Endoscopic Skull Base Surgery (eBook)
XVIII, 193 Seiten
Humana Press (Verlag)
978-1-59745-340-0 (ISBN)
To date, more than three thousand brain and skull base tumors, along with various vascular problems, have been treated by using advanced, fully endoscopic, minimally invasive surgical techniques. In this book, Dr. Hrayr K. Shahinian, director of the Skull Base Institute, compiles these techniques. The book is highly specific and amply illustrated. The step-by-step operating room procedures provide a definitive guide to the difficult yet essential art of skull base surgery.
I am honored to be asked to write a foreword to this comprehensive and fascinating book on skull base surgery (SBS) by Dr. Shahinian, who I consider among the pioneers in the field. I should start by writing a disclaimer. I first met Dr. Shahinian when he was a brilliant surgical resident at Vanderbilt University Medical Center in 1986. Over the next several years, I had the pleasure of following his career through different training rotations in the United States and abroad. I remember well when he told me that skull base surgery was his career choice. I thought it was a high-risk career move considering that the discipline was still in its early development. As a result, I was quite gratified to follow Dr. Shahinian's professional success as he developed the Skull Base Institute, initially in New York, and later in Los Angeles. I would like to first define SBS from my perspective as a general surgeon. SBS denotes a group of operations involving the base of the skull or its contents. The skull base is divided into an anterior (attached to the facial skeleton), middle, and posterior areas. Vital arteries, veins, as well as cranial nerves pass through the skull base. Consequently, this part of the skull has historically been the most difficult to access, and lesions of the skull base were often associated with a poor prognosis.
Author 5
Co-Authors 7
Contributors 9
Foreword 13
Preface 15
Contents 17
Introduction 19
1. THE EVOLUTION FROM THE OPEN CRANIOTOMY TO FULLY ENDOSCOPIC SKULL BASE SURGERY 19
2. ENDOSCOPIC SKULL BASE SURGERY IN PRACTICE 20
Anesthetic Considerations in Endoscopic Skull Base Surgery 23
1. INTRODUCTION 23
2. PREOPERATIVE ASSESSMENT 23
3. GENERAL CONSIDERATIONS 24
4. SPECIAL CONSIDERATIONS 24
5. FUTURE CHALLENGES 27
Neuroendocrine Aspects of Skull Base Surgery 29
1. INTRODUCTION 29
2. PITUITARY TUMORS 30
3. HORMONAL DEFICIENCIES CAUSED BY PITUITARY TUMORS 34
4. LONG-TERM FOLLOW-UP OF PATIENTS WITH A PITUITARY TUMOR 36
Interventional Neuroradiology Aspects of Skull Base Surgery 39
1. INTRODUCTION 39
2. EMBOLIZATION OF SKULL BASE TUMORS 39
3. TEST AND PERMANENT OCCLUSION OF THE INTERNAL CAROTID ARTERY 43
4. INFERIOR PETROSAL SINUS SAMPLING 44
Instrumentation in Endoscopic Skull Base Surgery 47
1. INTRODUCTION 47
2. RIGID ENDOSCOPES 47
3. IRRIGATION SHEATHS AND PUMPS 47
4. PNEUMATIC HOLDING ARMS 48
5. XENON LIGHT SOURCES 49
6. HIGH-DEFINITION DIGITAL CAMERAS 49
7. DIGITAL MONITORS 49
8. DVD RECORDERS 49
9. POLAROID DIGITAL PRINTERS 49
10. CRANIAL NERVE MONITORS 49
11. MICRODRILL HANDPIECES, ATTACHMENTS, AND BURRS 50
12. MICRO-CAVITRON ULTRASONIC SURGICAL ASPIRATOR ( MICROCUSA) HANDPIECES AND TIPS 50
13. SPECIALIZED ENDOSCOPIC MICROINSTRUMENTS 51
The Fully Endoscopic Endonasal Approach 61
1. INTRODUCTION 61
2. INDICATIONS 61
3. INSTRUMENTATION 61
4. OPERATING ROOM SETUP (FIG. 1) 61
5. PATIENT POSITIONING (FIG. 2) 62
6. OPERATIVE TECHNIQUE 63
7. ILLUSTRATIVE CASES 66
8. POTENTIAL COMPLICATIONS 78
9. AVOIDING COMPLICATIONS IN AUTHOR’S EXPERIENCE 83
The Fully Endoscopic Transglabellar Approach 91
1. INTRODUCTION 91
2. INDICATIONS 91
3. INSTRUMENTATION 91
4. OPERATING ROOM SETUP (FIG. 1) 91
5. PATIENT POSITIONING (FIG. 2) 92
6. OPERATIVE TECHNIQUE 92
7. ILLUSTRATIVE CASES 94
8. POTENTIAL COMPLICATIONS 98
9. AVOIDING COMPLICATIONS IN AUTHOR’S EXPERIENCE 100
The Fully Endoscopic Supraorbital Approach 107
1. INTRODUCTION 107
2. INDICATIONS 107
7. ILLUSTRATIVE CASES 111
8. POTENTIAL COMPLICATIONS 119
9. AVOIDING COMPLICATIONS IN AUTHOR’S EXPERIENCE 125
The Fully Endoscopic Retrosigmoid Approach 127
1. INTRODUCTION 127
2. INDICATIONS 127
3. INSTRUMENTATION 127
4. OPERATING ROOM SETUP (FIG. 1) 127
5. PATIENT POSITIONING (FIG. 2) 128
6. OPERATIVE TECHNIQUE 128
7. ILLUSTRATIVE CASES 131
8. POTENTIAL COMPLICATIONS 148
9. AVOIDING COMPLICATIONS IN AUTHOR’S EXPERIENCE 189
The Fully Endoscopic Subtemporal Approach 191
1. INTRODUCTION 191
2. INDICATIONS 191
3. INSTRUMENTATION 191
4. OPERATING ROOM SETUP (FIG. 1) 192
5. PATIENT POSITIONING (FIG. 2) 192
6. OPERATIVE TECHNIQUE 192
7. ILLUSTRATIVE CASES 196
8. POTENTIAL COMPLICATIONS 197
9. AVOIDING COMPLICATIONS IN AUTHOR’S EXPERIENCE 201
Index 207
| Erscheint lt. Verlag | 26.4.2008 |
|---|---|
| Co-Autor | M.S. Kabil, R. Jarrahy, M.-P. Thill |
| Zusatzinfo | XVIII, 193 p. 732 illus., 615 illus. in color. |
| Verlagsort | Totowa |
| Sprache | englisch |
| Themenwelt | Medizinische Fachgebiete ► Chirurgie ► Neurochirurgie |
| Medizinische Fachgebiete ► Innere Medizin ► Pneumologie | |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Onkologie | |
| Schlagworte | Craniofacial surgery • Endonasal • Endoscopy • Neuroendocrine • Neuroradiology • Radiology • Skull base • Skull base institute • Surgery |
| ISBN-10 | 1-59745-340-4 / 1597453404 |
| ISBN-13 | 978-1-59745-340-0 / 9781597453400 |
| Haben Sie eine Frage zum Produkt? |
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