Vascular Challenges in Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1638536465
Total Pages : 569 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Vascular Challenges in Skull Base Surgery by : Paul A. Gardner

Download or read book Vascular Challenges in Skull Base Surgery written by Paul A. Gardner and published by Thieme. This book was released on 2021-11-17 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential multidisciplinary guide for the prevention and management of vascular injury from master skull base surgeons Vascular injury is the most significant source of morbidity or mortality during skull base surgery, regardless of the surgical approach. While skull base approaches always placed arteries and veins at risk, newer endoscopic endonasal approaches have introduced new challenges for the prevention and management of vascular injury. Greater anatomic knowledge, additional surgical options, improved instrumentation, advances in interventional neuroradiology, and enhanced training all contribute to successful outcomes. Vascular Challenges in Skull Base Surgery by renowned skull base experts Paul Gardner, Carl Snyderman, Brian Jankowitz, and distinguished contributors, fills a gap in the literature, with invaluable guidance on managing rare but potentially catastrophic surgical complications. The full range of surgical approaches to the anterior, middle, and posterior cranial fossae are covered in 22 chapters. Diverse topics encompass open and endoscopic endonasal surgical approaches, endovascular techniques including balloon test occlusion and embolization, and standard and alternative bypass procedures. The last three chapters discuss venous considerations, neurophysiologic monitoring, and the role of training and simulation in vascular injury prevention. Key learning points, illustrated discussion of relevant anatomy, and tips and tricks are targeted at helping skull base surgeons leverage practical strategies to improve patient outcomes. Key Highlights An impressive group of expert, highly-experienced surgeons share firsthand knowledge Insightful analyses of root causes and clinical pearls provide indispensable prevention tactics High-quality images and videos enhance visual understanding of surgical anatomy and techniques Trainees and practicing skull base surgeons will greatly benefit from the collective knowledge and evidence-based injury avoidance strategies shared by authors who have learned to master the art of skull base surgery.

Controversies in Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1638536015
Total Pages : 939 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Controversies in Skull Base Surgery by : Andrew S. Little

Download or read book Controversies in Skull Base Surgery written by Andrew S. Little and published by Thieme. This book was released on 2019-07-19 with total page 939 pages. Available in PDF, EPUB and Kindle. Book excerpt: State-of-the-art approaches and insightful discussions on challenging topics in skull base surgery Advances in endoscopic, microsurgical, radiosurgical, and pharmacotherapeutic strategies have revolutionized the treatment of skull base pathologies. Controversies in Skull Base Surgery, edited by Andrew Little and Michael Mooney and authored by esteemed multidisciplinary contributors, focuses on management strategies and treatment options for a wide range of tumors affecting the skull base, while addressing the most urgent and challenging questions facing skull base surgeons today. Throughout nine sections and 46 chapters, experts describe the treatment of neoplasms such as vestibular schwannoma, meningioma, pituitary adenoma, craniopharyngioma, chordoma, cranial nerve schwannoma, sinonasal malignancies, and others. In many chapters, authors provide instructional case studies and suggestions for future studies to help clarify areas of controversy. This textbook is unique in that it tackles problems typically minimized or ignored by other texts that impact a patient's quality of life and recovery. Key Highlights Reader-friendly tables feature concise summaries, author pearls, and levels of available evidence Pearls and insights on hotly debated issues such as the role of radiosurgery, surgery vs. medical management, radical resection vs. subtotal resection, and proton-beam vs. photon therapy for various pathologic conditions Controversies not frequently discussed in depth, including the use of lumbar drains, postoperative antibiotics, and cerebral revascularization in skull base surgery; multidisciplinary collaboration in endoscopic endonasal surgery; skull base reconstruction techniques; and the future of robotics in skull base surgery This stellar resource will benefit all residents and advanced practice providers who evaluate and treat patients with skull base pathologies, including neurosurgeons, otolaryngologists, and radiation and medical oncologists.

Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1626239584
Total Pages : 1155 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Skull Base Surgery by : Walter C. Jean

Download or read book Skull Base Surgery written by Walter C. Jean and published by Thieme. This book was released on 2019-02-22 with total page 1155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unique skull-base surgical resource features strategic, technical, and philosophical pearls from master surgeons In a sense, surgeons go into battle every time they enter the OR. Like soldiers, they must be prepared to make profound sacrifices to protect innocent people (their patients), while putting egos aside and resisting the call of fame. Skull Base Surgery: Strategies by Walter Jean and distinguished contributors provides eloquent expression to the inner voices that speak to surgeons during each stage of battle. Unlike other textbooks that only emphasize the technical building blocks surgeons need, this resource focuses on state-of-the-art skull-base procedures, important thought processes, and vital strategies required to perform them. Size and shape variations, diverse biological characteristics, different anatomic locations and extensions, and specific relationships and entanglements with nerves and vessels make all skull base tumors unique and highly challenging. In addition to anatomy, two other important factors need to be considered every time a surgeon enters the OR – the particular circumstances of the patient and surgeon. Throughout this remarkable book, master neurosurgeons take readers on an insightful journey exploring the decision-making process of choosing and executing a surgical approach, with firsthand pearls from the battlefield. Key Highlights Nine sections organized by anatomy cover tumors in the anterior, anterolateral, lateral, central, postero-superior, and postero-inferior skull base regions, and clivus, petrous bone, and ventricles Thirty-two systematically organized chapters flow from clinical presentation and radiographic/anatomical findings of specific patients and tumors – to decision-making and execution of the surgical approach Real-life cases enhance understanding of all the elements that go into each operation Perspectives sections at the end of each chapter embrace the concept of diverse surgeon viewpoints on similar ideas, techniques, and approaches This exemplary book is essential reading for neurosurgery and otolaryngology residents, fellows, veteran practitioners, and allied health personnel who care for patients with skull base tumors.

Controversies in Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1626239541
Total Pages : 1001 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Controversies in Skull Base Surgery by : Andrew S. Little

Download or read book Controversies in Skull Base Surgery written by Andrew S. Little and published by Thieme. This book was released on 2019-07-19 with total page 1001 pages. Available in PDF, EPUB and Kindle. Book excerpt: State-of-the-art approaches and insightful discussions on challenging topics in skull base surgery Advances in endoscopic, microsurgical, radiosurgical, and pharmacotherapeutic strategies have revolutionized the treatment of skull base pathologies. Controversies in Skull Base Surgery, edited by Andrew Little and Michael Mooney and authored by esteemed multidisciplinary contributors, focuses on management strategies and treatment options for a wide range of tumors affecting the skull base, while addressing the most urgent and challenging questions facing skull base surgeons today. Throughout nine sections and 46 chapters, experts describe the treatment of neoplasms such as vestibular schwannoma, meningioma, pituitary adenoma, craniopharyngioma, chordoma, cranial nerve schwannoma, sinonasal malignancies, and others. In many chapters, authors provide instructional case studies and suggestions for future studies to help clarify areas of controversy. This textbook is unique in that it tackles problems typically minimized or ignored by other texts that impact a patient's quality of life and recovery. Key Highlights Reader-friendly tables feature concise summaries, author pearls, and levels of available evidence Pearls and insights on hotly debated issues such as the role of radiosurgery, surgery vs. medical management, radical resection vs. subtotal resection, and proton-beam vs. photon therapy for various pathologic conditions Controversies not frequently discussed in depth, including the use of lumbar drains, postoperative antibiotics, and cerebral revascularization in skull base surgery; multidisciplinary collaboration in endoscopic endonasal surgery; skull base reconstruction techniques; and the future of robotics in skull base surgery This stellar resource will benefit all residents and advanced practice providers who evaluate and treat patients with skull base pathologies, including neurosurgeons, otolaryngologists, and radiation and medical oncologists.

Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1638536023
Total Pages : 1071 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Skull Base Surgery by : Walter C. Jean

Download or read book Skull Base Surgery written by Walter C. Jean and published by Thieme. This book was released on 2019-02-22 with total page 1071 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unique skull-base surgical resource features strategic, technical, and philosophical pearls from master surgeons In a sense, surgeons go into battle every time they enter the OR. Like soldiers, they must be prepared to make profound sacrifices to protect innocent people (their patients), while putting egos aside and resisting the call of fame. Skull Base Surgery: Strategies by Walter Jean and distinguished contributors provides eloquent expression to the inner voices that speak to surgeons during each stage of battle. Unlike other textbooks that only emphasize the technical building blocks surgeons need, this resource focuses on state-of-the-art skull-base procedures, important thought processes, and vital strategies required to perform them. Size and shape variations, diverse biological characteristics, different anatomic locations and extensions, and specific relationships and entanglements with nerves and vessels make all skull base tumors unique and highly challenging. In addition to anatomy, two other important factors need to be considered every time a surgeon enters the OR – the particular circumstances of the patient and surgeon. Throughout this remarkable book, master neurosurgeons take readers on an insightful journey exploring the decision-making process of choosing and executing a surgical approach, with firsthand pearls from the battlefield. Key Highlights Nine sections organized by anatomy cover tumors in the anterior, anterolateral, lateral, central, postero-superior, and postero-inferior skull base regions, and clivus, petrous bone, and ventricles Thirty-two systematically organized chapters flow from clinical presentation and radiographic/anatomical findings of specific patients and tumors – to decision-making and execution of the surgical approach Real-life cases enhance understanding of all the elements that go into each operation Perspectives sections at the end of each chapter embrace the concept of diverse surgeon viewpoints on similar ideas, techniques, and approaches This exemplary book is essential reading for neurosurgery and otolaryngology residents, fellows, veteran practitioners, and allied health personnel who care for patients with skull base tumors.

Contemporary Skull Base Surgery

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Author :
Publisher : Springer Nature
ISBN 13 : 3030993213
Total Pages : 800 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis Contemporary Skull Base Surgery by : A. Samy Youssef

Download or read book Contemporary Skull Base Surgery written by A. Samy Youssef and published by Springer Nature. This book was released on 2022-07-05 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is designed to function as a comprehensive guide/companion that will not only facilitate the decision-making process for the surgeon, but also help young surgeons build a successful career in skull base surgery. It is divided into six main sections: The first section details the general principles that every skull base surgeon needs to be acquainted with - skull base anatomy, developing a multidisciplinary skull base team, operating room equipment, surgical instruments, and modern imaging technologies. These are the key elements that play a major role in optimizing functional outcomes and patients’ quality of life. Following this, the compartmental anatomy chapters set the stage for understanding the technical and surgical nuances of each location. The subsequent five sections are organized as anatomical compartments or regions of the skull base. Every region is organized in the same format for uniformity and ease of use. Each section includes the available treatment choices to each compartment, and describes the relevant pathologies. The contribution of worldwide leaders including neurosurgeons and otolaryngologists provides top-level expertise in how to tackle each pathology. The surgical approaches chapters that lead each anatomical section describe operative techniques in a clear. stepwise fashion with accompanying intra-operative photos and surgical videos. In the individual pathology chapters, different pathological subtypes are described with representative radiographic images of clinical case examples. Accompanying each pathology is a treatment algorithm based on tumor morphology, pre-operative clinical status, and the goal of maximum functional preservation with a brief description of surgical approaches. This will serve as a roadmap that will help the reader to easily reach a decision of how to treat each skull base pathology. The general theme is functional and anatomical preservation of key neurovascular structures. Setting such structures as a target and planning an approach that minimizes iatrogenic damage to these structures will lead the surgeon down the road of either open, endoscopic, or a combination of both approaches. A comprehensive book that is versatile to serve as a handbook as well as a detailed reference for skull base surgery does not currently exist. In addition, combining the two main surgical schools represented by endoscopy and open surgery into one reference enhanced by treatment algorithms is another unique feature.

Malignant Tumors of the Skull Base, An Issue of Neurosurgery Clinics

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455772097
Total Pages : 356 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Malignant Tumors of the Skull Base, An Issue of Neurosurgery Clinics by : Orin Bloch

Download or read book Malignant Tumors of the Skull Base, An Issue of Neurosurgery Clinics written by Orin Bloch and published by Elsevier Health Sciences. This book was released on 2013-01-28 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of the Neurosurgery Clinics, Malignant Tumors of the Skull Base, is Guest Edited by Drs. Orin Bloch and Franco DeMonte. Malignant tumors of the skull base pose significant challenges to the clinician, because of their proximity to critical neurovascular structures. This issue will explore various approaches to the removal of malignant tumors of the skull base, including open surgical approaches and minimally invasive approaches. Other articles in this issue include topics such as craniofacial reconstruction following oncologic resection, temporal bone malignancies, sinonasal carcinomas, and radiotherapy for malignant skull base tumors.

Handbook of Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1626230269
Total Pages : 1035 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Handbook of Skull Base Surgery by : Antonio di Ieva

Download or read book Handbook of Skull Base Surgery written by Antonio di Ieva and published by Thieme. This book was released on 2015-12-23 with total page 1035 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Skull Base Surgery is a state-of-the-art surgical guide that provides clinicians and surgeons with step-by-step instructions on how to perform microscopic and endoscopic procedures. Encompassing the entire skull base, this handbook is designed for busy residents and clinicians seeking to hone their surgical skills. It presents a multidisciplinary approach to the pathologies, diagnosis, and management of skull base lesions. Key Features: Bulleted format with step-by-step descriptions of procedures accompanied by high-quality illustrations of key points Succinct summaries of content enable readers to quickly obtain the information they need Includes coverage of relevant basic sciences, advanced imaging, and adjunctive treatments such as radiosurgery and chemotherapy Comprehensive yet conveniently compact, this book is a must-havereference for residents, clinicians, nurses and researchers caring for patients with skull base pathologies.

Handbook of Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1638530734
Total Pages : 1035 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Handbook of Skull Base Surgery by : Antonio Di Ieva

Download or read book Handbook of Skull Base Surgery written by Antonio Di Ieva and published by Thieme. This book was released on 2016-01-11 with total page 1035 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Skull Base Surgery is a state-of-the-art surgical guide that provides clinicians and surgeons with step-by-step instructions on how to perform microscopic and endoscopic procedures. Encompassing the entire skull base, this handbook is designed for busy residents and clinicians seeking to hone their surgical skills. It presents a multidisciplinary approach to the pathologies, diagnosis, and management of skull base lesions. Key Features: Bulleted format with step-by-step descriptions of procedures accompanied by high-quality illustrations of key points Succinct summaries of content enable readers to quickly obtain the information they need Includes coverage of relevant basic sciences, advanced imaging, and adjunctive treatments such as radiosurgery and chemotherapy Comprehensive yet conveniently compact, this book is a must-have reference for residents, clinicians, nurses and researchers caring for patients with skull base pathologies.

Microsurgical Anatomy of the Skull Base and Approaches to the Cavernous Sinus

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Author :
Publisher : Univ of California Press
ISBN 13 : 9780865775985
Total Pages : 300 pages
Book Rating : 4.7/5 (759 download)

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Book Synopsis Microsurgical Anatomy of the Skull Base and Approaches to the Cavernous Sinus by : Chandranath Sen

Download or read book Microsurgical Anatomy of the Skull Base and Approaches to the Cavernous Sinus written by Chandranath Sen and published by Univ of California Press. This book was released on 1997 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tumors of the skull base continue to challenge surgeons; even in an era of groundbreaking technological advances there is no substitute for an in-depth knowledge of anatomy to achieve surgical success. This important new book serves two functions: it gives an exceptionally clear picture of the microsurgical anatomy of the cavernous sinus & surrounding areas, & it describes actual surgical approaches to the area.

Skull Base Surgery - Pearls and Nuances

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 0854663592
Total Pages : 96 pages
Book Rating : 4.8/5 (546 download)

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Book Synopsis Skull Base Surgery - Pearls and Nuances by : Amit Agrawal

Download or read book Skull Base Surgery - Pearls and Nuances written by Amit Agrawal and published by BoD – Books on Demand. This book was released on 2024-06-19 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: The advancements in the field of skull base surgery have evolved from its historical antecedents established by giants like Cushing and Yasargil to contemporary approaches brimming with innovative endoscopic and other minimally invasive techniques. The traditional approaches, which include the pterional, frontolateral, transsphenoidal, and suboccipital lateral approaches, have evolved and are well supported by advancements in radiological techniques, meticulous preoperative planning, and agile intraoperative decision-making. This book brings forth evolving details from luminaries in the field of neurosurgery to describe approaches in the field of skull base surgery that encompass the spectrum of pathologies in the anterior, middle, and posterior cranial fossa.

Cranial Base Surgery

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Author :
Publisher :
ISBN 13 :
Total Pages : 706 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Cranial Base Surgery by : James T. Robertson

Download or read book Cranial Base Surgery written by James T. Robertson and published by . This book was released on 2000 with total page 706 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive new reference addresses the entire spectrum of cranial base surgery today. The clinically oriented text is enhanced by numerous illustrations and is highly practical in its orientation. Each chapter has been written by a carefully chosen expert from within the field.

Hemostasis in Head and Neck Surgery, an Issue of Otolaryngologic Clinics of North America

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Author :
Publisher :
ISBN 13 : 9780323402606
Total Pages : 0 pages
Book Rating : 4.4/5 (26 download)

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Book Synopsis Hemostasis in Head and Neck Surgery, an Issue of Otolaryngologic Clinics of North America by : Carl H. Snyderman

Download or read book Hemostasis in Head and Neck Surgery, an Issue of Otolaryngologic Clinics of North America written by Carl H. Snyderman and published by . This book was released on 2016-06-13 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensible resource on all issues of hemostatis in head and neck surgery.

Clinical Vascular Anatomy and Variations

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Author :
Publisher : Springer
ISBN 13 : 9783642074431
Total Pages : 0 pages
Book Rating : 4.0/5 (744 download)

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Book Synopsis Clinical Vascular Anatomy and Variations by : P. Lasjaunias

Download or read book Clinical Vascular Anatomy and Variations written by P. Lasjaunias and published by Springer. This book was released on 2011-09-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first volume of this second edition of Surgical Neuroangiography contains the previous volumes 1 and 3 in one book. The edited and updated text provides a practical understanding of the challenges that face the modern management of vascular diseases. Additional 3-D angiographic photographs as well as new illustrations complete this classic book of vascular disease management in adults and children. The authors, Pierre Lasjaunias, Alex Berenstein, and Karel ter Brugge are highly committed to both research and teaching . This second edition is a prerequisite for anybody wishing to fully understand clinical challenges and vascular intervention.

Skull Base Surgery of the Posterior Fossa

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Author :
Publisher : Springer
ISBN 13 : 3319670387
Total Pages : 228 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Skull Base Surgery of the Posterior Fossa by : William T. Couldwell

Download or read book Skull Base Surgery of the Posterior Fossa written by William T. Couldwell and published by Springer. This book was released on 2017-11-10 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.

100 Complications of Otorhinolangyngology & Skull Base Surgery

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Author :
Publisher : Thieme
ISBN 13 : 9395390549
Total Pages : 983 pages
Book Rating : 4.3/5 (953 download)

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Book Synopsis 100 Complications of Otorhinolangyngology & Skull Base Surgery by : Veerasigamani Narendrakumar

Download or read book 100 Complications of Otorhinolangyngology & Skull Base Surgery written by Veerasigamani Narendrakumar and published by Thieme. This book was released on 2024-04-18 with total page 983 pages. Available in PDF, EPUB and Kindle. Book excerpt: Navigate Complex Cases with Confidence and Precision The field of otorhinolaryngology is made challenging by the complex and unique anatomy of head and neck region. Successfully navigating this area with surgical finesse remains an enigma. 100 Complications of Otorhinolaryngology & Skull Base Surgery provides a broad overview of various complications encountered in ENT and skull base surgeries, their impacts, and intricacies in their management. "A successful surgeon has the eyes of a hawk, heart of a lion, and hand of a lady." True to this quote, a surgeon is not the one who is just well versed in surgical techniques, but the one who handles complications too with aplomb. This book features 100 complicated yet interesting cases by more than 250 authors from 26 different countries, discussing the start of scary times, how they managed to tackle those in an appropriate manner, and the lessons they learnt from each case. Each case report has a section on "Clinical Pearls and Pitfalls" in order to broaden the perspective. Key Features A collection of real-life cases and complications faced by senior ENT surgeons across the world. 100 unique cases, and each case is led by a different team head. Contains over 700 operative and endoscopic images, illustrations serving as a visual guide for the readers. Over 50 videos of various clinical conditions for better visual understanding. This book serves as a guide for otorhinolaryngologists in handling complicated cases. ENT surgeons will also find this book beneficial if they encounter critical complications during surgery. Smears in the Rapid Diagnosis of Central Nervous System Lesions Challenges in the Interpretation of Stereotactic Biopsies

Minimally Invasive Skull Base Surgery

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Author :
Publisher : Nova Science Publishers
ISBN 13 : 9781628085679
Total Pages : 0 pages
Book Rating : 4.0/5 (856 download)

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Book Synopsis Minimally Invasive Skull Base Surgery by : Moncef Berhouma

Download or read book Minimally Invasive Skull Base Surgery written by Moncef Berhouma and published by Nova Science Publishers. This book was released on 2013-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Classically defined as the art of curing by the hand, hand intended as the organ of the possible, and positive certitude according to Paul Valery, surgery is shifting toward a scientific discipline with a very high technological valence. Neurosurgery in general, and skull base surgery in particular do not stave off this natural evolution. Obviously, technological advances have driven the tremendous progresses in both diagnosis (CT scan, MRI, angiography ) and therapeutic fields (ultrasonic aspiration, radiosurgery). This technological aspect should not hide the humanistic remnant of the modern neurosurgeon, who should propose the less invasive technique in his possession to treat most efficiently his patient, keeping in mind the quality of life above all. The compromise between the invasiveness of the surgical approach to the skull base and the main goal of the surgery has shed light on the recent concept of minimally invasive skull base surgery.This concept has been conspicuously initiated by Axel Perneczky in the late 1980s under the descriptive keyhole neurosurgery, especially through the renowned eyebrow supra-orbital mini-craniotomy and the implementation of endoscope-assisted microneurosurgery. A decade after, Jho and others introduced the endoscopic endonasal approaches to the skull base, with a perpetual development and an exponential rhythm of scientific publications. This recent paradigm shift toward a minimal approach-related iatrogeny coupled with a maximally efficient surgical target is not so clear cut, as pioneering neurosurgeons such as Cushing, Dandy or Dott among others already adopted this philosophy of work, limited by the technology available at that time that did not permit their minimally invasive expectations. This has been possible only with the progresses made in the fields of imaging, surgical instrumentation, illumination technologies (microscope and endoscope), radiosurgery, and neuroanesthesia.