Main description:

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.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Contents:

Section I: Instrumentals and Equipment

1. Instrumentation for Endoscopic Skull Base Surgery

2. Neurosurgical Instrumentation

3. Neurophysiological Monitoring in Skull Base Surgery

Section II: Anterior Transnasal and Transoral Approaches

4. Anatomical Landmarks of Anterior Approaches: An Endoscopic View

5. Direct Microscopic Transsphenoidal Surgery with Hybrid Use of Endoscopy

6. The Extended Transphenoidal Approach (Mid-maxillotomy) to the Clivus

7. The Microsurgical Transoral Approach

8. Elongated and Pediculated Pericranial Flap for Endonasal Reconstruction of the Entire Ventral Skull Base

9. Expanded Endoscopic Endonasal Approaches to the Sellar and Parasellar Regions

10. The Endoscopic Transpterygoid Approach to the Parasellar and Infratemporal Fossa

11. Endoscopic Endonasal Transclival Approach to the Posterior Fossa

Section III: Surgical Approaches to the Orbit

12. Microsurgical Anatomy of the Orbit

13. Lateral Orbitotomy Approach to the Orbit and Cavernous Sinus

14. Transcranial Approaches to the Orbit

15. The Medial Endoscopic Approach to the Orbit

Section IV: Anterior Approaches to the Skull Base

16. Microsurgical Anatomy of the Anterior Skull Base Through a Cranial View

17. Microsurgical Anatomy of the Anterior Skull Base as Seen Through the Endonasal Endoscopic View

18. Eyebrow Supraorbital Approach for Skull Base Lesions

19. Transbasal/Transcranial Microsurgical Approaches to Anterior Fossa Meningiomas

20. Orbitocranial Approach

21. The Extended Endoscopic Endonasal Approach to the Anterior Fossa

Section V: Anterolateral Approaches

22. Microsurgical Anatomy of the Cavernous Sinus

23. Transcavernous Approach

24. Microsurgical Anatomy of the Middle Fossa and Petrous Apex

25. Pterional Approach

26. Anterolateral Skull Base: Anatomy, Surgical Technique, and Nuances

27. Pretemporal Approach

28. Cranio-Orbit-Zygomatic (COZ) Approach

29. Anterior Petrosal Approach

30. Endoscopic Approach to the Cavernous Sinus Area: Surgical Technique

Section VI: Posterolateral Approaches

31. Temporal Bone Anatomy

32. Microsurgical Anatomy of the Jugular Foramen

33. Anatomy of the Cerebellopontine Angle: A Microscopic Perspective

34. The Posterior Retrolabyrinthine Presigmoid Approach

35. Retrosigmoid Approach

36. Endoscopic Assisted Approach to the Cerebellopontine Angle

37. Infratemporal Fossa Approach to the Jugular Foramen

38. The Facial Reanimation: Multidisciplinary Approaches

Section VII: Posterior and Lateral Approaches to the Craniocervical Junction

39. Microsurgical Anatomy of the Foramen Magnum

40. Far-Lateral Approach and Its Variants

41. Surgical Treatment for Atlantoaxial Instability

42. Endoscopic Approach to the Craniocervical Junction

Section VIII: Approaches to the Posterior Incisural Space

43. Anatomy of the Posterior Incisural Space: Microscopic Perspective

44. Anatomy of the Posterior Incisural Space: Endoscopic Perspective

45. The Occipito-polar Approach: Study of the Occipital lnterhemispheric Supratentorial Transtentorial Transfalcine Approach

46. Supracerebellar Infratentorial Approach: Microsurgical Perspective

47. Supracerebellar Infratentorial Approach: Endoscopic Perspective

48. Supracerebellar Transtentorial Approach

Section IX: Cerebrovascular Management for Skull Base Surgery

49. STA-MCA Bypass

50. High-Flow Cervical Carotid Artery to Middle Cerebral Artery Bypass

51. Intracranial-Intracranial Bypass for Treatment of Complex Vascular Lesions and Tumors

52. Endoscopic Endonasal Approaches for the Treatment of Vascular Lesions