Endoscopic Approaches To The Skull Base

Reviews the role of endoscopic endonasal techniques During the last decade the endoscopic endonasal approach (EEA) to the skull base has become a very powerful method to add to the array of neurosurgical technologies. This volume provides a broad overview of the role of transnasal approaches in a wide spectrum of skull base diseases. It starts with a historical perspective of the evolution from the microscope to the endoscope in endonasal surgery and then explores in depth the principles and techniques of the various methods. Discussed are topics based on anatomical boundaries: pituitary fossa to the suprasellar space to the cavernous sinus, clivus and the anterior cranial fossa. Access to the infratemporal and posterior fossae via both the endoscopic endonasal and the retrosigmoid approaches are reviewed. In addition, the critical topic of reconstruction following 'minimally invasive' skull base surgery and finally the learning curve and complications associated with the applications of these new and exciting approaches are discussed. This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique.

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions.

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions.

Minimal Access Skull Base Surgery – Open and Endoscopic Assisted Approaches is a highly illustrated guide to a range of approaches in ENT surgery, edited by Kofi Boahene and Alfredo Quiñones-Hinojosa from the John Hopkins Medical Institute, Baltimore, USA. The book focuses on minimal access approaches to skull base compartments using an endoscope, via natural and secondary openings into the head. Comprised of 31 chapters, across seven sections, the book begins with a general introductory section which covers imaging of the skull base, surgical pathology of the skull base and anaesthetic requirements for skull base surgery. Further sections cover approaches to surgery via particular anatomical areas, including transorbital, supraorbital, transnasal, infratemporal fossa, and transoral approaches. The concluding sections cover the management of selected skull base lesions, skull base reconstruction and postoperative management. Minimal Access Skull Base Surgery – Open and Endoscopic Assisted Approaches is enhanced by 428 images and illustrations and an accompanying DVD featuring practical guidance on several procedures. This is an essential resource for neurosurgeons, otolaryngologists, head and neck surgeons, and any health care providers involved in these minimal access procedures. Key Points Comprehensive guide to minimal access procedures in skull base surgery Covers minimal access skull base surgery via nose, mouth, eye socket and infratemporal fossa 428 images and illustrations Instructional DVD for several skull base procedures Edited Kofi Boahene and Alfredo Quiñones-Hinojosa based at John Hopkins Medical Institute, Baltimore, USA

Endoscopic Approaches to the Paranasal Sinuses and Skull Base With the continuing evolution of endoscopic techniques for surgery of lesions of the paranasal sinuses and skull base, and the reduced morbidity associated with this minimally invasive modality, the method has gained widespread use in recent years. This work offers a thorough review of all endoscopic approaches for access to the nose and paranasal sinuses and, through them, to the skull base. Central to this guide is the emphasis on profound knowledge of the complex anatomy in this area, as well as the many vital structures that can be endangered there. To this end, more than 900 full-color images, most photographs from cadaver dissections, are put to brilliant use. Key Features: Internationally renowned specialists and pioneers from Europe and the United States as editors and contributors Full-color photos from fresh cadaver dissections illustrate all steps for each approach Specific anatomic landmarks as revealed during each step are detailed, providing confidence in spatial orientation Correlative CT sections provide crucial additional information Risks and potential complications are included, as well as methods to reduce them Endoscopic Approaches to the Paranasal Sinuses and Skull Base is intended as an indispensable guide for residents, fellows, and specialist surgeons in otolaryngology, neurosurgery, and skull base surgery.

The quintessential state-of-the-art atlas on endoscopic approaches to the lateral skull base The endoscope has become a highly effective tool in the arsenal of ear and skull base surgeons. Endoscopic Lateral Skull Base Surgery: Principles, Anatomy, Approaches by endoscopic surgery masters Daniele Marchioni and Livio Presutti, reflects their development of innovative transcanalar approaches to the lateral cranial base using the external auditory canal as a surgical corridor. This unique atlas is designed to teach and clarify current and emerging endoscopic-assisted surgery approaches to the lateral skull base. The common goal of these cutting-edge procedures is to access and treat tumors located in the lateral cranial base via the most minimally-invasive endoscopic approach possible, thereby bypassing delicate cranial nerves, dural, cerebral, and vascular structures. Throughout 14 chapters, an impressive group of skull base surgeons share firsthand insights and expertise in areas vital to endoscopic skull base surgery. Key Features Featuring contributions from the who's who of global experts who continue to innovate by using the endoscope beyond its traditional use in middle ear surgery Opening chapters cover anatomy, microscopic approaches, endoscopic dissection, instrumentation, OR set-up, and radiologic assessments Procedural chapters detail endoscopic approaches including transtemporal combined, retrosigmoid, and transcanalar techniques such as suprageniculate, transpromontorial, and infracochlear Patient cases, clinical applications, and step-by-step guidance enhance understanding of diverse endoscopic approaches High-quality preoperative, intraoperative, and postoperative illustrations are selected from thousands of surgeries performed by the authors This remarkable book provides the most comprehensive and elucidating information written to date on endoscopic approaches to the lateral skull base, making it essential reading for novice and expert surgeons alike.

"A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for the once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A.B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts"--

Tips and pearls on the latest developments on endoscopic approaches to skull base and brain surgery from experts around the globeIdeal for both otolaryngologisthead and neck surgeons and neurosurgeons, Transnasal Endoscopic Skull Base and Brain Surgery: Tips and Pearls gathers together in one comprehensive volume invaluable advice from world-renowned authorities on state-of-the-art endoscopic technologies and techniques.Each succinct chapter begins with a summary of key takeaway points and features an easily accessible outline format. After uniquely detailed coverage of macroscopic and endoscopic anatomy, the expert authors discuss the most up-to-date surgical approaches integrated with key information on technologic advances, such as 3D reconstruction and navigation. Clearly labeled illustrations demonstrate each step of the various procedures. The book closes with practical guidance on postoperative care and guidelines for avoiding and managing the potential complications encountered in these complex surgeries.Features In-depth information on endoscopic surgical procedures for the paranasal sinuses, anterior skull base, and the craniocervical junction Easy-to-reference bullet-points in each chapter distill the renowned authors vast experience Step-by-step surgical descriptions cover the full spectrum of skull base pathology Stunningly detailed illustrations, including more than 500 in full-color, enhance the text throughout This landmark work will improve the accuracy and precision of every surgeon and fellow in otolaryngologyhead and neck surgery and neurosurgery who deals with this delicate anatomic region.