Atlas of microsurgery of the lateral skull base:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Stuttgart [u.a.]
Thieme
2008
|
Ausgabe: | 2. ed. |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis Klappentext |
Beschreibung: | 1. Aufl. u.d.T.: Atlas of temporal bone and lateral skull base surgery |
Beschreibung: | XV, 391 S. überw. Ill., graph. Darst. |
ISBN: | 9783131010926 9781588900111 3131010924 |
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264 | 1 | |a Stuttgart [u.a.] |b Thieme |c 2008 | |
300 | |a XV, 391 S. |b überw. Ill., graph. Darst. | ||
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Datensatz im Suchindex
_version_ | 1804137124193107968 |
---|---|
adam_text | In this completely revised and enlarged new edition. Professor
Sanna
and his team provide
systematic demonstrations of the major lateral skull base approaches, drawing from
20
years
of experience of the eminent
Gruppo Otologico
located in
Piacenza,
Italy.
Key features:
•
Introductory chapters on the general principles, instrumentation, and special considerations
that characterize this type of surgery
•
Discussion of the radiology of skull base lesions as it relates to surgery, with particular
emphasis on findings that can influence the choice of surgical approach, alter the course
of surgery, or affect the prognosis
•
Actual demonstrations of the anatomy seen during the different surgical approaches-
standard anatomy textbooks fail to address this issue
•
For each approach, step-by-step descriptions of the surgical technique and numerous clinical
cases representing the most commonly encountered lesions so that the reader receives a
comprehensive understanding of how to perform the approach and what to expect during
surgery
•
Pearls and Pitfalls at the end of most chapters gathered from the vast number of cases
managed throughout the years by the authors and included to help others avoid mistakes
•
Over
1300
superb and instructive
illustrations
consisting of photographs of live surgery and
cadaver dissections,
radiologie
images, and drawings
Further advanced topics covered:
•
Combined approaches providing the necessary route to manage certain extensive skull
base tumors that represent particular challenges
•
Management strategies for different skull base lesions (e.g., surgical vs. nonsurgical
management, the different factors that determine the choice of the surgical approach,
cases that are managed conservatively or with radiosurgery)
•
Management of the internal carotid artery in skull base surgery, including the new
technkiue of using stems to facilitate tumor dissection from the
interna!
carotid artery
This outstanding surgical atlas is invaluable for any surgeon who seeks not only to master
the different surgical approaches but also to grasp the real essence of skull base surgery.
Other titles by Professor
Sanna
and his colleagues:
•
Endoscopy in Neuro-Otology
(1999,
with J. Magnan)
•
Atlas of Acoustic Neurinoma Microsurgery
(1998)
•
Middle Ear and Mastoid Microsurgery
(2003)
•
Color Atlas of Otoscopy: From Diagnosis to Surgery
(2003)
•
The Temporal Bone: A Manual for Dissection and Surgical Approaches
2006,.
•
The Facial Nerve in Temporal Bone and Lateral Skull Base Microsurgery
(2006,
Contents
IX
1
Operating Room Setup
............................ 1
Operating Room Arrangement
....................... 1
The Patient Position and the Operating Room
......... 2
Monitoring
......................................... 2
Preparation of the Operative Site
..................... 2
Surgeon s Position
.................................. 3
Microscope
......................................... 3
instruments
......................................... 3
Suction Irrigation
..................................... 3
Drills
................................................ 3
Bipolar Coagulation
.................................. 4
Microinstruments
.................................... 5
Postoperative Care
.................................. 6
2
Special Considerations in Skull Base Surgery
........ 8
Introduction
........................................ 8
General Guidelines for Drilling
....................... 8
Management of Bleeding
............................ 8
Monopolar
Coagulation
............................... 8
Bipolar Coagulation
.................................. 8
Bleeding from Bony Surfaces
.......................... 9
Gelatin Sponge
...................................... 9
Oxidized Cellulose and Oxidized Regenerated Cellulose
... 9
How to Deal with Brain Tissue and Other
Neurovascular Structures
............................ 9
Techniques of Tumor Dissection and Removal
......... 10
How to Widen the Access to the Tumor
.............. 11
3
Radiology of the Lateral Skull Base
................. 13
Introduction
........................................ 13
Intradural Lesions (Cerebellopontine Angle)
........... 13
Extra-axial Lesions
.................................... 13
Intra-axial Lesions
.................................... 19
Skull Base Tumors Extending into the Cerebellopontine
Angle
............................................... 21
Extradural Lesions
................................... 21
Petrous Apex Lesions
................................. 21
Clivai
Lesions
........................................ 23
Jugular Foramen Tumors
.............................. 24
4
Introduction to Lateral Skull Base Surgery
.......... 30
Classification of the Lateral Skull Base Approaches
----- 30
Surgical Anatomy
................................... 30
Surgical Anatomy of the Temporal Bone as Related to
Lateral Skull Base Surgery
............................. 30
Surgical Anatomy of the Posterior Cranial Fossa
......... 32
5
The Translabyrinthine Approaches
................. 34
The Enlarged Translabyrinthine Approach
............. 34
Rationale
............................................ 34
Indications
.......................................... 34
Contraindications
.................................... 34
Surgical Anatomy
.................................... 34
Surgical Technique
................................... 34
Clinical Application
................................... 41
Pearls and Pitfalls
.................................... 44
Advantages
.......................................... 44
Disadvantages
....................................... 44
The Enlarged Translabyrinthine Approach with
Transapical Extension
................................ 47
Rationale
............................................ 47
Indications
.......................................... 47
Limitations
.......................................... 47
Surgical Technique
................................... 47
Clinical Applications
.................................. 50
Pearls and Pitfalls
.................................... 71
Advantages
.......................................... 71
Disadvantages
....................................... 71
Brainstem Implantation
.............................. 72
Absolute Indications
.................................. 72
Relative Indications
................................... 72
Clinical Application
................................... 72
6
The Transcochlear Approaches
..................... 80
Introduction
........................................ 80
The Transotic Approach
.............................. 80
Rationale
............................................ 80
Indications
.......................................... 80
Surgical Technique
................................... 80
Surgical Anatomy after Opening the Dura
............... 80
Clinical Application
................................... 84
Pearls and Pitfalls
.................................... 88
Advantages
.......................................... 88
Disadvantages
....................................... 88
The Modified Transcochlear Approaches
.............. 89
Classification
........................................ 89
Type A Modified Transcochlear Approach
(The Basic Type)
..................................... 89
Indications
.......................................... 89
Surgical Technique (Right Side)
........................ 89
Surgical Anatomy after Opening the Dura
............... 92
Closure
............................................. 92
Clinical Applications
.................................. 93
Pearls and Pitfalls
.................................... 115
Advantages
..........................................
Ц5
Disadvantages
....................................... 115
Contents
Type
В
Modified Transcochlear Approach
............. 117
Indications
.......................................... 117
Surgical Steps
........................................ 117
Clinical Application
................................... 119
Pearls and Pitfalls
.................................... 119
The Type
С
Modified Transcochlear Approach
......... 120
Indications
.......................................... 120
Surgical Steps
........................................ 120
Clinical Application
................................... 122
The Type
D
Modified Transcochlear Approach
......... 125
Indications
.......................................... 125
Surgical Steps
........................................ 125
Clinical Application
................................... 126
7
The Middle Fossa Approaches
...................... 130
Classification
........................................ 130
Indications
.......................................... 131
Surgical Anatomy
................................... 131
Special Positioning
.................................. 133
Surgical Technique
.................................. 133
Surgical Anatomy after Opening of the Dura
.......... 137
Closure
............................................. 137
Clinical Applications
................................. 138
Pearls and Pitfalls
................................... 145
8
Approaches to the Jugular Foramen
................ 147
Infratemporal
Fossa Approach Type A
................ 147
Rationale
............................................ 147
Indications
.......................................... 147
Surgical Anatomy
.................................... 148
Surgical Technique
................................... 148
Special Considerations
................................ 156
Removal of a Left Tumor with Invasion of
e
Inner Ear
........................................ 156
Sacrifice of the Internal Carotid Artery
................ 157
Removal of Tumors with Invasion of the Left Internal
Auditory Canal
..................................... 158
Facial Nerve Involvement
........................... 158
Presence of Ipsilateral Carotid Body Tumor
............ 160
Single-stage Removal of Tumor with Small
Intradural Extension
(C3DÌ1)
........................ 160
Staged Removal of Tumors with Intradural Extension
..... 160
Petro-occipital Transsigmoid Approach for Second-stage
Removal of Intradural Glomus Tumors
................ 161
Staged Removal of
C3DÌ2
Glomus Tumor (Right Side)
..166
Pearls and Pitfalls
.................................... 176
The Petro-Occipital Transsigmoid (POTS) Approach
___ 179
Rationale
............................................ 179
Indications
.......................................... 179
Contraindications
.................................... 179
Surgical Anatomy
.................................... 179
Surgical Technique
................................... 182
Surgical Anatomy after Opening the Dura
............... 186
Clinical Applications
.................................. 187
Pearls and Pitfalls
.................................... 199
Results
.............................................. 202
Advantages
.......................................... 202
Disadvantages
....................................... 202
Combinations with the POTS Approach
............... 203
Clinical Application
................................... 203
9
Approaches to the
Infratemporal
Fossa
............. 206
Infratemporal
Fossa Approach Type
В
................ 206
Rationale
............................................ 206
Indications
.......................................... 206
Surgical Anatomy
.................................... 206
Surgical Technique (Left Side)
......................... 207
Clinical Applications
.................................. 210
Advantages
.......................................... 216
Disadvantages
....................................... 216
Limitations
.......................................... 216
Infratemporal
Fossa Approach Type
С
................ 217
Rationale
............................................ 217
Indications
.......................................... 217
Surgical Anatomy
.................................... 217
Surgical Technique
................................... 218
Clinical Applications
.................................. 220
Pearls and Pitfalls
.................................... 228
Advantages
.......................................... 229
Disadvantages
....................................... 229
Limitations
.......................................... 229
The Croup of Preauricular Transzygomatic
Approaches
......................................... 230
Type
D
Infratemporal
Fossa Approach
.................. 230
Preauricular
Infratemporal
Transzygomatic Approach
..... 230
Preauricular Frontotemporal Orbitozygomatic Approach
.. 230
Indications for the Preauricular
Infratemporal
Transzygomatic Approaches
........................... 230
Surgical Anatomy
.................................... 230
Surgical Technique
................................... 231
Clinical Applications
.................................. 235
Pearls and Pitfalls
.................................... 246
Advantages
.......................................... 246
Disadvantages
....................................... 246
10
The Retrosigmoid Retrolabyrinthine Approach
..... 248
Rationale
........................................... 248
Indications
.......................................... 248
Surgical Anatomy
................................... 248
Surgical Technique
.................................. 249
Surgical Anatomy after Opening the Dura
............ 252
Clinical Applications
................................. 253
Pearls and Pitfalls
................................... 263
Advantages
......................................... 264
Disadvantages
...................................... 264
11
The Extreme Lateral Approach
(Far Lateral, Transcondylar)
....................... 265
Rationale
........................................... 265
Indications
.......................................... 265
Surgical Anatomy
................................... 265
Surgical Technique
.................................. 268
Surgical Anatomy after Opening the Dura
............ 271
Closure
............................................. 271
Clinical Application
.................................. 272
Pearls and Pitfalls
................................... 275
Contents
XI
12
Combined Approaches
........................... 277
Introduction
........................................ 277
Retrolabyrinthine
Subtemporal Transapical
and
Retrolabyrinthine Transtentorial Approaches
.......... 277
Rationale
............................................ 277
Indications
.......................................... 277
Surgical Anatomy
.................................... 278
Surgical Technique
................................... 279
Retrolabyrinthine
Subtemporal
Transapical
(Transpetrous Apex) Approach
....................... 279
Retrolabyrinthine
Subtemporal
Transtentorial
Approach
.......................................... 281
Clinical Applications
.................................. 283
Pearls and Pitfalls
.................................... 292
Combined Transpetrous Orbitozygomatic Approaches
. 295
Rationale
............................................ 295
Indications
.......................................... 295
Approaches and Clinical Applications
................... 295
Combined Transcochlear Orbitozygomatic Approach
... 295
Combined Retrolabyrinthine
Subtemporal
Orbitozygomatic Approach
.......................... 306
Combined Translabyrinthine Transapical
Orbitozygomatic Approach
.......................... 314
Combined
Infratemporal
Transzygomatic Approach
— 321
Pearls and Pitfalls for the Combined Transpetrous
Orbitozygomatic Approaches
.......................... 329
Advantages of the Combined Transpetrous
Orbitozygomatic Approaches
.......................... 329
Disadvantages
....................................... 329
13
Decision Making in Skull Base Surgery
............ 330
Introduction
........................................ 330
Surgical Management
............................... 330
Jugular Foramen Tumors
............................. 331
Clomus Jugular Tumors (Chemodectomas)
.............. 331
Lower Cranial Nerve Schwannoma
..................... 333
Jugular Foramen Meningioma
.......................... 333
Cerebellopontine Angle Tumors
...................... 335
Acoustic Neurinoma
.................................. 335
Meningioma
......................................... 335
Epidermoids
......................................... 338
Clivai
and Petroclival Tumors
........................ 339
Intradural Lesions
.................................... 340
Extradural Lesions
.................................... 343
Petrous Apex Lesions
................................ 344
Cholesterol
Granuloma
............................... 344
Cholesteatoma
....................................... 345
Chordomas, Chondromas, and Chondrosarcomas
........ 345
Nonsurgical Lesions
.................................. 345
Meckel s Cave Area
.................................. 346
Special Considerations
............................... 348
Staging
............................................. 348
Total vs. Subtotal Removal
............................ 349
When Not To Do Surgery
............................. 349
14
General Principles of Embolization in Skull Base
Tumors
.......................................... 350
Introduction
........................................ 350
Embolization of Juvenile Nasopharyngea!
Angiofibroma
....................................... 351
Embolization of Glomus Tumors of
the Temporal Bone
.................................. 353
Embolization of Meningiomas of the Skull Base
....... 354
15
Management of the Internal Carotid Artery
in Skull Base Surgery
............................. 357
Introduction
........................................ 357
Surgical Anatomy
................................... 357
Pathologies
......................................... 358
Normal
Angiographie
Anatomy of the Internal
Carotid Artery and of the Circle of Willis
.............. 359
The Internal Carotid Artery
............................ 359
The Circle of Willis
................................... 360
Preoperative Neuroradiological
Assessment of the
Internal Carotid Artery
.............................. 362
Interventional Neuroradiological Management of the
Internal Carotid Artery
.............................. 363
Permanent Balloon Occlusion of the Internal
Carotid Artery
....................................... 363
Preoperative Stenting
of the Internal Carotid Artery
...... 368
Surgical Management Modalities of the Internal
Carotid Artery
....................................... 372
Skeletonization
...................................... 372
Displacement
........................................ 372
Subperiosteal/Subadventitial Dissection
................. 373
Dissection and Resection after Permanent Balloon
Occlusion of the Internal Carotid Artery
................. 373
Subadventitial Dissection after Reinforcement with
Stenting
............................................. 373
Clinical Application of Carotid Artery Stenting
......... 375
Literature
........................................... 379
Index
............................................... 387
|
adam_txt |
In this completely revised and enlarged new edition. Professor
Sanna
and his team provide
'
systematic demonstrations of the major lateral skull base approaches, drawing from
20
years
of experience of the eminent
Gruppo Otologico
located in
Piacenza,
Italy.
Key features:
•
Introductory chapters on the general principles, instrumentation, and special considerations
that characterize this type of surgery
•
Discussion of the radiology of skull base lesions as it relates to surgery, with particular
emphasis on findings that can influence the choice of surgical approach, alter the course
of surgery, or affect the prognosis
•
Actual demonstrations of the anatomy seen during the different surgical approaches-
standard anatomy textbooks fail to address this issue
•
For each approach, step-by-step descriptions of the surgical technique and numerous clinical
cases representing the most commonly encountered lesions so that the reader receives a
comprehensive understanding of how to perform the approach and what to expect during
surgery
•
"Pearls and Pitfalls" at the end of most chapters gathered from the vast number of cases
managed throughout the years by the authors and included to help others avoid mistakes
•
Over
1300
superb and instructive
illustrations
consisting of photographs of live surgery and
cadaver dissections,
radiologie
images, and drawings
Further advanced topics covered:
•
Combined approaches providing the necessary route to manage certain extensive skull
base tumors that represent particular challenges
•
Management strategies for different skull base lesions (e.g., surgical vs. nonsurgical
management, the different factors that determine the choice of the surgical approach,
cases that are managed conservatively or with radiosurgery)
•
Management of the internal carotid artery in skull base surgery, including the new
technkiue of using stems to facilitate tumor dissection from the
interna!
carotid artery
This outstanding surgical atlas is invaluable for any surgeon who seeks not only to master
the different surgical approaches but also to grasp the real essence of skull base surgery.
Other titles by Professor
Sanna
and his colleagues:
•
Endoscopy in Neuro-Otology
(1999,
with J. Magnan)
•
Atlas of Acoustic Neurinoma Microsurgery
(1998)
•
Middle Ear and Mastoid Microsurgery
(2003)
•
Color Atlas of Otoscopy: From Diagnosis to Surgery
(2003)
•
The Temporal Bone: A Manual for Dissection and Surgical Approaches
'2006,.
•
The Facial Nerve in Temporal Bone and Lateral Skull Base Microsurgery
(2006,
Contents
IX
1
Operating Room Setup
. 1
Operating Room Arrangement
. 1
The Patient Position and the Operating Room
. 2
Monitoring
. 2
Preparation of the Operative Site
. 2
Surgeon's Position
. 3
Microscope
. 3
instruments
. 3
Suction Irrigation
. 3
Drills
. 3
Bipolar Coagulation
. 4
Microinstruments
. 5
Postoperative Care
. 6
2
Special Considerations in Skull Base Surgery
. 8
Introduction
. 8
General Guidelines for Drilling
. 8
Management of Bleeding
. 8
Monopolar
Coagulation
. 8
Bipolar Coagulation
. 8
Bleeding from Bony Surfaces
. 9
Gelatin Sponge
. 9
Oxidized Cellulose and Oxidized Regenerated Cellulose
. 9
How to Deal with Brain Tissue and Other
Neurovascular Structures
. 9
Techniques of Tumor Dissection and Removal
. 10
How to Widen the Access to the Tumor
. 11
3
Radiology of the Lateral Skull Base
. 13
Introduction
. 13
Intradural Lesions (Cerebellopontine Angle)
. 13
Extra-axial Lesions
. 13
Intra-axial Lesions
. 19
Skull Base Tumors Extending into the Cerebellopontine
Angle
. 21
Extradural Lesions
. 21
Petrous Apex Lesions
. 21
Clivai
Lesions
. 23
Jugular Foramen Tumors
. 24
4
Introduction to Lateral Skull Base Surgery
. 30
Classification of the Lateral Skull Base Approaches
----- 30
Surgical Anatomy
. 30
Surgical Anatomy of the Temporal Bone as Related to
Lateral Skull Base Surgery
. 30
Surgical Anatomy of the Posterior Cranial Fossa
. 32
5
The Translabyrinthine Approaches
. 34
The Enlarged Translabyrinthine Approach
. 34
Rationale
. 34
Indications
. 34
Contraindications
. 34
Surgical Anatomy
. 34
Surgical Technique
. 34
Clinical Application
. 41
Pearls and Pitfalls
. 44
Advantages
. 44
Disadvantages
. 44
The Enlarged Translabyrinthine Approach with
Transapical Extension
. 47
Rationale
. 47
Indications
. 47
Limitations
. 47
Surgical Technique
. 47
Clinical Applications
. 50
Pearls and Pitfalls
. 71
Advantages
. 71
Disadvantages
. 71
Brainstem Implantation
. 72
Absolute Indications
. 72
Relative Indications
. 72
Clinical Application
. 72
6
The Transcochlear Approaches
. 80
Introduction
. 80
The Transotic Approach
. 80
Rationale
. 80
Indications
. 80
Surgical Technique
. 80
Surgical Anatomy after Opening the Dura
. 80
Clinical Application
. 84
Pearls and Pitfalls
. 88
Advantages
. 88
Disadvantages
. 88
The Modified Transcochlear Approaches
. 89
Classification
. 89
Type A Modified Transcochlear Approach
(The Basic Type)
. 89
Indications
. 89
Surgical Technique (Right Side)
. 89
Surgical Anatomy after Opening the Dura
. 92
Closure
. 92
Clinical Applications
. 93
Pearls and Pitfalls
. 115
Advantages
.
Ц5
Disadvantages
. 115
Contents
Type
В
Modified Transcochlear Approach
. 117
Indications
. 117
Surgical Steps
. 117
Clinical Application
. 119
Pearls and Pitfalls
. 119
The Type
С
Modified Transcochlear Approach
. 120
Indications
. 120
Surgical Steps
. 120
Clinical Application
. 122
The Type
D
Modified Transcochlear Approach
. 125
Indications
. 125
Surgical Steps
. 125
Clinical Application
. 126
7
The Middle Fossa Approaches
. 130
Classification
. 130
Indications
. 131
Surgical Anatomy
. 131
Special Positioning
. 133
Surgical Technique
. 133
Surgical Anatomy after Opening of the Dura
. 137
Closure
. 137
Clinical Applications
. 138
Pearls and Pitfalls
. 145
8
Approaches to the Jugular Foramen
. 147
Infratemporal
Fossa Approach Type A
. 147
Rationale
. 147
Indications
. 147
Surgical Anatomy
. 148
Surgical Technique
. 148
Special Considerations
. 156
Removal of a Left Tumor with Invasion of
e
Inner Ear
. 156
Sacrifice of the Internal Carotid Artery
. 157
Removal of Tumors with Invasion of the Left Internal
Auditory Canal
. 158
Facial Nerve Involvement
. 158
Presence of Ipsilateral Carotid Body Tumor
. 160
Single-stage Removal of Tumor with Small
Intradural Extension
(C3DÌ1)
. 160
Staged Removal of Tumors with Intradural Extension
. 160
Petro-occipital Transsigmoid Approach for Second-stage
Removal of Intradural Glomus Tumors
. 161
Staged Removal of
C3DÌ2
Glomus Tumor (Right Side)
.166
Pearls and Pitfalls
. 176
The Petro-Occipital Transsigmoid (POTS) Approach
_ 179
Rationale
. 179
Indications
. 179
Contraindications
. 179
Surgical Anatomy
. 179
Surgical Technique
. 182
Surgical Anatomy after Opening the Dura
. 186
Clinical Applications
. 187
Pearls and Pitfalls
. 199
Results
. 202
Advantages
. 202
Disadvantages
. 202
Combinations with the POTS Approach
. 203
Clinical Application
. 203
9
Approaches to the
Infratemporal
Fossa
. 206
Infratemporal
Fossa Approach Type
В
. 206
Rationale
. 206
Indications
. 206
Surgical Anatomy
. 206
Surgical Technique (Left Side)
. 207
Clinical Applications
. 210
Advantages
. 216
Disadvantages
. 216
Limitations
. 216
Infratemporal
Fossa Approach Type
С
. 217
Rationale
. 217
Indications
. 217
Surgical Anatomy
. 217
Surgical Technique
. 218
Clinical Applications
. 220
Pearls and Pitfalls
. 228
Advantages
. 229
Disadvantages
. 229
Limitations
. 229
The Croup of Preauricular Transzygomatic
Approaches
. 230
Type
D
Infratemporal
Fossa Approach
. 230
Preauricular
Infratemporal
Transzygomatic Approach
. 230
Preauricular Frontotemporal Orbitozygomatic Approach
. 230
Indications for the Preauricular
Infratemporal
Transzygomatic Approaches
. 230
Surgical Anatomy
. 230
Surgical Technique
. 231
Clinical Applications
. 235
Pearls and Pitfalls
. 246
Advantages
. 246
Disadvantages
. 246
10
The Retrosigmoid Retrolabyrinthine Approach
. 248
Rationale
. 248
Indications
. 248
Surgical Anatomy
. 248
Surgical Technique
. 249
Surgical Anatomy after Opening the Dura
. 252
Clinical Applications
. 253
Pearls and Pitfalls
. 263
Advantages
. 264
Disadvantages
. 264
11
The Extreme Lateral Approach
(Far Lateral, Transcondylar)
. 265
Rationale
. 265
Indications
. 265
Surgical Anatomy
. 265
Surgical Technique
. 268
Surgical Anatomy after Opening the Dura
. 271
Closure
. 271
Clinical Application
. 272
Pearls and Pitfalls
. 275
Contents
XI
12
Combined Approaches
. 277
Introduction
. 277
Retrolabyrinthine
Subtemporal Transapical
and
Retrolabyrinthine Transtentorial Approaches
. 277
Rationale
. 277
Indications
. 277
Surgical Anatomy
. 278
Surgical Technique
. 279
Retrolabyrinthine
Subtemporal
Transapical
(Transpetrous Apex) Approach
. 279
Retrolabyrinthine
Subtemporal
Transtentorial
Approach
. 281
Clinical Applications
. 283
Pearls and Pitfalls
. 292
Combined Transpetrous Orbitozygomatic Approaches
. 295
Rationale
. 295
Indications
. 295
Approaches and Clinical Applications
. 295
Combined Transcochlear Orbitozygomatic Approach
. 295
Combined Retrolabyrinthine
Subtemporal
Orbitozygomatic Approach
. 306
Combined Translabyrinthine Transapical
Orbitozygomatic Approach
. 314
Combined
Infratemporal
Transzygomatic Approach
— 321
Pearls and Pitfalls for the Combined Transpetrous
Orbitozygomatic Approaches
. 329
Advantages of the Combined Transpetrous
Orbitozygomatic Approaches
. 329
Disadvantages
. 329
13
Decision Making in Skull Base Surgery
. 330
Introduction
. 330
Surgical Management
. 330
Jugular Foramen Tumors
. 331
Clomus Jugular Tumors (Chemodectomas)
. 331
Lower Cranial Nerve Schwannoma
. 333
Jugular Foramen Meningioma
. 333
Cerebellopontine Angle Tumors
. 335
Acoustic Neurinoma
. 335
Meningioma
. 335
Epidermoids
. 338
Clivai
and Petroclival Tumors
. 339
Intradural Lesions
. 340
Extradural Lesions
. 343
Petrous Apex Lesions
. 344
Cholesterol
Granuloma
. 344
Cholesteatoma
. 345
Chordomas, Chondromas, and Chondrosarcomas
. 345
Nonsurgical Lesions
. 345
Meckel's Cave Area
. 346
Special Considerations
. 348
Staging
. 348
Total vs. Subtotal Removal
. 349
When Not To Do Surgery
. 349
14
General Principles of Embolization in Skull Base
Tumors
. 350
Introduction
. 350
Embolization of Juvenile Nasopharyngea!
Angiofibroma
. 351
Embolization of Glomus Tumors of
the Temporal Bone
. 353
Embolization of Meningiomas of the Skull Base
. 354
15
Management of the Internal Carotid Artery
in Skull Base Surgery
. 357
Introduction
. 357
Surgical Anatomy
. 357
Pathologies
. 358
Normal
Angiographie
Anatomy of the Internal
Carotid Artery and of the Circle of Willis
. 359
The Internal Carotid Artery
. 359
The Circle of Willis
. 360
Preoperative Neuroradiological
Assessment of the
Internal Carotid Artery
. 362
Interventional Neuroradiological Management of the
Internal Carotid Artery
. 363
Permanent Balloon Occlusion of the Internal
Carotid Artery
. 363
Preoperative Stenting
of the Internal Carotid Artery
. 368
Surgical Management Modalities of the Internal
Carotid Artery
. 372
Skeletonization
. 372
Displacement
. 372
Subperiosteal/Subadventitial Dissection
. 373
Dissection and Resection after Permanent Balloon
Occlusion of the Internal Carotid Artery
. 373
Subadventitial Dissection after Reinforcement with
Stenting
. 373
Clinical Application of Carotid Artery Stenting
. 375
Literature
. 379
Index
. 387 |
any_adam_object | 1 |
any_adam_object_boolean | 1 |
author_GND | (DE-588)118051032 |
building | Verbundindex |
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callnumber-subject | RD - Surgery |
classification_rvk | YI 7502 YK 6802 |
ctrlnum | (OCoLC)144531213 (DE-599)BVBBV022867284 |
discipline | Medizin |
discipline_str_mv | Medizin |
edition | 2. ed. |
format | Book |
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genre_facet | Atlas |
id | DE-604.BV022867284 |
illustrated | Illustrated |
index_date | 2024-07-02T18:45:43Z |
indexdate | 2024-07-09T21:07:18Z |
institution | BVB |
isbn | 9783131010926 9781588900111 3131010924 |
language | English |
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oclc_num | 144531213 |
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owner_facet | DE-29 DE-355 DE-BY-UBR |
physical | XV, 391 S. überw. Ill., graph. Darst. |
publishDate | 2008 |
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spelling | Atlas of microsurgery of the lateral skull base Mario Sanna ... 2. ed. Stuttgart [u.a.] Thieme 2008 XV, 391 S. überw. Ill., graph. Darst. txt rdacontent sti rdacontent n rdamedia nc rdacarrier 1. Aufl. u.d.T.: Atlas of temporal bone and lateral skull base surgery Base du crâne - Chirurgie endoscopique - Atlas ram Crâne - Chirurgie - Atlas Os temporal - Chirurgie - Atlas Os temporal - Chirurgie endoscopique - Atlas ram Microsurgery Atlases Microsurgery methods Atlases Skull Base surgery Atlases Skull base Surgery Atlases Chirurgie (DE-588)4009987-8 gnd rswk-swf Schädelbasis (DE-588)4051939-9 gnd rswk-swf Schläfenbein (DE-588)4125216-0 gnd rswk-swf (DE-588)4143303-8 Atlas gnd-content Schläfenbein (DE-588)4125216-0 s Chirurgie (DE-588)4009987-8 s DE-604 Schädelbasis (DE-588)4051939-9 s Sanna, Mario Sonstige (DE-588)118051032 oth Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016072441&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016072441&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
spellingShingle | Atlas of microsurgery of the lateral skull base Base du crâne - Chirurgie endoscopique - Atlas ram Crâne - Chirurgie - Atlas Os temporal - Chirurgie - Atlas Os temporal - Chirurgie endoscopique - Atlas ram Microsurgery Atlases Microsurgery methods Atlases Skull Base surgery Atlases Skull base Surgery Atlases Chirurgie (DE-588)4009987-8 gnd Schädelbasis (DE-588)4051939-9 gnd Schläfenbein (DE-588)4125216-0 gnd |
subject_GND | (DE-588)4009987-8 (DE-588)4051939-9 (DE-588)4125216-0 (DE-588)4143303-8 |
title | Atlas of microsurgery of the lateral skull base |
title_auth | Atlas of microsurgery of the lateral skull base |
title_exact_search | Atlas of microsurgery of the lateral skull base |
title_exact_search_txtP | Atlas of microsurgery of the lateral skull base |
title_full | Atlas of microsurgery of the lateral skull base Mario Sanna ... |
title_fullStr | Atlas of microsurgery of the lateral skull base Mario Sanna ... |
title_full_unstemmed | Atlas of microsurgery of the lateral skull base Mario Sanna ... |
title_short | Atlas of microsurgery of the lateral skull base |
title_sort | atlas of microsurgery of the lateral skull base |
topic | Base du crâne - Chirurgie endoscopique - Atlas ram Crâne - Chirurgie - Atlas Os temporal - Chirurgie - Atlas Os temporal - Chirurgie endoscopique - Atlas ram Microsurgery Atlases Microsurgery methods Atlases Skull Base surgery Atlases Skull base Surgery Atlases Chirurgie (DE-588)4009987-8 gnd Schädelbasis (DE-588)4051939-9 gnd Schläfenbein (DE-588)4125216-0 gnd |
topic_facet | Base du crâne - Chirurgie endoscopique - Atlas Crâne - Chirurgie - Atlas Os temporal - Chirurgie - Atlas Os temporal - Chirurgie endoscopique - Atlas Microsurgery Atlases Microsurgery methods Atlases Skull Base surgery Atlases Skull base Surgery Atlases Chirurgie Schädelbasis Schläfenbein Atlas |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016072441&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016072441&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
work_keys_str_mv | AT sannamario atlasofmicrosurgeryofthelateralskullbase |