Atlas of acoustic neurinoma microsurgery:
"Authored by pioneers in the field, the Atlas of Acoustic Neurinoma Microsurgery--now in a fully updated second edition--provides step-by-step descriptions of the various surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the...
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Stuttgart [u.a.]
Thieme
2011
|
| Ausgabe: | 2. ed. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | "Authored by pioneers in the field, the Atlas of Acoustic Neurinoma Microsurgery--now in a fully updated second edition--provides step-by-step descriptions of the various surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors' own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications. Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged translabyrinthine approach with transapical extension (introduced by Gruppo Otologico), the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more. Features - New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2 - In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up - Over 1000 high-quality images--including more than 900 full-color intraoperative photographs-- precisely display each step of the different procedures - Multiple cases in each chapter prepare the reader for clinical situations Reflecting the latest advancements in acoustic neurinoma microsurgery, this visual guide will help develop the surgical skills of every otolaryngologist and neurosurgeon who performs this delicate and complicated form of surgery"--Provided by publisher. |
| Beschreibung: | IX, 310 S. zahlr. Ill., graph. Darst. |
| ISBN: | 9783131102829 3131102829 |
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| 245 | 1 | 0 | |a Atlas of acoustic neurinoma microsurgery |c Mario Sanna ... With the collab. of Masashi Hamada ... |
| 250 | |a 2. ed. | ||
| 264 | 1 | |a Stuttgart [u.a.] |b Thieme |c 2011 | |
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| 520 | 3 | |a "Authored by pioneers in the field, the Atlas of Acoustic Neurinoma Microsurgery--now in a fully updated second edition--provides step-by-step descriptions of the various surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors' own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications. Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged translabyrinthine approach with transapical extension (introduced by Gruppo Otologico), the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more. Features - New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2 - In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up - Over 1000 high-quality images--including more than 900 full-color intraoperative photographs-- precisely display each step of the different procedures - Multiple cases in each chapter prepare the reader for clinical situations Reflecting the latest advancements in acoustic neurinoma microsurgery, this visual guide will help develop the surgical skills of every otolaryngologist and neurosurgeon who performs this delicate and complicated form of surgery"--Provided by publisher. | |
| 650 | 4 | |a Acoustic neuroma |x Surgery |x Atlases | |
| 650 | 4 | |a Microsurgery |x Atlases | |
| 650 | 4 | |a Microsurgery |x methods |v Atlases | |
| 650 | 4 | |a Neuroma, Acoustic |x surgery |v Atlases | |
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Datensatz im Suchindex
| _version_ | 1804142801882972161 |
|---|---|
| adam_text | Contents
VII
1 General Features
of Acoustic Neurinomas
............ 1
Pathogenesis..................................
í
Epidemiology
................................. 1
Natural History
................................
í
Signs and Symptoms
............................ 1
Hearing Loss
..................................
í
Tinnitus
..................................... 2
Disequilibrium
................................. 2
Cerebellar Dysfunction
........................... 2
Trigeminal Nerve Involvement
..................... 2
Facial Nerve Involvement
......................... 2
Lower Cranial Nerve and Brainstem Findings
........... 2
Hydrocephalus and Headaches
..................... 3
2
Imaging Study of Acoustic Neurinomas
............. 4
Tumor Assessment
.............................. 4
Magnetic Resonance Imaging
...................... 4
Computed Tomography
..........................
Í5
Differential Diagnosis
............................ 15
Neurofibromatosis Type
2 ........................ 15
Other Tumors
................................. 16
Residual Tumors
............................... 18
Therapeutic Follow-Up
........................... 22
Postoperative Scans
............................. 22
Wait and Scan
................................. 22
3
Decision Making in Acoustic Neurinoma Surgery
....... 25
Introduction
.................................. 25
Surgical versus Nonsurgical Treatment
................ 25
Small Neurinomas
.............................. 25
Acoustic Neurinoma in the Only Hearing Ear
........... 25
Acoustic Neurinoma in Patients with Poor General
Condition
.................................... 26
Radiosurgery
.................................. 26
Management of the Patient with Serious
Neurological Disorders
........................... 26
Management of Elderly Patients
.................... 26
Selecting the Surgical Approach
.................... 27
Translabyrinthine versus Hearing Preservation Surgeries
.. 27
Total versus Subtotal Removal
..................... 29
4
Operating Room Setup and Patient Care
............. 31
Operation Room Setup
........................... 31
Rationale
.................................... 31
Arrangement
.................................. 31
Instruments
................................... 35
Suction Irrigation
............................... 35
Drills
....................................... 35
Bipolar Coagulation
............................. 36
Microinstruments
.............................. 37
Postoperative Management
....................... 38
Postoperative Medication
........................ 38
Discharge
.................................... 39
5
Surgery in the Cerebellopontine Angle: General Concepts
40
Surgical Orientation in the Cerebellopontine Angle
...... 40
Internal Auditory Canal
.......................... 40
Cerebellopontine Angle
.......................... 41
Facial Nerve
.................................. 43
Surgical Techniques in the Cerebellopontine Angle
...... 44
General Guidelines for Drilling
..................... 44
Management of Bleeding
......................... 44
How to Deal with Brain Tissue and Other
Neurovascular Structures
......................... 45
How to Obtain Better Access to the Tumor
............ 46
Techniques of Tumor Dissection and Removal
.......... 47
6 Intraoperative
Monitoring
...................... 52
Facial Nerve Monitoring
......................... 52
Introduction
.................................. 52
Instrumentation
............................... 52
Techniques
................................... 53
Purposes of
Intraoperative
Facial Nerve Monitoring
...... 54
Localization of the Facial Nerve (Mapping)
............ 54
Identification of the Facial Nerve
................... 54
Minimization of Neural Trauma
.................... 55
Artifacts
..................................... 55
Confirmation of the Functional Integrity of the Nerve
.... 56
Concluding Considerations
....................... 56
Cochlear Nerve Monitoring
....................... 56
Introduction
.................................. 56
Protocol
..................................... 56
Concluding Considerations
....................... 59
7
The Translabyrinthine Approaches
................. 60
The Enlarged Translabyrinthine Approach
............. 60
Rationale
.................................... 60
Indications
................................... 60
Contraindications
.............................. 60
Surgical Anatomy
.............................. 60
Surgical Technique
............................. 61
Clinical Application
............................. 86
Pearls and Pitfalls
.............................. 89
Summary
.................................... 92
VIII Contents
Enlarged
Translabyiïnthine
Approach with Transapical
Extension
.................................... 93
Rationale
.................................... 93
Indications
................................... 94
Limitations
................................... 94
Surgical Anatomy (Right Ear)
...................... 94
Surgical Technique
............................. 94
Clinical Application
............................. 98
Pearls and Pitfalls
.............................. 113
Summary
.................................... 113
Special Considerations in the Translabyrinthine Approach
. . 114
Anatomical Variations
........................... 114
Management of Surgical Mishaps
................... 123
Management of Nerves and Vessels around the Tumor
... 124
Specific Characteristics of the Tumor
................ 136
Pearls and Pitfalls
.............................. 140
8
Combined Retrosigmoid-Retrolabyrinthine Approach
... 142
Rationale
.................................... 142
Indications
................................... 142
Contraindications
.............................. 143
Surgical Anatomy
.............................. 143
Surgical Dissection Demonstrating the Combined
Retrosigmoid-Retrolabyrinthine Approach (Left Ear)
..... 143
Surgical Techniques
............................ 148
Access to the Tumor (Right Ear)
.................... 148
Tumor Removal (Left Ear)
........................ 150
Clinical Application
............................. 155
Pearls and Pitfalls
.............................. 172
Summary
.................................... 175
Advantages
.................................. 275
Disadvantages
................................ 175
Limitations
................................... 175
9
Enlarged Middle Cranial Fossa Approach
............ 176
Rationale
.................................... 176
Indications
................................... 176
Contraindications
.............................. 176
Surgical Anatomy
.............................. 176
Technique for Identification of the Internal Auditory Canal
. 778
House s Method
............................... 178
Fisch s Method (Meatal Plane Approach)
.............. 178
Garcia-lbanez s Method
.......................... 179
Our Method
.................................. ¡79
Surgical Dissection Demonstrating the Middle Cranial
Fossa Approach (Left Ear)
........................
ISO
Surgical Techniques
............................. 184
Special Positioning
............................. 184
Surgical Steps up to the Internal Auditory Canal (Right Ear)
. 184
Exposure of the Internal Auditory Canal (Right Ear)
...... 187
Tumor Removal (Right Ear)
....................... 189
Closure (Right Ear)
.............................
Î90
Clinical Application
............................. 192
Pearls and Pitfalls
.............................. 201
Summary
.................................... 204
Advantages
.................................. 204
Disadvantages
................................ 204
Limitations
................................... 204
10
Transcochlear Approaches
......................205
Introduction
.................................. 205
Transotic Approach
............................. 205
Rationale
.................................... 205
Indications
................................... 205
Contraindications
.............................. 205
Surgical Anatomy (Right Ear)
...................... 206
Surgical Steps of the Blind-Sac (Cul-de-Sac) Closure
(Left Ear)
..................................... 208
Surgical Techniques
............................. 210
Clinical Application
............................. 213
Pearls and Pitfalls
.............................. 231
Summary
.................................... 232
Modified Transcochlear Approach
................... 232
Rationale
.................................... 232
Indication
.................................... 232
Contraindications
.............................. 232
Surgical Anatomy (Right Ear)
...................... 232
Surgical Technique
.............................. 235
Clinical Application
............................. 236
Pearls and Pitfalls
.............................. 243
Summary
.................................... 243
11
Management in Special Situations
................244
Current Strategy for Neurofibromatosis Type
2:
Total Removal with a Concomitant Cochlear or Brainstem
Implant
......................................244
Neurofibromatosis Type
2........................244
Clinical Diagnosis
...............................244
Clinical Manifestations of Disease
...................245
Management
..................................245
Decision Making
...............................247
Brainstem Implantation in Neurofibromatosis Type
2.....248
Clinical Application
.............................251
Management of Acoustic Neurinoma in the
Only Hearing Ear
...............................263
Strategy
.....................................263
Clinical Application
.............................264
Summary of Auditory Brainstem Implants
.............266
Pearls and Pitfalls
..............................266
12
Facial Nerve
Reanimation......................268
Introduction
.................................. 268
Indications
................................... 268
End-to-End Anastomosis
.......................... 268
Keys to Successful Results
........................ 268
Interposition Graft
.............................. 270
Clinical Application
............................. 270
Harvesting the
Sural
Nerve Graft
.................... 282
Hypoglossofacial Nerve Anastomosis
................. 283
Anatomy of the Hypoglossal Nerve
.................. 283
Surgical Approach
.............................. 283
Pearls and Pitfalls
.............................. 285
Contents
IX
13
The Role of Endoscopy in Acoustic Neurinoma Surgery
. 286
Introduction
.................................. 286
Instruments
.................................. 286
Sterilization
................................... 286
Endoscopie
Surgical Anatomy
...................... 286
From the Posterior Aspect of the Temporal Bone:
Retrosigmoid Approach
.......................... 286
Through the Superior Surface of the Temporal Bone:
Middle Fossa Approach
.......................... 288
The Technique of Endoscopy
....................... 289
Applications
.................................. 289
Translabyrinthine Approach
....................... 289
Retrosigmoid Approach
.......................... 293
Enlarged Middle Fossa Approach
.................... 293
Risks of Cerebellopontine Angle Endoscopy
............ 294
14
Complications and Management
................. 295
Introduction
.................................. 295
Postoperative Complications Specific to Cerebellopontine
Angle Surgery
................................. 295
Hemorrhage
.................................. 295
Infarction
.................................... 296
Cerebrospinal
Fluid Leakage
...................... 298
Meningitis
................................... 299
Brain Edema
.................................. 299
Cranial Nerve Defects
........................... 299
Ataxia
...................................... 300
Hydrocephalus
................................ 300
Air Embolism
................................. 300
Pneumocephalus
.............................. 300
Headaches
................................... 300
Postoperative Unsteadiness
....................... 300
Tinnitus
..................................... 300
Nonspecific Complications
........................ 300
Atelectasis and Pneumonia
....................... 300
Deep Venous Thrombosis and Pulmonary Embolism
..... 301
Wound Infection and
Hematoma
...................
30í
Transfusion
..................................
30Í
Bibliography
.................................. 303
Index
....................................... 305
|
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| publisher | Thieme |
| record_format | marc |
| spelling | Atlas of acoustic neurinoma microsurgery Mario Sanna ... With the collab. of Masashi Hamada ... 2. ed. Stuttgart [u.a.] Thieme 2011 IX, 310 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier "Authored by pioneers in the field, the Atlas of Acoustic Neurinoma Microsurgery--now in a fully updated second edition--provides step-by-step descriptions of the various surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors' own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications. Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged translabyrinthine approach with transapical extension (introduced by Gruppo Otologico), the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more. Features - New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2 - In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up - Over 1000 high-quality images--including more than 900 full-color intraoperative photographs-- precisely display each step of the different procedures - Multiple cases in each chapter prepare the reader for clinical situations Reflecting the latest advancements in acoustic neurinoma microsurgery, this visual guide will help develop the surgical skills of every otolaryngologist and neurosurgeon who performs this delicate and complicated form of surgery"--Provided by publisher. Acoustic neuroma Surgery Atlases Microsurgery Atlases Microsurgery methods Atlases Neuroma, Acoustic surgery Atlases Neurosurgical Procedures methods Atlases Akustikustumor (DE-588)4000989-0 gnd rswk-swf Mikrochirurgie (DE-588)4114590-2 gnd rswk-swf (DE-588)4143303-8 Atlas gnd-content Akustikustumor (DE-588)4000989-0 s Mikrochirurgie (DE-588)4114590-2 s DE-604 Sanna, Mario Sonstige (DE-588)118051032 oth Hamada, Masashi Sonstige oth Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020211947&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Atlas of acoustic neurinoma microsurgery Acoustic neuroma Surgery Atlases Microsurgery Atlases Microsurgery methods Atlases Neuroma, Acoustic surgery Atlases Neurosurgical Procedures methods Atlases Akustikustumor (DE-588)4000989-0 gnd Mikrochirurgie (DE-588)4114590-2 gnd |
| subject_GND | (DE-588)4000989-0 (DE-588)4114590-2 (DE-588)4143303-8 |
| title | Atlas of acoustic neurinoma microsurgery |
| title_auth | Atlas of acoustic neurinoma microsurgery |
| title_exact_search | Atlas of acoustic neurinoma microsurgery |
| title_full | Atlas of acoustic neurinoma microsurgery Mario Sanna ... With the collab. of Masashi Hamada ... |
| title_fullStr | Atlas of acoustic neurinoma microsurgery Mario Sanna ... With the collab. of Masashi Hamada ... |
| title_full_unstemmed | Atlas of acoustic neurinoma microsurgery Mario Sanna ... With the collab. of Masashi Hamada ... |
| title_short | Atlas of acoustic neurinoma microsurgery |
| title_sort | atlas of acoustic neurinoma microsurgery |
| topic | Acoustic neuroma Surgery Atlases Microsurgery Atlases Microsurgery methods Atlases Neuroma, Acoustic surgery Atlases Neurosurgical Procedures methods Atlases Akustikustumor (DE-588)4000989-0 gnd Mikrochirurgie (DE-588)4114590-2 gnd |
| topic_facet | Acoustic neuroma Surgery Atlases Microsurgery Atlases Microsurgery methods Atlases Neuroma, Acoustic surgery Atlases Neurosurgical Procedures methods Atlases Akustikustumor Mikrochirurgie Atlas |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020211947&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT sannamario atlasofacousticneurinomamicrosurgery AT hamadamasashi atlasofacousticneurinomamicrosurgery |