Verfügbarkeit: Endoscopic lateral skull base surgery

Endoscopic lateral skull base surgery: principles, anatomy, approaches

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Hauptverfasser:	Marchioni, Dirce Maria Lobo (VerfasserIn, HerausgeberIn), Presutti, Livio (VerfasserIn, HerausgeberIn)
Format:	Buch
Sprache:	English
Veröffentlicht:	Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme [2023]
Schlagworte:	Minimal-invasive Chirurgie Schädelbasiskrankheit lateral skull base endoscopic surgery endoscopic anatomy endoscopic-assisted surgery otolaryngology neurosurgery HNO-Heilkunde
Online-Zugang:	Inhaltstext Inhaltsverzeichnis
Beschreibung:	xiv, 475 Seiten 2005 Illustrationen 31 cm x 23 cm Enthält: 1 Online-Ressource
ISBN:	9783132412774 3132412775

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245	1	0	\|a Endoscopic lateral skull base surgery \|b principles, anatomy, approaches \|c Daniele Marchioni, MD, Livio Presutti, MD
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653			\|a lateral skull base
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653			\|a neurosurgery
653			\|a HNO-Heilkunde
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Datensatz im Suchindex

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adam_text	CONTENTS VIDEOS ................................................................................................................................................................................................................. X FOREWORD ........................................................................................................................................................................................................ XI PREFACE ............................................................................................................................................................................................................. XII CONTRIBUTORS ................................................................................................................................................................................................. XIII 1 ANATOMY OF THE LATERAL SKULL BASE ......................................................................................................................................... 2 MUSTAFA KAPADIA, LIVIO PRESUTTI, ALEJANDRO RIVAS, AND DANIELE MARCHIONI 1.1 INTRODUCTION ................................................................... 2 1.2 THE TEMPORAL BONE ...................................................... 4 1.3 INTERNAL AUDITORY CANAL ............................................... 5 1.4 FACIAL NERVE .................................................................... 6 1.5 JUGULAR FORAMEN ........................................................... 7 1.6 INFRATEMPORAL FOSSA .................................................. 11 1.7 CEREBELLOPONTINE ANGLE ........................................... 15 1.7.1 RELEVANT NERVOUS CONTENTS ........................................... 15 1.8 INTERNAL CAROTID ARTERY ............................................ 16 1.9 BASILAR ARTERY .............................................................. 19 1.10 VENOUS DRAINAGE FROM THE SKULL BASE..................... 21 1.10.1 CAVERNOUS SINUS ............................................................. 22 1.11 NECK AT THE BASE OF SKULL ......................................... 23 1.12 MEDIAL WALL OF TYMPANIC CAVITY: THE TRANSCANAL DOOR TO THE FUNDUS OF THE IAC ........... 24 2 MICROSCOPIC APPROACHES TO LATERAL SKULL BASE: OVERVIEW ........................................................................................ 32 DANIELE MARCHIONI, MOHAMED BADR EL DINE, LUCA BIANCONI, AND DANIELE BERNARDESCHI 2.1 INTRODUCTION ................................................................. 32 2.2 TRANSLABYRINTHINE APPROACH .................................... 33 2.2.1 INDICATIONS ...................................................................... 33 2.2.2 ADVANTAGES ...................................................................... 33 2.2.3 LIMITATIONS ........................................................................ 33 2.2.4 THE USE OF THE ENDOSCOPE ............................................. 33 2.2.5 SURGICAL APPROACH ............................................................ 33 2.2.6 HINTS AND PITFALLS ........................................................... 39 2.3 TRANSLABYRINTHINE APPROACH AND COCHLEAR IMPLANT ........................................................................ 50 2.3.1 INDICATIONS ...................................................................... 50 2.3.2 SURGICAL STEPS ................................................................. 50 2.4 TRANSLABYRINTHINE APPROACH AND BRAINSTEM IMPLANT ........................................................................ 52 2.5 INDICATIONS ...................................................................... 52 2.5.1 SURGICAL STEPS ................................................................ 53 3 TRANSCANAL ENDOSCOPIC DISSECTION OF LATERAL SK NORITAKA KOMUNE 3.1 INTRODUCTION ................................................................... 93 3.2 OVERVIEW OF THE TEMPORAL BONE: MICROSCOPIC DISSECTION FROM LATERAL AND ABOVE ......................... 93 2.5.2 POSTOPERATIVE CARE ......................................................... 54 2.5.3 COMPLICATIONS ................................................................ 54 2.6 RETROLABYRINTHINE APPROACH .................................... 54 2.6.1 RATIONALE ........................................................................ 54 2.6.2 INDICATIONS ...................................................................... 54 2.6.3 ADVANTAGES .................................................................... 54 2.6.4 LIMITATIONS ...................................................................... 54 2.6.5 USE OF THE ENDOSCOPE .................................................... 55 2.6.6 SURGICAL TECHNIQUE ....................................................... 56 2.6.7 ENDOSCOPIC-ASSISTED SURGERY ....................................... 57 2.6.8 FINAL STEPS ..................................................................... 61 2.6.9 VESTIBULAR NERVE RESECTION ........................................... 61 2.6.10 HINTS AND PITFALLS ........................................................... 63 2.6.11 POSTOPERATIVE CARE AND COMPLICATIONS ......................... 66 2.7 DIFFERENT INFRATEMPOARAL FOSSA APPROACHES .... 66 2.7.1 INFRATEMPORAL FOSSA TYPE A ........................................... 66 2.7.2 INFRATEMPORAL FOSSA TYPES B AND C .............................. 73 I BASE ............................................................................................ 93 3.3 TRANSCANAL ENDOSCOPIC DISSECTION TO THE LATERAL SKULL BASE ...................................................... 94 3.4 ENDOSCOPIC APPROACHES TO THE LATERAL SKULL BASE ............................................................................. 97 V 4 INSTRUMENTS AND OPERATING ROOM SETUP ........................................................................................................................ 102 DANIELE MARCHIONI, ALESSIA RUBINI, STEFANO DE ROSSI, MUAAZ TARABICHI, AND GABRIELE MOLTENI 4.1 INTRODUCTION ...................................................... 102 4.2 OPERATING ROOM SETUP .................................. 102 4.2.1 SETTING FOR MICROSCOPIC AND ENDOSCOPIC LATERAL SKULL BASE SURGERY .............................................. 102 4.2.2 SETTING FOR MICROSCOPIC AND ENDOSCOPIC MIDDLE CRANIAL FOSSA SURGERY ......................................... 102 4.2.3 SETTING FOR EXOSCOPIC LATERAL SKULL BASE SURGERY .. 103 4.3 THE OPERATIVE MICROSCOPE ............................. 103 4.4 THE RIGID ENDOSCOPES .................................... 104 4.5 3D EXOSCOPE ...................................................... 105 4.6 XENON LIGHT SOURCES FOR ENDOSCOPIC SURGERY . 105 4.7 NERVE INTEGRITY MONITOR ................................. 105 5 RADIOLOGIC ASSESSMENT IN LATERAL SKULL BASE SU DAVIDE SOLOPERTO, ELISA CICERI, AND DANIELE MARCHIONI 5.1 INTRODUCTION ...................................................... 114 5.1.1 ANATOMY OF LATERAL SKULL BASE ........................... 114 5.2 GENERAL CONSIDERATIONS ABOUT CT AND MRI IN LATERAL SKULL BASE ................................ 114 5.3 LATERAL SKULL BASE LESIONS ............................... 116 4.8 INSTRUMENTS ............................................................. 105 4.9 RETRACTOR FOR LATERAL SKULL BASE ........................... 107 4.10 BONE RONGEUR .......................................................... 107 4.11 SPECIAL INSTRUMENTS FOR ENDOSCOPIC/ MICROSCOPIC LATERAL SKULL BASE SURGERY ........... 108 4.12 DRILL AND MICRODRILL ................................................... 108 4.13 PIEZOSURGERY ............................................................. 108 4.14 BIPOLAR ........................................................................ NO 4.15 DISSECTORS ................................................................. 110 4.16 SUCTION TUBES ........................................................... ILL ERY ................................................................................................ 114 5.3.1 LESIONS INVOLVING EXTERNAL AUDITORY CANAL (EAC), MIDDLE EAR, AND MASTOID .......................................... 116 5.3.2 INTERNAL AUDITORY CANAL (IAC) AND CEREBELLOPONTINE ANGLE (CPA) LESIONS ................................................... 125 5.3.3 LESIONS INVOLVING JUGULAR FORAMEN ........................... 135 6 TRANSCOCHLEAR AND TRANSOTIC ENDOSCOPIC ASSISTED APPROACHES ............................................................................ 158 DANIELE MARCHIONI, GEORGE WANNA, MUSTAFA KAPADIA, NICOLA BISI, AND LUCA BIANCONI 6.1 INTRODUCTION .............................................................. 158 6.2 TRANSCOCHLEAR APPROACH ........................................ 158 6.2.1 INDICATIONS ................................................................... 158 6.2.2 ADVANTAGES ................................................................. 158 6.2.3 LIMITS .......................................................................... 158 6.2.4 USE OF THE ENDOSCOPE ................................................. 158 6.2.5 SURGICAL APPROACH ...................................................... 158 6.2.6 ENDOSCOPIC ASSISTED SURGERY .................................... 162 6.2.7 EXTRADURAL LESIONS ...................................................... 163 6.2.8 INTRADURAL LESIONS ...................................................... 163 6.2.9 FINAL STEPS ................................................................... 164 6.3 TRANSOTIC APPROACH ................................................ 164 6.3.1 INDICATIONS ................................................................... 164 6.3.2 USE OF THE ENDOSCOPE ................................................ 164 6.3.3 SURGICAL APPROACH ...................................................... 165 6.3.4 ENDOSCOPIC ASSISTED SURGERY .................................... 169 6.3.5 FINAL STEPS ................................................................... 170 6.4 POSTOPERATIVE CARE ................................................ 170 7 ENDOSCOPIC ASSISTED RETROSIGMOID APPROACH .............................................................................................................. 204 DANIELE MARCHIONI, MARCO BONALI, MATTEO FERMI, BARBARA MASOTTO, GIANPIETRO PINNA, MATTEO ALICANDRI GIUFELLI, GIACOMO PAVESI, AND LIVIO PRESUTTI 7.1 SURGICAL ANATOMY .................................................... 204 7.2 RETROSIGMOID ENDOSCOPIC ASSISTED SURGERY. .. 204 7.3 INDICATIONS ................................................................. 205 7.4 CONTRAINDICATIONS .................................................... 205 7.5 ADVANTAGES ............................................................... 206 7.6 SURGICAL APPROACH FOR ACOUSTIC NEUROMA REMOVAL ................................................................... 206 7.7 SURGICAL APPROACH FOR NEUROVASCULAR CONFLICTS ................................................................... 210 VI 7.7.1 TRIGEMINAL NEURALGIA .................................................. 211 7.7.2 HEMIFACIAL SPASM ...................................................... 211 7.7.3 GLOSSOPHARYNGEAL NEURALGIA ...................................... 213 7.8 SURGICAL APPROACH ................................................. 214 7.9 COMPLICATIONS ........................................................ 217 8 MIDDLE CRANIAL FOSSA APPROACHES: TRADITIONAL SURGERY AND ENDOSCOPIC ASSISTED PROCEDURE .................. 232 DANIELE MARCHIONI, RAPHAELLEA. CHEMTOB, ELLIOTT D. KOZIN, DANIEL J. LEE, AND DAVIDE SOLOPERTO 8.1 INTRODUCTION ............................................................ 232 8.2 SURGICAL ANATOMY ................................................... 232 8.3 THE MIDDLE CRANIAL FOSSA AND THE ANTERIOR PETROSECTOMY APPROACHES .................................. 233 8.3.1 INDICATIONS .................................................................. 233 8.3.2 ADVANTAGES ................................................................ 234 8.3.3 LIMITATIONS .................................................................. 235 8.3.4 USE OF THE ENDOSCOPE ................................................ 235 8.4 MIDDLE FOSSA APPROACH FOR IAC LESIONS ............ 235 8.4.1 SURGICAL STEPS ............................................................ 235 8.4.2 IDENTIFICATION OF THE IAC FOR ACOUSTIC NEUROMA RESECTION ................................................................... 235 8.4.3 DURAL OPENING AND TUMOR DISSECTION ..................... 237 8.4.4 ENDOSCOPIC ASSISTED SURGERY .................................... 238 8.4.5 CLOSURE ........................................................................ 239 8.4.6 POSTOPERATIVE CARE ...................................................... 239 8.4.7 COMPLICATIONS ............................................................. 239 8.4.8 ENDOSCOPIC MIDDLE FOSSA APPROACH TO REPAIR SUPERIOR SEMICIRCULAR CANAL DEHISCENCE ................ 239 8.5 ANTERIOR PETROSECTOMY OR EXTENDED MIDDLE FOSSA APPROACH ...................................................... 242 8.5.1 RATIONALE .................................................................... 242 8.5.2 SURGICAL STEPS ............................................................. 243 8.5.3 ENDOSCOPIC ASSISTED ANTERIOR PETROSECTOMY .......... 246 8.5.4 LESIONS WITH INTRADURAL EXTENSION ........................... 248 8.5.5 POSTOPERATIVE CARE ...................................................... 250 9 CLASSIFICATION AND INDICATIONS OF TRANSCANAL LATERAL SKULL BASE SURGERY ........................................................... 277 DANIELE MARCHIONI, BRANDON ISAACSON, ALESSIA RUBINI, ANTONIO GULINO, AND LIVIO PRESUTTI 9.1 INTRODUCTION ............................................................. 277 9.2 THE GROUP OF TRANSCANAL APPROACHES ................ 278 9.3 TRANSCANAL SUPRAGENICULATE CORRIDOR ................ 278 9.3.1 INDICATIONS .................................................................. 278 9.3.2 ADVANTAGES ................................................................ 279 9.3.3 LIMITATIONS .................................................................. 280 9.4 TRANSCANAL TRANSPROMONTORIAL CORRIDOR .......... 280 9.4.1 EXCLUSIVE ENDOSCOPIC TRANSCANAL TRANSPROMONTORIAL APPROACH .................................. 281 9.4.2 EXPANDED TRANSCANAL TRANSPROMONTORIAL APPROACH ................................................................... 283 9.5 TRANSCANAL INFRACOCHLEAR CORRIDOR ..................... 284 9.5.1 INDICATIONS .................................................................. 284 9.5.2 ADVANTAGES ................................................................ 284 9.5.3 LIMITATIONS .................................................................. 285 10 ENDOSCOPIC TRANSCANAL SUPRAGENICULATE APPROACH ................................................................................................... 288 DANIELE MARCHIONI, NIRMAL PATEL, NICHOLAS JUFAS, ALEXANDER]. SAXBY, AND JONATHAN H.K. KONG 10.1 INTRODUCTION ............................................................ 288 10.2 SURGICAL ANATOMY ................................................... 289 10.2.1 PRECOCHLEARIFORM SEGMENT OF THE TYMPANIC PORTION OF THE FACIAL NERVE ...................................... 290 10.2.2 GENICULATE GANGLION ................................................. 290 10.2.3 GREATER SUPERFICIAL PETROSAL NERVE .......................... 290 10.3 ENDOSCOPIC TRANSCANAL SUPRAGENICULATE APPROACH ................................................................. 290 10.3.1 INDICATIONS ................................................................. 290 10.3.2 CONTRAINDICATIONS ..................................................... 290 10.3.3 ADVANTAGES ............................................................... 290 10.3.4 DISADVANTAGES ............................................................ 290 10.3.5 PREOPERATIVE ASSESSMENT .......................................... 291 10.4 ETSA FOR TUMORS OF THE GENICULATE GANGLION . 291 10.4.1 RECONSTRUCTION OF THE FACIAL NERVE ........................... 291 10.4.2 SURGICAL TECHNIQUE .................................................... 291 10.5 ETSA FOR CHOLESTEATOMA INVOLVING THE SUPRAGENICULATE GANGLION AREA ......................... 297 10.5.1 SURGICAL STEPS ............................................................. 297 10.5.2 INNER EAR INVOLVEMENT .............................................. 298 10.6 ETSA FOR DECOMPRESSION OF THE GENICULATE GANGLION AND OF THE TYMPANIC FACIAL NERVE. .. 298 10.6.1 SURGICAL STEPS ............................................................. 298 10.6.2 POSTOPERATIVE CARE AND FOLLOW-UP ........................... 301 VII 11 TRANSCANAL TRANSPROMONTORIAL APPROACHES TO THE INTERNAL AUDITORY CANAL AND THE CEREBELLOPONTINE ANGLE .......................................................................................................................................................... 330 DANIELE MARCHIONI, BARBARA MASOTTO, ALEJANDRO RIVAS, LUKAS ANSCHUTZ, AND LIVIO PRESUTTI 11.1 INTRODUCTION ............................................................. 330 11.2 EXCLUSIVELY ENDOSCOPIC TRANSCANAL TRANSPROMONTORIAL APPROACH ............................. 331 11.2.1 INDICATIONS ................................................................... 331 11.2.2 CONTRAINDICATIONS ...................................................... 331 11.2.3 ADVANTAGES ................................................................ 332 11.2.4 DISADVANTAGES ............................................................. 332 11.2.5 PREOPERATIVE ASSESSMENT ........................................... 332 11.2.6 SURGICAL TECHNIQUE .................................................... 332 11.2.7 HINTS AND PITFALLS ........................................................ 339 11.2.8 POSTOPERATIVE CARE ...................................................... 345 11.3 ENLARGED TRANSCANAL TRANSPROMONTORIAL APPROACH .................................................................. 347 11.3.1 INDICATIONS ................................................................... 347 11.3.2 CONTRAINDICATIONS ..................................................... 347 11.3.3 ADVANTAGES ................................................................ 347 11.3.4 DISADVANTAGES ............................................................ 347 11.3.5 PREOPERATIVE ASSESSMENT .......................................... 348 11.3.6 FIRST STEP: EXPOSITION OF EAC BONE .......................... 348 11.3.7 SHAMBAUGH SKIN INCISION ......................................... 348 11.3.8 RETROAURICOLAR INCISION ............................................ 349 11.3.9 SECOND STEP: CALIBRATION OF THE PROMONTORIAL ACCESS ........................................................................ 349 11.3.10 THIRD STEP: MIDDLE EAR DISSECTION ............................ 355 11.3.11 FOURTH STEP: TRANSPROMONTORIAL APPROACH TO THE IAC .............................................................................. 356 11.3.12 FIFTH STEP: TUMOR DISSECTION ..................................... 357 11.3.13 SIXTH STEP: CLOSURE .................................................... 361 11.3.14 HINTS AND PITFALLS ....................................................... 361 11.3.15 POSTOPERATIVE CARE ..................................................... 363 12 ENDOSCOPIC ASSISTED AND TRANSCANAL PROCEDURES IN COCHLEAR IMPLANT .................................................................. 409 DANIELE MARCHIONI, DAVIDE SOLOPERTO, LUCA BIANCONI, JOAO FLAVIO NOGUEIRA, DOMENICO VILLARI, AND MARCO CORNER 12.1 INTRODUCTION ............................................................. 409 12.2 TRANS-ATTIC ENDOSCOPIC ASSISTED COCHLEAR IMPLANTATION ............................................................ 409 12.2.1 ENDOSCOPIC ANATOMY OF THE ROUND WINDOW .......... 409 12.2.2 GENERAL CONSIDERATIONS ON COCHLEAR IMPLANTS ........ 410 12.2.3 INDICATIONS .................................................................. 410 12.2.4 COCHLEAR IMPLANT IN OTOSCLEROSIS .............................. 410 12.2.5 COCHLEAR IMPLANTATION IN CHARGE SYNDROME ........ 414 12.2.6 SURGICAL STEPS ............................................................. 416 12.2.7 ENDOSCOPIC STEP ......................................................... 416 13 ENDOSCOPIC TRANSCANAL INFRACOCHLEAR APPROACH SEIJI KAKEATHA, DANIELE MARCHIONI, AND BRANDON ISAACSON 13.1 INTRODUCTION ............................................................. 444 13.2 RATIONALE .................................................................. 444 13.3 ADVANTAGES .............................................................. 444 13.4 DISADVANTAGES AND LIMITATIONS .......................... 444 13.5 INDICATIONS ................................................................. 445 13.6 CONTRAINDICATIONS .................................................... 445 12.2.8 MICROSCOPIC STEP ....................................................... 417 12.3 TRANSCANAL INFRAPROMONTORIAL APPROACH WITH SIMULTANEOUS COCLEAR IMPLANT ........................... 420 12.3.1 INDICATIONS .................................................................. 421 12.3.2 LIMITATIONS .................................................................. 422 12.3.3 SURGICAL STEPS ............................................................ 422 12.3.4 PRESERVATION OF THE COCHLEA AND THE COCHLEAR NERVE .......................................................................... 423 12.3.5 POSTOPERATIVE CARE ..................................................... 429 ....................................................................................................... 443 13.7 SURGICAL CONSIDERATIONS ABOUT THE ROUND WINDOW CHAMBER AND THE HYPOTYMPANUM .. 445 13.8 SURGICAL PROCEDURE ................................................ 445 13.8.1 CHOLESTEROL GRANULOMA ............................................ 450 13.8.2 CHOLESTEATOMA ........................................................... 452 13.9 POSTOPERATIVE CARE ................................................ 452 13.10 INTRAOPERATIVE COMPLICATIONS .............................. 452 14 COMPLICATIONS AND MANAGEMENT IN LATERAL SKULL BASE SURGERY ............................................................................ 460 DANIELE MARCHIONI, ANDREA MARTONE, AND MATTEO ALICANDRI CIUFELLI 14.1 CRANIAL NERVES DEFICIT ............................................. 461 14.1.1 FACIAL NERVE REPARATION ............................................. 461 14.1.2 PRIMARY NERVE GRAFTING ............................................. 461 14.1.3 CABLE NERVE GRAFTING .................................................. 461 14.1.4 NERVE SUBSTITUTION .................................................... 464 14.1.5 CROSS-FACIAL NERVE GRAFT ............................................ 465 VIII 14.2 CSFLEAK ................................................................... 465 14.3.1 INTRAOPERATIVE BLEEDING ........................................... 469 14.3.2 POSTOPERATIVE BLEEDING ............................................. 470 14.3 BLEEDING ................................................................... 469 INDEX ................................................................................................................................................................................................................. 472
adam_txt	CONTENTS VIDEOS . X FOREWORD . XI PREFACE . XII CONTRIBUTORS . XIII 1 ANATOMY OF THE LATERAL SKULL BASE . 2 MUSTAFA KAPADIA, LIVIO PRESUTTI, ALEJANDRO RIVAS, AND DANIELE MARCHIONI 1.1 INTRODUCTION . 2 1.2 THE TEMPORAL BONE . 4 1.3 INTERNAL AUDITORY CANAL . 5 1.4 FACIAL NERVE . 6 1.5 JUGULAR FORAMEN . 7 1.6 INFRATEMPORAL FOSSA . 11 1.7 CEREBELLOPONTINE ANGLE . 15 1.7.1 RELEVANT NERVOUS CONTENTS . 15 1.8 INTERNAL CAROTID ARTERY . 16 1.9 BASILAR ARTERY . 19 1.10 VENOUS DRAINAGE FROM THE SKULL BASE. 21 1.10.1 CAVERNOUS SINUS . 22 1.11 NECK AT THE BASE OF SKULL . 23 1.12 MEDIAL WALL OF TYMPANIC CAVITY: THE TRANSCANAL DOOR TO THE FUNDUS OF THE IAC . 24 2 MICROSCOPIC APPROACHES TO LATERAL SKULL BASE: OVERVIEW . 32 DANIELE MARCHIONI, MOHAMED BADR EL DINE, LUCA BIANCONI, AND DANIELE BERNARDESCHI 2.1 INTRODUCTION . 32 2.2 TRANSLABYRINTHINE APPROACH . 33 2.2.1 INDICATIONS . 33 2.2.2 ADVANTAGES . 33 2.2.3 LIMITATIONS . 33 2.2.4 THE USE OF THE ENDOSCOPE . 33 2.2.5 SURGICAL APPROACH . 33 2.2.6 HINTS AND PITFALLS . 39 2.3 TRANSLABYRINTHINE APPROACH AND COCHLEAR IMPLANT . 50 2.3.1 INDICATIONS . 50 2.3.2 SURGICAL STEPS . 50 2.4 TRANSLABYRINTHINE APPROACH AND BRAINSTEM IMPLANT . 52 2.5 INDICATIONS . 52 2.5.1 SURGICAL STEPS . 53 3 TRANSCANAL ENDOSCOPIC DISSECTION OF LATERAL SK NORITAKA KOMUNE 3.1 INTRODUCTION . 93 3.2 OVERVIEW OF THE TEMPORAL BONE: MICROSCOPIC DISSECTION FROM LATERAL AND ABOVE . 93 2.5.2 POSTOPERATIVE CARE . 54 2.5.3 COMPLICATIONS . 54 2.6 RETROLABYRINTHINE APPROACH . 54 2.6.1 RATIONALE . 54 2.6.2 INDICATIONS . 54 2.6.3 ADVANTAGES . 54 2.6.4 LIMITATIONS . 54 2.6.5 USE OF THE ENDOSCOPE . 55 2.6.6 SURGICAL TECHNIQUE . 56 2.6.7 ENDOSCOPIC-ASSISTED SURGERY . 57 2.6.8 FINAL STEPS . 61 2.6.9 VESTIBULAR NERVE RESECTION . 61 2.6.10 HINTS AND PITFALLS . 63 2.6.11 POSTOPERATIVE CARE AND COMPLICATIONS . 66 2.7 DIFFERENT INFRATEMPOARAL FOSSA APPROACHES . 66 2.7.1 INFRATEMPORAL FOSSA TYPE A . 66 2.7.2 INFRATEMPORAL FOSSA TYPES B AND C . 73 I BASE . 93 3.3 TRANSCANAL ENDOSCOPIC DISSECTION TO THE LATERAL SKULL BASE . 94 3.4 ENDOSCOPIC APPROACHES TO THE LATERAL SKULL BASE . 97 V 4 INSTRUMENTS AND OPERATING ROOM SETUP . 102 DANIELE MARCHIONI, ALESSIA RUBINI, STEFANO DE ROSSI, MUAAZ TARABICHI, AND GABRIELE MOLTENI 4.1 INTRODUCTION . 102 4.2 OPERATING ROOM SETUP . 102 4.2.1 SETTING FOR MICROSCOPIC AND ENDOSCOPIC LATERAL SKULL BASE SURGERY . 102 4.2.2 SETTING FOR MICROSCOPIC AND ENDOSCOPIC MIDDLE CRANIAL FOSSA SURGERY . 102 4.2.3 SETTING FOR EXOSCOPIC LATERAL SKULL BASE SURGERY . 103 4.3 THE OPERATIVE MICROSCOPE . 103 4.4 THE RIGID ENDOSCOPES . 104 4.5 3D EXOSCOPE . 105 4.6 XENON LIGHT SOURCES FOR ENDOSCOPIC SURGERY . 105 4.7 NERVE INTEGRITY MONITOR . 105 5 RADIOLOGIC ASSESSMENT IN LATERAL SKULL BASE SU DAVIDE SOLOPERTO, ELISA CICERI, AND DANIELE MARCHIONI 5.1 INTRODUCTION . 114 5.1.1 ANATOMY OF LATERAL SKULL BASE . 114 5.2 GENERAL CONSIDERATIONS ABOUT CT AND MRI IN LATERAL SKULL BASE . 114 5.3 LATERAL SKULL BASE LESIONS . 116 4.8 INSTRUMENTS . 105 4.9 RETRACTOR FOR LATERAL SKULL BASE . 107 4.10 BONE RONGEUR . 107 4.11 SPECIAL INSTRUMENTS FOR ENDOSCOPIC/ MICROSCOPIC LATERAL SKULL BASE SURGERY . 108 4.12 DRILL AND MICRODRILL . 108 4.13 PIEZOSURGERY . 108 4.14 BIPOLAR . NO 4.15 DISSECTORS . 110 4.16 SUCTION TUBES . ILL ERY . 114 5.3.1 LESIONS INVOLVING EXTERNAL AUDITORY CANAL (EAC), MIDDLE EAR, AND MASTOID . 116 5.3.2 INTERNAL AUDITORY CANAL (IAC) AND CEREBELLOPONTINE ANGLE (CPA) LESIONS . 125 5.3.3 LESIONS INVOLVING JUGULAR FORAMEN . 135 6 TRANSCOCHLEAR AND TRANSOTIC ENDOSCOPIC ASSISTED APPROACHES . 158 DANIELE MARCHIONI, GEORGE WANNA, MUSTAFA KAPADIA, NICOLA BISI, AND LUCA BIANCONI 6.1 INTRODUCTION . 158 6.2 TRANSCOCHLEAR APPROACH . 158 6.2.1 INDICATIONS . 158 6.2.2 ADVANTAGES . 158 6.2.3 LIMITS . 158 6.2.4 USE OF THE ENDOSCOPE . 158 6.2.5 SURGICAL APPROACH . 158 6.2.6 ENDOSCOPIC ASSISTED SURGERY . 162 6.2.7 EXTRADURAL LESIONS . 163 6.2.8 INTRADURAL LESIONS . 163 6.2.9 FINAL STEPS . 164 6.3 TRANSOTIC APPROACH . 164 6.3.1 INDICATIONS . 164 6.3.2 USE OF THE ENDOSCOPE . 164 6.3.3 SURGICAL APPROACH . 165 6.3.4 ENDOSCOPIC ASSISTED SURGERY . 169 6.3.5 FINAL STEPS . 170 6.4 POSTOPERATIVE CARE . 170 7 ENDOSCOPIC ASSISTED RETROSIGMOID APPROACH . 204 DANIELE MARCHIONI, MARCO BONALI, MATTEO FERMI, BARBARA MASOTTO, GIANPIETRO PINNA, MATTEO ALICANDRI GIUFELLI, GIACOMO PAVESI, AND LIVIO PRESUTTI 7.1 SURGICAL ANATOMY . 204 7.2 RETROSIGMOID ENDOSCOPIC ASSISTED SURGERY. . 204 7.3 INDICATIONS . 205 7.4 CONTRAINDICATIONS . 205 7.5 ADVANTAGES . 206 7.6 SURGICAL APPROACH FOR ACOUSTIC NEUROMA REMOVAL . 206 7.7 SURGICAL APPROACH FOR NEUROVASCULAR CONFLICTS . 210 VI 7.7.1 TRIGEMINAL NEURALGIA . 211 7.7.2 HEMIFACIAL SPASM . 211 7.7.3 GLOSSOPHARYNGEAL NEURALGIA . 213 7.8 SURGICAL APPROACH . 214 7.9 COMPLICATIONS . 217 8 MIDDLE CRANIAL FOSSA APPROACHES: TRADITIONAL SURGERY AND ENDOSCOPIC ASSISTED PROCEDURE . 232 DANIELE MARCHIONI, RAPHAELLEA. CHEMTOB, ELLIOTT D. KOZIN, DANIEL J. LEE, AND DAVIDE SOLOPERTO 8.1 INTRODUCTION . 232 8.2 SURGICAL ANATOMY . 232 8.3 THE MIDDLE CRANIAL FOSSA AND THE ANTERIOR PETROSECTOMY APPROACHES . 233 8.3.1 INDICATIONS . 233 8.3.2 ADVANTAGES . 234 8.3.3 LIMITATIONS . 235 8.3.4 USE OF THE ENDOSCOPE . 235 8.4 MIDDLE FOSSA APPROACH FOR IAC LESIONS . 235 8.4.1 SURGICAL STEPS . 235 8.4.2 IDENTIFICATION OF THE IAC FOR ACOUSTIC NEUROMA RESECTION . 235 8.4.3 DURAL OPENING AND TUMOR DISSECTION . 237 8.4.4 ENDOSCOPIC ASSISTED SURGERY . 238 8.4.5 CLOSURE . 239 8.4.6 POSTOPERATIVE CARE . 239 8.4.7 COMPLICATIONS . 239 8.4.8 ENDOSCOPIC MIDDLE FOSSA APPROACH TO REPAIR SUPERIOR SEMICIRCULAR CANAL DEHISCENCE . 239 8.5 ANTERIOR PETROSECTOMY OR EXTENDED MIDDLE FOSSA APPROACH . 242 8.5.1 RATIONALE . 242 8.5.2 SURGICAL STEPS . 243 8.5.3 ENDOSCOPIC ASSISTED ANTERIOR PETROSECTOMY . 246 8.5.4 LESIONS WITH INTRADURAL EXTENSION . 248 8.5.5 POSTOPERATIVE CARE . 250 9 CLASSIFICATION AND INDICATIONS OF TRANSCANAL LATERAL SKULL BASE SURGERY . 277 DANIELE MARCHIONI, BRANDON ISAACSON, ALESSIA RUBINI, ANTONIO GULINO, AND LIVIO PRESUTTI 9.1 INTRODUCTION . 277 9.2 THE GROUP OF TRANSCANAL APPROACHES . 278 9.3 TRANSCANAL SUPRAGENICULATE CORRIDOR . 278 9.3.1 INDICATIONS . 278 9.3.2 ADVANTAGES . 279 9.3.3 LIMITATIONS . 280 9.4 TRANSCANAL TRANSPROMONTORIAL CORRIDOR . 280 9.4.1 EXCLUSIVE ENDOSCOPIC TRANSCANAL TRANSPROMONTORIAL APPROACH . 281 9.4.2 EXPANDED TRANSCANAL TRANSPROMONTORIAL APPROACH . 283 9.5 TRANSCANAL INFRACOCHLEAR CORRIDOR . 284 9.5.1 INDICATIONS . 284 9.5.2 ADVANTAGES . 284 9.5.3 LIMITATIONS . 285 10 ENDOSCOPIC TRANSCANAL SUPRAGENICULATE APPROACH . 288 DANIELE MARCHIONI, NIRMAL PATEL, NICHOLAS JUFAS, ALEXANDER]. SAXBY, AND JONATHAN H.K. KONG 10.1 INTRODUCTION . 288 10.2 SURGICAL ANATOMY . 289 10.2.1 PRECOCHLEARIFORM SEGMENT OF THE TYMPANIC PORTION OF THE FACIAL NERVE . 290 10.2.2 GENICULATE GANGLION . 290 10.2.3 GREATER SUPERFICIAL PETROSAL NERVE . 290 10.3 ENDOSCOPIC TRANSCANAL SUPRAGENICULATE APPROACH . 290 10.3.1 INDICATIONS . 290 10.3.2 CONTRAINDICATIONS . 290 10.3.3 ADVANTAGES . 290 10.3.4 DISADVANTAGES . 290 10.3.5 PREOPERATIVE ASSESSMENT . 291 10.4 ETSA FOR TUMORS OF THE GENICULATE GANGLION . 291 10.4.1 RECONSTRUCTION OF THE FACIAL NERVE . 291 10.4.2 SURGICAL TECHNIQUE . 291 10.5 ETSA FOR CHOLESTEATOMA INVOLVING THE SUPRAGENICULATE GANGLION AREA . 297 10.5.1 SURGICAL STEPS . 297 10.5.2 INNER EAR INVOLVEMENT . 298 10.6 ETSA FOR DECOMPRESSION OF THE GENICULATE GANGLION AND OF THE TYMPANIC FACIAL NERVE. . 298 10.6.1 SURGICAL STEPS . 298 10.6.2 POSTOPERATIVE CARE AND FOLLOW-UP . 301 VII 11 TRANSCANAL TRANSPROMONTORIAL APPROACHES TO THE INTERNAL AUDITORY CANAL AND THE CEREBELLOPONTINE ANGLE . 330 DANIELE MARCHIONI, BARBARA MASOTTO, ALEJANDRO RIVAS, LUKAS ANSCHUTZ, AND LIVIO PRESUTTI 11.1 INTRODUCTION . 330 11.2 EXCLUSIVELY ENDOSCOPIC TRANSCANAL TRANSPROMONTORIAL APPROACH . 331 11.2.1 INDICATIONS . 331 11.2.2 CONTRAINDICATIONS . 331 11.2.3 ADVANTAGES . 332 11.2.4 DISADVANTAGES . 332 11.2.5 PREOPERATIVE ASSESSMENT . 332 11.2.6 SURGICAL TECHNIQUE . 332 11.2.7 HINTS AND PITFALLS . 339 11.2.8 POSTOPERATIVE CARE . 345 11.3 ENLARGED TRANSCANAL TRANSPROMONTORIAL APPROACH . 347 11.3.1 INDICATIONS . 347 11.3.2 CONTRAINDICATIONS . 347 11.3.3 ADVANTAGES . 347 11.3.4 DISADVANTAGES . 347 11.3.5 PREOPERATIVE ASSESSMENT . 348 11.3.6 FIRST STEP: EXPOSITION OF EAC BONE . 348 11.3.7 SHAMBAUGH SKIN INCISION . 348 11.3.8 RETROAURICOLAR INCISION . 349 11.3.9 SECOND STEP: CALIBRATION OF THE PROMONTORIAL ACCESS . 349 11.3.10 THIRD STEP: MIDDLE EAR DISSECTION . 355 11.3.11 FOURTH STEP: TRANSPROMONTORIAL APPROACH TO THE IAC . 356 11.3.12 FIFTH STEP: TUMOR DISSECTION . 357 11.3.13 SIXTH STEP: CLOSURE . 361 11.3.14 HINTS AND PITFALLS . 361 11.3.15 POSTOPERATIVE CARE . 363 12 ENDOSCOPIC ASSISTED AND TRANSCANAL PROCEDURES IN COCHLEAR IMPLANT . 409 DANIELE MARCHIONI, DAVIDE SOLOPERTO, LUCA BIANCONI, JOAO FLAVIO NOGUEIRA, DOMENICO VILLARI, AND MARCO CORNER 12.1 INTRODUCTION . 409 12.2 TRANS-ATTIC ENDOSCOPIC ASSISTED COCHLEAR IMPLANTATION . 409 12.2.1 ENDOSCOPIC ANATOMY OF THE ROUND WINDOW . 409 12.2.2 GENERAL CONSIDERATIONS ON COCHLEAR IMPLANTS . 410 12.2.3 INDICATIONS . 410 12.2.4 COCHLEAR IMPLANT IN OTOSCLEROSIS . 410 12.2.5 COCHLEAR IMPLANTATION IN CHARGE SYNDROME . 414 12.2.6 SURGICAL STEPS . 416 12.2.7 ENDOSCOPIC STEP . 416 13 ENDOSCOPIC TRANSCANAL INFRACOCHLEAR APPROACH SEIJI KAKEATHA, DANIELE MARCHIONI, AND BRANDON ISAACSON 13.1 INTRODUCTION . 444 13.2 RATIONALE . 444 13.3 ADVANTAGES . 444 13.4 DISADVANTAGES AND LIMITATIONS . 444 13.5 INDICATIONS . 445 13.6 CONTRAINDICATIONS . 445 12.2.8 MICROSCOPIC STEP . 417 12.3 TRANSCANAL INFRAPROMONTORIAL APPROACH WITH SIMULTANEOUS COCLEAR IMPLANT . 420 12.3.1 INDICATIONS . 421 12.3.2 LIMITATIONS . 422 12.3.3 SURGICAL STEPS . 422 12.3.4 PRESERVATION OF THE COCHLEA AND THE COCHLEAR NERVE . 423 12.3.5 POSTOPERATIVE CARE . 429 . 443 13.7 SURGICAL CONSIDERATIONS ABOUT THE ROUND WINDOW CHAMBER AND THE HYPOTYMPANUM . 445 13.8 SURGICAL PROCEDURE . 445 13.8.1 CHOLESTEROL GRANULOMA . 450 13.8.2 CHOLESTEATOMA . 452 13.9 POSTOPERATIVE CARE . 452 13.10 INTRAOPERATIVE COMPLICATIONS . 452 14 COMPLICATIONS AND MANAGEMENT IN LATERAL SKULL BASE SURGERY . 460 DANIELE MARCHIONI, ANDREA MARTONE, AND MATTEO ALICANDRI CIUFELLI 14.1 CRANIAL NERVES DEFICIT . 461 14.1.1 FACIAL NERVE REPARATION . 461 14.1.2 PRIMARY NERVE GRAFTING . 461 14.1.3 CABLE NERVE GRAFTING . 461 14.1.4 NERVE SUBSTITUTION . 464 14.1.5 CROSS-FACIAL NERVE GRAFT . 465 VIII 14.2 CSFLEAK . 465 14.3.1 INTRAOPERATIVE BLEEDING . 469 14.3.2 POSTOPERATIVE BLEEDING . 470 14.3 BLEEDING . 469 INDEX . 472
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spelling	Endoscopic lateral skull base surgery principles, anatomy, approaches Daniele Marchioni, MD, Livio Presutti, MD Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme [2023] © 2023 xiv, 475 Seiten 2005 Illustrationen 31 cm x 23 cm Enthält: 1 Online-Ressource txt rdacontent n rdamedia nc rdacarrier Minimal-invasive Chirurgie (DE-588)4327907-7 gnd rswk-swf Schädelbasiskrankheit (DE-588)4201536-4 gnd rswk-swf lateral skull base endoscopic surgery endoscopic anatomy endoscopic-assisted surgery otolaryngology neurosurgery HNO-Heilkunde Schädelbasiskrankheit (DE-588)4201536-4 s Minimal-invasive Chirurgie (DE-588)4327907-7 s DE-604 Marchioni, Dirce Maria Lobo (DE-588)124033253X edt aut Presutti, Livio (DE-588)1280943416 edt aut Georg Thieme Verlag KG (DE-588)1064287301 pbl Erscheint auch als Online-Ausgabe, PDF 978-3-13-241435-8 Erscheint auch als Online-Ausgabe, EPUB 978-3-13-258236-1 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=4eb85a283cfe41f492956c26f8a2bd99&prov=M&dok_var=1&dok_ext=htm Inhaltstext DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=033885895&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Marchioni, Dirce Maria Lobo Presutti, Livio Endoscopic lateral skull base surgery principles, anatomy, approaches Minimal-invasive Chirurgie (DE-588)4327907-7 gnd Schädelbasiskrankheit (DE-588)4201536-4 gnd
subject_GND	(DE-588)4327907-7 (DE-588)4201536-4
title	Endoscopic lateral skull base surgery principles, anatomy, approaches
title_auth	Endoscopic lateral skull base surgery principles, anatomy, approaches
title_exact_search	Endoscopic lateral skull base surgery principles, anatomy, approaches
title_exact_search_txtP	Endoscopic lateral skull base surgery principles, anatomy, approaches
title_full	Endoscopic lateral skull base surgery principles, anatomy, approaches Daniele Marchioni, MD, Livio Presutti, MD
title_fullStr	Endoscopic lateral skull base surgery principles, anatomy, approaches Daniele Marchioni, MD, Livio Presutti, MD
title_full_unstemmed	Endoscopic lateral skull base surgery principles, anatomy, approaches Daniele Marchioni, MD, Livio Presutti, MD
title_short	Endoscopic lateral skull base surgery
title_sort	endoscopic lateral skull base surgery principles anatomy approaches
title_sub	principles, anatomy, approaches
topic	Minimal-invasive Chirurgie (DE-588)4327907-7 gnd Schädelbasiskrankheit (DE-588)4201536-4 gnd
topic_facet	Minimal-invasive Chirurgie Schädelbasiskrankheit
url	http://deposit.dnb.de/cgi-bin/dokserv?id=4eb85a283cfe41f492956c26f8a2bd99&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=033885895&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv	AT marchionidircemarialobo endoscopiclateralskullbasesurgeryprinciplesanatomyapproaches AT presuttilivio endoscopiclateralskullbasesurgeryprinciplesanatomyapproaches AT georgthiemeverlagkg endoscopiclateralskullbasesurgeryprinciplesanatomyapproaches

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