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Vascular Challenges in Skull Base Surgery

Vascular Challenges in Skull Base Surgery
Author: Paul A. Gardner
Publisher: Thieme
Total Pages: 569
Release: 2021-11-17
Genre: Medical
ISBN: 1638536465

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The essential multidisciplinary guide for the prevention and management of vascular injury from master skull base surgeons Vascular injury is the most significant source of morbidity or mortality during skull base surgery, regardless of the surgical approach. While skull base approaches always placed arteries and veins at risk, newer endoscopic endonasal approaches have introduced new challenges for the prevention and management of vascular injury. Greater anatomic knowledge, additional surgical options, improved instrumentation, advances in interventional neuroradiology, and enhanced training all contribute to successful outcomes. Vascular Challenges in Skull Base Surgery by renowned skull base experts Paul Gardner, Carl Snyderman, Brian Jankowitz, and distinguished contributors, fills a gap in the literature, with invaluable guidance on managing rare but potentially catastrophic surgical complications. The full range of surgical approaches to the anterior, middle, and posterior cranial fossae are covered in 22 chapters. Diverse topics encompass open and endoscopic endonasal surgical approaches, endovascular techniques including balloon test occlusion and embolization, and standard and alternative bypass procedures. The last three chapters discuss venous considerations, neurophysiologic monitoring, and the role of training and simulation in vascular injury prevention. Key learning points, illustrated discussion of relevant anatomy, and tips and tricks are targeted at helping skull base surgeons leverage practical strategies to improve patient outcomes. Key Highlights An impressive group of expert, highly-experienced surgeons share firsthand knowledge Insightful analyses of root causes and clinical pearls provide indispensable prevention tactics High-quality images and videos enhance visual understanding of surgical anatomy and techniques Trainees and practicing skull base surgeons will greatly benefit from the collective knowledge and evidence-based injury avoidance strategies shared by authors who have learned to master the art of skull base surgery.


Handbook of Skull Base Surgery

Handbook of Skull Base Surgery
Author: Antonio di Ieva
Publisher: Thieme
Total Pages: 1035
Release: 2015-12-23
Genre: Medical
ISBN: 1626230269

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Handbook of Skull Base Surgery is a state-of-the-art surgical guide that provides clinicians and surgeons with step-by-step instructions on how to perform microscopic and endoscopic procedures. Encompassing the entire skull base, this handbook is designed for busy residents and clinicians seeking to hone their surgical skills. It presents a multidisciplinary approach to the pathologies, diagnosis, and management of skull base lesions. Key Features: Bulleted format with step-by-step descriptions of procedures accompanied by high-quality illustrations of key points Succinct summaries of content enable readers to quickly obtain the information they need Includes coverage of relevant basic sciences, advanced imaging, and adjunctive treatments such as radiosurgery and chemotherapy Comprehensive yet conveniently compact, this book is a must-havereference for residents, clinicians, nurses and researchers caring for patients with skull base pathologies.


Malignant Tumors of the Skull Base, An Issue of Neurosurgery Clinics

Malignant Tumors of the Skull Base, An Issue of Neurosurgery Clinics
Author: Orin Bloch
Publisher: Elsevier Health Sciences
Total Pages: 356
Release: 2013-01-28
Genre: Medical
ISBN: 1455772097

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This issue of the Neurosurgery Clinics, Malignant Tumors of the Skull Base, is Guest Edited by Drs. Orin Bloch and Franco DeMonte. Malignant tumors of the skull base pose significant challenges to the clinician, because of their proximity to critical neurovascular structures. This issue will explore various approaches to the removal of malignant tumors of the skull base, including open surgical approaches and minimally invasive approaches. Other articles in this issue include topics such as craniofacial reconstruction following oncologic resection, temporal bone malignancies, sinonasal carcinomas, and radiotherapy for malignant skull base tumors.


Contemporary Skull Base Surgery

Contemporary Skull Base Surgery
Author: A. Samy Youssef
Publisher: Springer Nature
Total Pages: 800
Release: 2022-07-05
Genre: Medical
ISBN: 3030993213

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This text is designed to function as a comprehensive guide/companion that will not only facilitate the decision-making process for the surgeon, but also help young surgeons build a successful career in skull base surgery. It is divided into six main sections: The first section details the general principles that every skull base surgeon needs to be acquainted with - skull base anatomy, developing a multidisciplinary skull base team, operating room equipment, surgical instruments, and modern imaging technologies. These are the key elements that play a major role in optimizing functional outcomes and patients’ quality of life. Following this, the compartmental anatomy chapters set the stage for understanding the technical and surgical nuances of each location. The subsequent five sections are organized as anatomical compartments or regions of the skull base. Every region is organized in the same format for uniformity and ease of use. Each section includes the available treatment choices to each compartment, and describes the relevant pathologies. The contribution of worldwide leaders including neurosurgeons and otolaryngologists provides top-level expertise in how to tackle each pathology. The surgical approaches chapters that lead each anatomical section describe operative techniques in a clear. stepwise fashion with accompanying intra-operative photos and surgical videos. In the individual pathology chapters, different pathological subtypes are described with representative radiographic images of clinical case examples. Accompanying each pathology is a treatment algorithm based on tumor morphology, pre-operative clinical status, and the goal of maximum functional preservation with a brief description of surgical approaches. This will serve as a roadmap that will help the reader to easily reach a decision of how to treat each skull base pathology. The general theme is functional and anatomical preservation of key neurovascular structures. Setting such structures as a target and planning an approach that minimizes iatrogenic damage to these structures will lead the surgeon down the road of either open, endoscopic, or a combination of both approaches. A comprehensive book that is versatile to serve as a handbook as well as a detailed reference for skull base surgery does not currently exist. In addition, combining the two main surgical schools represented by endoscopy and open surgery into one reference enhanced by treatment algorithms is another unique feature.


Handbook of Skull Base Surgery

Handbook of Skull Base Surgery
Author: Antonio Di Ieva
Publisher: Thieme
Total Pages: 1035
Release: 2016-01-11
Genre: Medical
ISBN: 1638530734

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Handbook of Skull Base Surgery is a state-of-the-art surgical guide that provides clinicians and surgeons with step-by-step instructions on how to perform microscopic and endoscopic procedures. Encompassing the entire skull base, this handbook is designed for busy residents and clinicians seeking to hone their surgical skills. It presents a multidisciplinary approach to the pathologies, diagnosis, and management of skull base lesions. Key Features: Bulleted format with step-by-step descriptions of procedures accompanied by high-quality illustrations of key points Succinct summaries of content enable readers to quickly obtain the information they need Includes coverage of relevant basic sciences, advanced imaging, and adjunctive treatments such as radiosurgery and chemotherapy Comprehensive yet conveniently compact, this book is a must-have reference for residents, clinicians, nurses and researchers caring for patients with skull base pathologies.


Skull Base Surgery - Pearls and Nuances

Skull Base Surgery - Pearls and Nuances
Author: Amit Agrawal
Publisher: BoD – Books on Demand
Total Pages: 96
Release: 2024-06-19
Genre: Medical
ISBN: 0854663592

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The advancements in the field of skull base surgery have evolved from its historical antecedents established by giants like Cushing and Yasargil to contemporary approaches brimming with innovative endoscopic and other minimally invasive techniques. The traditional approaches, which include the pterional, frontolateral, transsphenoidal, and suboccipital lateral approaches, have evolved and are well supported by advancements in radiological techniques, meticulous preoperative planning, and agile intraoperative decision-making. This book brings forth evolving details from luminaries in the field of neurosurgery to describe approaches in the field of skull base surgery that encompass the spectrum of pathologies in the anterior, middle, and posterior cranial fossa.


Neurovascular Surgery

Neurovascular Surgery
Author: Julius July
Publisher: Springer
Total Pages: 288
Release: 2018-09-27
Genre: Medical
ISBN: 9811089507

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This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.


Hemostasis in Head and Neck Surgery, an Issue of Otolaryngologic Clinics of North America

Hemostasis in Head and Neck Surgery, an Issue of Otolaryngologic Clinics of North America
Author: Carl H. Snyderman
Publisher:
Total Pages: 0
Release: 2016-06-13
Genre: Head
ISBN: 9780323402606

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Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensible resource on all issues of hemostatis in head and neck surgery.


Skull Base Surgery of the Posterior Fossa

Skull Base Surgery of the Posterior Fossa
Author: William T. Couldwell
Publisher: Springer
Total Pages: 226
Release: 2017-11-10
Genre: Medical
ISBN: 3319670387

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This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.


Clinical Vascular Anatomy and Variations

Clinical Vascular Anatomy and Variations
Author: P. Lasjaunias
Publisher: Springer
Total Pages: 0
Release: 2011-09-30
Genre: Medical
ISBN: 9783642074431

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The first volume of this second edition of Surgical Neuroangiography contains the previous volumes 1 and 3 in one book. The edited and updated text provides a practical understanding of the challenges that face the modern management of vascular diseases. Additional 3-D angiographic photographs as well as new illustrations complete this classic book of vascular disease management in adults and children. The authors, Pierre Lasjaunias, Alex Berenstein, and Karel ter Brugge are highly committed to both research and teaching . This second edition is a prerequisite for anybody wishing to fully understand clinical challenges and vascular intervention.