Download Midline Skull Base Surgery by Paolo Cappabianca, Luigi Maria Cavallo, Oreste de Divitiis, PDF

By Paolo Cappabianca, Luigi Maria Cavallo, Oreste de Divitiis, Felice Esposito

ISBN-10: 3319215329

ISBN-13: 9783319215327

ISBN-10: 3319215337

ISBN-13: 9783319215334

This richly illustrated e-book bargains designated, step by step assistance on surgical techniques and strategies in sufferers with midline tumors of the cranium base. entry routes are defined from either endoscopic and microscopic standpoints, through diverse ways, for you to offer a 360-degree evaluate of up to date midline cranium base surgical procedure. for every pathology, the a number of surgical suggestions and their particular symptoms are essentially offered, with inclusion of neuroradiological photos, an anatomical dissection learn and operative pictures and movies. The ebook is meant for surgeons who desire to collect wisdom and adventure in cranium base surgical procedure applying endoscopic endonasal and microsurgical transcranial innovations. it truly is remarkable in delivering an built-in viewpoint that encompasses conventional microsurgical techniques and the newest endoscopic ones, with definition of the symptoms for and barriers of either options.

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Sample text

Insofar, starting from the consideration that different tumors involve differently the CS and thus they should be differently approached, we found that the two main parameters to be kept in consideration are the biological features in terms of tumor infiltration of vessels and nerves and its pattern of growth in particular in relationship with the dural layers (Fig. 1). Some tumors, for example, meningiomas, metastasis, or carcinomas, tend to infiltrate the walls of ICA and the CS nerves. Thus, for these cases, the endoscopic endonasal approach can bring to catastrophic consequences, such as ICA rupture or permanent CN palsies, because no dissection between the tumor and the surrounding structures is possible [9].

73 Dusick JR, Esposito F, Mattozo CA, Chaloner C, McArthur DL, Kelly DF (2006) Endonasal transsphenoidal surgery: the patient’s perspectivesurvey results from 259 patients. Surg Neurol 65(4):332–341; discussion 341–342. 1016/j. 010 Frank G, Pasquini E (2002) Endoscopic endonasal approaches to the cavernous sinus: surgical approaches. Neurosurgery 50(3):675 Frank G, Pasquini E (2006) Endoscopic endonasal cavernous sinus surgery, with special reference to pituitary adenomas. Front Horm Res 34:64–82.

G. com E. it and sometimes unacceptable morbidity rate of the standard transcranial approaches [1–3]. These factors have had led from an initial phase of enthusiasm in the 1980s to a progressive abandoning of CS surgery in favor of the radiosurgery in the next decades [1–5]. The renewing of interest for the cavernous sinus surgery has started thanks to the works of Alfieri and Jho, who reconsidered the anatomy of the CS the endoscopic endonasal perspective [6, 7]. The effort of these authors, followed by many other papers, describing in deeper details this “upside-down” anatomy, allowed some surgical groups to adopt these anatomical corridors in living patients to obtain satisfactory results in terms of tumor removal and low rate of complications [8–10].

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