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El. knyga: Atlas of Acoustic Neurinoma Microsurgery

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Abdelkader Taibah, Giuseppe Di Trapani, Fernando Mancini, Alessandra Russo, Mario Sanna, Maurizio Falcioni

Formatas: 320 pages
Išleidimo metai: 11-Aug-2010
Leidėjas: Thieme Publishing Group
Kalba: eng
ISBN-13: 9783132578975

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Formatas: 320 pages
Išleidimo metai: 11-Aug-2010
Leidėjas: Thieme Publishing Group
Kalba: eng
ISBN-13: 9783132578975

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Lavishly illustrated second edition of the classic text on acoustic neurinoma microsurgery

Authored by pioneers in the field, Acoustic Neurinoma Microsurgery -- now in a fully updated second edition -- provides step-by-step descriptions of the most common surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors' own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications.

Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more.

Features:

New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2 In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up 1,034 high-quality images -- including more than 900 full-color intraoperative photographs -- precisely display each step of the different procedures Multiple cases in each chapter prepare the reader for clinical situations

Reflecting the latest technical advancements in acoustic neurinoma microsurgery, this visual guide will develop the surgical skills of every otolaryngologist and neurosurgeon that performs this delicate and complicated form of surgery.

Dr. Sanna is part of The Gruppo Otologico, a world-renowned specialist center for the diagnosis a

Recenzijos

There is something about this book that actually makes one want to tackle such work. Even if they are not inspired into a neurtologic career. The Journal of Laryngology & Otology March 2011

1 General Features of Acoustic Neurinomas

(3)

Pathogenesis

(1)

Epidemiology

(1)

Natural History

(1)

Signs and Symptoms

(3)

Hearing Loss

(1)

Tinnitus

(1)

Disequilibrium

(1)

Cerebellar Dysfunction

(1)

Trigeminal Nerve Involvement

(1)

Facial Nerve Involvement

(1)

Lower Cranial Nerve and Brainstem Findings

(1)

Hydrocephalus and Headaches

(1)

2 Imaging Study of Acoustic Neurinomas

(21)

Tumor Assessment

(11)

Magnetic Resonance Imaging

(11)

Computed Tomography

(1)

Differential Diagnosis

(7)

Neurofibromatosis Type 2

(1)

Other Tumors

(2)

Residual Tumors

(4)

Therapeutic Follow-Up

(3)

Postoperative Scans

(1)

Wait and Scan

(3)

3 Decision Making in Acoustic Neurinoma Surgery

(6)

Introduction

(1)

Surgical versus Nonsurgical Treatment

(1)

Small Neurinomas

(1)

Acoustic Neurinoma in the Only Hearing Ear

(1)

Acoustic Neurinoma in Patients with Poor General Condition

(1)

Radiosurgery

(1)

Management of the Patient with Serious Neurological Disorders

(1)

Management of Elderly Patients

(1)

Selecting the Surgical Approach

(4)

Translabyrinthine versus Hearing Preservation Surgeries

(2)

Total versus Subtotal Removal

(2)

4 Operating Room Setup and Patient Care

(9)

Operation Room Setup

(4)

Rationale

(1)

Arrangement

(4)

Instruments

(3)

Suction Irrigation

(1)

Drills

(1)

Bipolar Coagulation

(1)

Microinstruments

(1)

Postoperative Management

(2)

Postoperative Medication

(1)

Discharge

(1)

5 Surgery in the Cerebellopontine Angle: General Concepts

(12)

Surgical Orientation in the Cerebellopontine Angle

(4)

Internal Auditory Canal

(1)

Cerebellopontine Angle

(2)

Facial Nerve

(1)

Surgical Techniques in the Cerebellopontine Angle

(8)

General Guidelines for Drilling

(1)

Management of Bleeding

(1)

How to Deal with Brain Tissue and Other Neurovascular Structures

(1)

How to Obtain Better Access to the Tumor

(1)

Techniques of Tumor Dissection and Removal

(5)

6 Intraoperative Monitoring

(8)

Facial Nerve Monitoring

(4)

Introduction

(1)

Instrunmentation

(1)

Techniques

(1)

Purposes of Intraoperative Facial Nerve Monitoring

(1)

Localization of the Facial Nerve (Mapping)

(1)

Identification of the Facial Nerve

(1)

Minimization of Neural Trauma

(1)

Artifacts

(1)

Confirmation of the Functional Integrity of the Nerve

(1)

Concluding Considerations

(1)

Cochlear Nerve Monitoring

(4)

Introduction

(1)

Protocol

(3)

Concluding Considerations

(1)

7 The Translabyrinthine Approaches

(82)

The Enlarged Translabyrinthine Approach

(33)

Rationale

(1)

Indications

(1)

Contraindications

(1)

Surgical Anatomy

(1)

Surgical Technique

(25)

Clinical Application

(3)

Pearls and Pitfalls

(3)

Summary

(1)

Enlarged Translabyrinthine Approach with Transapical Extension

(21)

Rationale

(1)

Indications

(1)

Limitations

(1)

Surgical Anatomy (Right Ear)

(1)

Surgical Technique

(4)

Clinical Application

(15)

Pearls and Pitfalls

113

(1)

Summary

113

(1)

Special Considerations in the Translabyrinthine Approach

114

(28)

Anatomical Variations

114

(9)

Management of Surgical Mishaps

123

(1)

Management of Nerves and Vessels around the Tumor

124

(12)

Specific Characteristics of the Tumor

136

(4)

Pearls and Pitfalls

140

(2)

8 Combined Retrosigmoid-Retrolabyrinthine Approach

142

(34)

Rationale

142

(1)

Indications

142

(1)

Contraindications

143

(1)

Surgical Anatomy

143

(5)

Surgical Dissection Demonstrating the Combined Retrosigmoid-Retrolabyrinthine Approach (Left Ear)

143

(5)

Surgical Techniques

148

(7)

Access to the Tumor (Right Ear)

148

(2)

Tumor Removal (Left Ear)

150

(5)

Clinical Application

155

(17)

Pearls and Pitfalls

172

(3)

Summary

175

(1)

Advantages

175

(1)

Disadvantages

175

(1)

Limitations

175

(1)

9 Enlarged Middle Cranial Fossa Approach

176

(29)

Rationale

176

(1)

Indications

176

(1)

Contraindications

176

(1)

Surgical Anatomy

176

(2)

Technique for Identification of the Internal Auditory Canal

178

(2)

House's Method

178

(1)

Fisch's Method (Meatal Plane Approach)

178

(1)

Gracia-Ibanez's Method

179

(1)

Our Method

179

(1)

Surgical Dissection Demonstrating the Middle Cranial Fossa Approach (Left Ear)

180

(4)

Surgical Techniques

184

(8)

Special Positioning

184

(1)

Surgical Steps up to the Internal Auditory Canal (Right Ear)

184

(3)

Exposure of the Internal Auditory Canal (Right Ear)

187

(2)

Tumor Removal (Right Ear)

189

(1)

Closure (Right Ear)

189

(3)

Clinical Application

192

(9)

Pearls and Pitfalls

201

(3)

Summary

204

(1)

Advantages

204

(1)

Disadvantages

204

(1)

10 Transcochlear Approaches

205

(39)

Introduction

205

(1)

Transotic Approach

205

(27)

Rationale

205

(1)

Indications

205

(1)

Contraindications

205

(1)

Surgical Anatomy (Right Ear)

206

(2)

Surgical Steps of the Blind-Sac (Cul-de-Sac) Closure (Left Ear)

208

(2)

Surgical Techniques

210

(3)

Clinical Application

213

(18)

Pearls and Pitfalls

231

(1)

Summary

232

(1)

Modified Transcochlear Approach

232

(12)

Rationale

232

(1)

Indication

232

(1)

Contraindications

232

(1)

Surgical Anatomy (Right Ear)

232

(3)

Surgical Technique

235

(1)

Clinical Application

236

(7)

Pearls and Pitfalls

243

(1)

Summary

243

(1)

11 Management in Special Situations

244

(24)

Current Strategy for Neurofibromatosis Type 2: Total Romoval with a Concomitant Cochlear or Brainstem Implant

244

(19)

Neurofibromatosis Type 2

244

(1)

Clinical Diagnosis

244

(1)

Clinical Manifestations of Disease

245

(1)

Management

245

(2)

Decision Making

247

(1)

Brainstem Implantation in Neurofibromatosis Type 2

248

(3)

Clinical Application

251

(12)

Management of Acoustic Neurinoma in the Only Hearing Ear

263

(3)

Strategy

263

(1)

Clinical Application

264

(2)

Summary of Auditory Brainstem Implants

266

(1)

Pearls and Pitfalls

266

(2)

12 Facial Nerve Reanimation

268

(18)

Introduction

268

(1)

Indications

268

(1)

End-to-End Anastomosis

268

(2)

Keys to Successful Results

268

(2)

Interposition Graft

270

(13)

Clinical Application

270

(12)

Harvesting the Sural Nerve Graft

282

(1)

Hypoglossofacial Nerve Anastomosis

283

(2)

Anatomy of the Hypoglossal Nerve

283

(1)

Surgical Approach

283

(2)

Pearls and Pitfalls

285

(1)

13 The Role of Endoscopy in Acoustic Neurinoma Surgery

286

(9)

Introduction

286

(1)

Instruments

286

(1)

Sterilization

286

(1)

Endoscopic Surgical Anatomy

286

(3)

From the Posterior Aspect of the Temporal Bone: Retrosigmoid Approach

286

(2)

Through the Superior Surface of the Tempral Bone: Middle Fossa Approach

288

(1)

The Technique of Endoscopy

289

(1)

Applications

289

(5)

Translabyrinthine Approach

289

(4)

Retrosigmoid Approach

293

(1)

Enlarged Middle Fossa Approach

293

(1)

Risks of Cerebellopontine Angle Endoscopy

294

(1)

14 Complications and Management

295

(8)

Introduction

295

(1)

Postoperative Complications Specific to Cerebellopontine Angle Surgery

295

(5)

Hemorrhage

295

(1)

Infarction

296

(2)

Cerebrospinal Fluid Leakage

298

(1)

Meningitis

299

(1)

Brain Edema

299

(1)

Cranial Nerve Defects

299

(1)

Ataxia

300

(1)

Hydrocephalus

300

(1)

Air Embolism

300

(1)

Pneumocephalus

300

(1)

Headaches

300

(1)

Postoperative Unsteadiness

300

(1)

Tinnitus

300

(1)

Nonspecific Complications

300

(3)

Atelectasis and Pneumonia

300

(1)

Deep Venous Thrombosis and Pulmonary Embolism

301

(1)

Wound Infection and Hematoma

301

(1)

Transfusion

301

(2)

Bibliography

303

(2)

Index

305

Gruppo Otologico Piancenza and Rome, Italy

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Pastovi nuoroda: https://www.kriso.lt/db/97831325789756e.html

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