Atlas of Acoustic Neurinoma Microsurgery

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Thieme, Jan 1, 2011 - Medical - 320 pages
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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 and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.
     

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    Contents

    Summary
    Rationale
    Technique for Identification of the Internal Auditory Canal
    Surgical Dissection Demonstrating the Middle Cranial Fossa Approach Left Ear
    Surgical Techniques
    Clinical Application
    Pearls and Pitfalls
    Summary

    Introduction
    Radiosurgery
    Management of the Patient with Serious Neurological Disorders
    Operation Room Setup
    Instruments
    Postoperative Management
    Surgical Orientation in the Cerebellopontine Angle
    Surgical Techniques in the Cerebellopontine Angle
    Facial Nerve Monitoring
    Cochlear Nerve Monitoring
    The Enlarged Translabyrinthine Approach
    Enlarged Translabyrinthine Approach with Transapical Extension
    Special Considerations in the Translabyrinthine Approach
    Rationale
    Contraindications
    Surgical Anatomy
    Surgical Techniques
    Clinical Application
    Pearls and Pitfalls
    Introduction
    Modified Transcochlear Approach
    Ttal Removal with a Concomitant Cochlear or Brainstem Implant
    Management of Acoustic Neurinoma in the Only Hearing Ear
    Summary of Auditory Brainstem Implants
    Pearls and Pitfalls
    Introduction
    Interposition Graft
    Hypoglossofacial Nerve Anastomosis
    Pearls and Pitfalls
    Introduction
    The Technique of Endoscopy
    Risks of Cerebellopontine Angle Endoscopy
    Introduction
    Nonspecific Complications
    Bibliography
    Index
    Copyright

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    About the author (2011)

    Casa di Cura Piacenza, Gruppo Otologico, Piacenza, Italy

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