Skull Base Reconstruction

Edward C. Kuan, MD, MBA, Departments of Otolaryngology-Head and Neck Surgery and Neurological Surgery, University of California, Irvine, Irvine, CA, USA 

Bobby A. Tajudeen, MD, Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, IL, USA 

Hamid R. Djalilian, MD, Departments of Otolaryngology-Head and Neck Surgery, Neurological Surgery, and Biomedical Engineering, University of California, Irvine, Irvine, CA, USA 

Section I: Anatomy, physiology, and general principles.- Anterior skull base anatomy.- Lateral skull base anatomy.- CSF physiology.- Diagnosis of CSF leak.- Imaging for detection of CSF leaks.- Conservative and medical therapy for CSF leaks.- CSF division.- Anesthesia considerations in skull base reconstruction.- Allografts in skull base reconstruction.- Section II: Anterior skull base pathology.- Traumatic and iatrogenic CSF leaks.- Congenital encephaloceles.- Anterior skull base surgical approaches.- Section III: Lateral skull base surgical approaches.- Traumatic and iatrogenic CSF leaks.- Spontaneous CSF leaks and encephaloceles.- Lateral skull base surgical approaches.- Section IV: Anterior skull base reconstruction.- Free graft techniques.- Local vascularized pedicled flaps.- Extracranial flaps.- Microvascular reconstruction.- Reconstruction of the frontal and ethmoid defects.- Reconstruction of sphenoid defects: lateral recess, sellar, tuberculum, andplanum defects.- Reconstruction of the clival and craniocervical junction defects.- Section V: Lateral skull base reconstruction.- Management of CSF leaks during otologic surgery.- General repair principles following posterior cranial base surgery.- Reconstruction of the middle cranial fossa floor.- Reconstruction of large temporal bone defects.- Section VI: Postoperative care.- Post operative management following skull base reconstruction.- Management of the postoperative leak.- Other complications following skull base reconstruction.- Outcomes of anterior skull base reconstruction.- Outcomes of lateral skull base reconstruction.- Medicolegal issues in skull base reconstruction. Section VII: Future applications.- Emerging developments in skull base reconstruction.

"Endoscopic skull base surgery continues to be an evolving specialty with a valuable contribution practically and in enhancing the knowledge base from specialists in otolaryngology. A number of reference texts have been published in recent years offering a comprehensive appraisal in the latest advances as well as fundamentals in the field. ... This hardbound book is presented in a compact size for ease of use." (R Gohil, The Journal of Laryngology & Otology, May 26, 2023)