Practical Neurotology And Skull Base Surgery

This book discusses all aspects of skull base surgery, from a neurosurgical point of view. The therapeutic options in the treatment of skull base lesions are explained and a systematic overview of relevant diseases is included. A strong emphasis is placed on practical aspects of skull base surgery: classic surgical approaches and also methods where there has been rapid recent development, such as stereotactic radiation therapy and interventional neuroradiology. Several international specialists systematically describe the treatment of traumatic lesions, tumors, vascular lesions, and developmental anomalies. Surgery of the Skull Base is aimed at neurosurgeons, ENT surgeons, maxillofacial surgeons, neurologists, and radiologists.

The second edition of Atlas of Skull Base Surgery and Neurotology presents an up-to-date reference for the latest techniques in the challenging area of skull base surgery.

Atlas of Microsurgery of the Lateral Skull Base is a practical resource for all clinicians interested in training for lateral skull base surgery. This new atlas of lateral skull base surgery allows readers to become familiar with the delicate lateral skull base, an important part of the body's neurological system. Featuring step-by step dissection images, this resource is perfect for those studying anatomy of this region. Clinical surgical cases are also presented and discussed for each surgical approach, including relevant clinical and radiological background. Decision-making discussions provided for each clinical case ensure readers will fill any gaps in their neurosurgery training or continual learning.

Classically defined as the art of curing by the hand, hand intended as the organ of the possible, and positive certitude according to Paul Valery, surgery is shifting toward a scientific discipline with a very high technological valence. Neurosurgery in general, and skull base surgery in particular do not stave off this natural evolution. Obviously, technological advances have driven the tremendous progresses in both diagnosis (CT scan, MRI, angiography ) and therapeutic fields (ultrasonic aspiration, radiosurgery). This technological aspect should not hide the humanistic remnant of the modern neurosurgeon, who should propose the less invasive technique in his possession to treat most efficiently his patient, keeping in mind the quality of life above all. The compromise between the invasiveness of the surgical approach to the skull base and the main goal of the surgery has shed light on the recent concept of minimally invasive skull base surgery.This concept has been conspicuously initiated by Axel Perneczky in the late 1980s under the descriptive keyhole neurosurgery, especially through the renowned eyebrow supra-orbital mini-craniotomy and the implementation of endoscope-assisted microneurosurgery. A decade after, Jho and others introduced the endoscopic endonasal approaches to the skull base, with a perpetual development and an exponential rhythm of scientific publications. This recent paradigm shift toward a minimal approach-related iatrogeny coupled with a maximally efficient surgical target is not so clear cut, as pioneering neurosurgeons such as Cushing, Dandy or Dott among others already adopted this philosophy of work, limited by the technology available at that time that did not permit their minimally invasive expectations. This has been possible only with the progresses made in the fields of imaging, surgical instrumentation, illumination technologies (microscope and endoscope), radiosurgery, and neuroanesthesia.

Written and edited by experts and pioneers in the field, Rhinology and Endoscopic Skull Base Surgery covers anatomic principles, applied physiology, medical principles, and surgical management of diseases affecting the paranasal sinuses and anterior skull base. Using evidence-based medicine and practical pathways, this text brings together the basic and clinical knowledge relevant to rhinology and endoscopic anterior skull base surgery. It is designed to be an accessible and essential text for residents and fellows as well as a key reference for practitioners. Key Features: Applied anatomy, embryology, and physiology of the paranasal sinuses and anterior skull base Cutting-edge technical information and surgical techniques for rhinology and endoscopic anterior skull base surgery Advanced concepts important to endoscopic skull base surgery, including the treatment of malignancies and extended endoscopic approaches Sections dedicated to comprehensive and multidisciplinary patient care, including open skull base surgery principles and radiation therapy strategies This textbook offers a wealth of valuable information that will enhance the practice of otolaryngologists, residents, and fellows as well as affiliated otolaryngology practitioners.

Otology and Neurotology provides guidance on the clinical and practical management of diseases of the ear and lateral skull base.It discusses the latest techniques and technologies that encompass the complex nature of the specialty.Topics important to the otologist and neurotologist, such as chronic ear disease, cochlear and brainstem implants, robotic surgery, and many others, are covered by experts in their fields. This book is an invaluable reference for residents, fellows, allied health professionals, comprehensive otolaryngologists, otologists, neurotologists, and skull base surgeons. Key Features: Applied anatomy and physiology of the ear and lateral skull base Evidence-based approach to diseases of the ear and lateral skull base Practical presentation of cutting-edge concepts in otology and neurotology The contributors to this volume are internationally recognized experts in otology, neurotology, and lateral skull base surgery.

Skull base anatomy is extremely complex, with vital neurovascular structures passing through multiple channels and foramina. Brain tumors such as pituitary tumors, acoustic neuromas, and meningiomas are challenging to treat due to their close proximity to cranial nerves and blood vessels in the brain, neck, and spinal cord. Medical imaging is an essential tool for identifying lesions and critical adjacent structures. Detecting and precisely mapping out the extent of disease is imperative for appropriate and optimal treatment planning and ultimately patient outcome. Eugene Yu and Reza Forghani have produced an exceptional, imaging-focused guide on various neoplastic diseases affecting the skull base, with contributions from a Who's Who of prominent radiologists, head and neck surgeons, neurosurgeons, and radiation oncologists. The content is presented in a clear and concise fashion with chapters organized anatomically. From the Anterior Cranial Fossa, Nasal Cavity, and Paranasal Sinuses - to the Petroclival and Lateral Skull Base, an overview and detailed analysis is provided for each region. Key Highlights Fundamentals of skull base imaging, including recent developments in diagnostic modalities More than 400 radiographs, color anatomical drawings, and color intraoperative photos elucidate the imaging appearances of a wide spectrum of disease affecting the skull base, as well as important anatomic variants and pathways of disease spread Clinically oriented imaging approach focuses on diagnostic and prognostic features important in the evaluation of skull base abnormalities Atlas of skull base CT and MRI anatomy provides an easy to access, quick reference for identifying important anatomic landmarks Insights on the pathways of tumor growth and the role of clinical imaging in the management of skull base cancers Critical and contrasting viewpoints from multidisciplinary experts provide a well-rounded perspective This invaluable resource chronicles current knowledge in state-of-the-art skull base tumor imaging with clinical pearls on pathophysiology, prognosis, and treatment options. It is a must-have for radiology, neurosurgery, and otolaryngology residents and clinicians who care for patients with head and neck neoplasms.