.1.3 Presentation. . 140 Surgical Procedure. . 140 Postoperative Course. . 140 22.2 Challenges. . 140 23. Necrotic Nasoseptal Flap. 22.3 Discussion. . 140 22.4 Alternatives. . 144 22.5 Conclusions. . 144 . 145 Carl H. Snyderman and Paul A. Gardner 23.1 Case Description. . 145 23.1.1 23.1.2 23.1.3 Presentation. . 145 Surgical Procedure. . 145 Postoperative Course. . 145 23.2 Challenges. 145 24. 23.3 Discussion. . 145 23.4 Alternatives. . 145 23.5 Conclusions. . 150 What to Do When a Nasoseptal Flap Is Not Perfusing?. . 151 Jamie j. Van Compel, Janalee
Stokken, and Salomon Cohen Cohen 24.1 Case Description. . 151 24.1.1 24.1.2 24.1.3 Presentation. . 151 Surgical Procedure. . 151 Postoperative Course. . 151 24.2 Challenges. . 151 24.3 Discussion. . 151 24.4 Alternatives. . 151 24.5 Conclusion. . 156
Contents 25. Persistent Subcutaneous/Epidural Pneumocephalus Following Skull Base Surgery. 157 Michael J. Link, Maria Peris-Celda, and Garret W. Choby 25.1 Case Description. 157 25.1.1 25.1.2 25.1.3 25.1.4 Presentation. Surgical Procedure. Postoperative Course. Surgical Repair. 25.2 Challenges. 162 26. 157 157 157 157 25.3 Discussion. 162 25.4 Alternatives. 163 25.5 Conclusions. 163 Recalcitrant Cerebrospinal Fluid Leak. 164 Abduiaziz Alrasheed, Akina Tamaki, Daniel Prevedello, Stephen Y. Kang, Enver Ozer, Mathew Old, Nolan Seim, AmitAgrawal, and Ricardo L Carrau 26.1 Case Description. 164 26.3 Discussion . 164 26.1.1 26.1.2 26.1.3 Presentation. 164 Surgical Procedure. 164 Postoperative Course. 164 26.4 Alternatives. 164
26.5 Conclusion. 164 26.2 Challenges. 164 Index 167 xiii
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. Carlos D. Pinheiro-Neto, MD, PhD, is Associate Professor, Department of Otorhinolaryngology/Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA. Maria Peris-Celda, MD, PhD, is Associate Professor, Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA. An award-winning international medical and scientific publisher, Thieme has demonstrated its commitment to the highest standard of quality in the state-of-the-art content and presentation of all its products. Founded in 1886, the Thieme name has become synonymous with high quality and excellence in online and print publishing. |
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spelling | Techniques and key points for endoscopic cranial base reconstruction Carlos D. Pinheiro-Neto, MD, PhD, Maria Peris-Celda, MD, PhD New York ; Stuttgart ; Delhi ; Rio de Janeiro Thieme [2022] © 2022 xx, 169 Seiten 250 Illustrationen 27.9 cm x 21.6 cm txt rdacontent n rdamedia nc rdacarrier Auf dem Umschlag: + Online ad MedOne Videos skull base defect CSF leak nasoseptal flap inferior turbinate flap pericranial flap temporalis muscle flap free flap endoscopic skull base surgery Pinheiro-Neto, Carlos D. edt wpr aut Peris-Celda, Maria (DE-588)1151972401 edt wpr aut Thieme Medical Publishers, Inc. (im Thieme Verlag KG) (DE-588)1065861079 pbl Erscheint auch als Online-Ausgabe 978-1-68420-233-1 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=f5e7c429a1664ffb83c003ba59ab53c3&prov=M&dok_var=1&dok_ext=htm Inhaltstext Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=032985861&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=032985861&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext 1\p vlb 20210906 DE-101 https://d-nb.info/provenance/plan#vlb |
spellingShingle | Pinheiro-Neto, Carlos D. Peris-Celda, Maria Techniques and key points for endoscopic cranial base reconstruction |
title | Techniques and key points for endoscopic cranial base reconstruction |
title_auth | Techniques and key points for endoscopic cranial base reconstruction |
title_exact_search | Techniques and key points for endoscopic cranial base reconstruction |
title_exact_search_txtP | Techniques and key points for endoscopic cranial base reconstruction |
title_full | Techniques and key points for endoscopic cranial base reconstruction Carlos D. Pinheiro-Neto, MD, PhD, Maria Peris-Celda, MD, PhD |
title_fullStr | Techniques and key points for endoscopic cranial base reconstruction Carlos D. Pinheiro-Neto, MD, PhD, Maria Peris-Celda, MD, PhD |
title_full_unstemmed | Techniques and key points for endoscopic cranial base reconstruction Carlos D. Pinheiro-Neto, MD, PhD, Maria Peris-Celda, MD, PhD |
title_short | Techniques and key points for endoscopic cranial base reconstruction |
title_sort | techniques and key points for endoscopic cranial base reconstruction |
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