Endoscopic Skull Base Surgery: A Comprehensive Guide with Illustrative Cases

ISBN-13: 9781588298140 / Angielski / Twarda / 2008 / 193 str.

Hrayr K. Shahinian

Opis

I am honored to be asked to write a foreword to this comprehensive and fascinating book on skull base surgery (SBS) by Dr. Shahinian, who I consider among the pioneers in the field. I should start by writing a disclaimer. I first met Dr. Shahinian when he was a brilliant surgical resident at Vanderbilt University Medical Center in 1986. Over the next several years, I had the pleasure of following his career through different training rotations in the United States and abroad. I remember well when he told me that skull base surgery was his career choice. I thought it was a high-risk career move considering that the discipline was still in its early development. As a result, I was quite gratified to follow Dr. Shahinian s professional success as he developed the Skull Base Institute, initially in New York, and later in Los Angeles. I would like to first define SBS from my perspective as a general surgeon. SBS denotes a group of operations involving the base of the skull or its contents. The skull base is divided into an anterior (attached to the facial skeleton), middle, and posterior areas. Vital arteries, veins, as well as cranial nerves pass through the skull base. Consequently, this part of the skull has historically been the most difficult to access, and lesions of the skull base were often associated with a poor prognosis."

Recenzje

From the reviews:

"This multidisciplinary surgical atlas describes endoscopic approaches for selected skull base pathologies and provides a framework for applying these techniques by detailing important considerations such as room set-up, patient positioning, and instrument selection. ... It is primarily written for experienced neurosurgeons, endoscopic sinus surgeons, and/or head and neck surgeons who seek to extend their capabilities at managing often-complicated pathologies with decreased morbidity." (Rakesh K Chandra, Doody's Review Service, February, 2008)

"The endoscopic approach is becoming increasingly popular and we in plastic surgery must keep in touch with what is happening. This book is coauthored by a neuroradiologist, an endocrinologist, an anesthesiologist, and an interventional neuroradiologist. ... This in itself makes it an interesting publication. ... For plastic surgeons involved in skull base surgery, this book is worth an investment for the library." (Ian Jackson, European Journal of Plastic Surgery, Vol. 31, 2008)

Spis treści

Contents 1. Introduction 1. The Evolution from the Open Craniotomy to Fully Endoscopic Skull Base Surgery 2. Endoscopic Skull Base Surgery in Practice 2. Anesthetic Considerations in Endoscopic Skull Base Surgery 1. Introduction 2. Preoperative Assessment 3. General Considerations 4. Special Considerations 5. Future Challenges 3. Neuroendocrine Aspects of Skull Base Surgery Introduction 2. Pituitary Tumors 3. Hormonal Deficiencies caused by Pituitary Tumors 4. Long-term Follow-up of Pituitary Tumor Patients 4. Interventional Neuroradiology Aspects of Skull Base Surgery 1. Introduction 2. Embolization of Skull Base Tumors 3. Testing and/or Permanent Occlusion of the Internal Carotid Artery 4. Inferior Petrosal Sinus Sampling 5. Instrumentation in Endoscopic Skull Base Surgery 1. Introduction 2. Rigid Endoscopes 3. Irrigation Sheaths and Pumps 4. Pneumatically-Powered Holding Arms 5. Xenon System Light Sources 6. High-Definition Cameras 7. Digital Monitors 8. DVD Recorders 9. Polaroid Digital Photo Printers 10. Nerve Monitoring Devices 11. Microdrill Handpieces, Attachments, and Burrs 12. Micro-Cavitron Ultrasonic Surgical Aspirator (MicroCUSA) Handpieces and Tips 13. Specialized Endoscopic Microinstruments 6. The Fully Endoscopic Endonasal Approach 1. Introduction 2. Indications 3. Instrumentation 4. Operating Room Setup 5. Patient Positioning 6. Operative Technique 7. Illustrative Cases 8. Potential Complications 9. Avoiding Complications in Author’sExperience 7. The Fully Endoscopic Transglabellar Approach 1. Introduction 2. Indications 3. Instrumentation 4. Operating Room Setup 5. Patient Positioning 6. Operative Technique 7. Illustrative Cases 8. Potential Complications 9. Avoiding Complications in Author’s Experience 8. The Fully Endoscopic Supraorbital Approach 1. Introduction 2. Indications 3. Instrumentation 4. Operating Room Setup 5. Patient Positioning 6. Operative Technique 7. Illustrative Cases 8. Potential Complications 9. Avoiding Complications in Author’s Experience 9. The Fully Endoscopic Retrosigmoid Approach 1. Introduction 2. Indications 3. Instrumentation 4. Operating Room Setup 5. Patient Positioning 6. Operative Technique 7. Illustrative Cases 8. Potential Complications 9. Avoiding Complications in Author’s Experience 10. The Fully Endoscopic Subtemporal Approach 1. Introduction 2. Indications 3. Instrumentation 4. Operating Room Setup 5. Patient Positioning 6. Operative Technique 7. Illustrative Cases 8. Potential Complications 9. Avoiding Complications in Author’s Experience

Blurb

To date, more than three thousand brain and skull base tumors, along with various vascular problems, have been treated by using advanced, fully endoscopic, minimally invasive surgical techniques. In Endoscopic Skull Base Surgery, Dr. Hrayr K. Shahinian, director of the Skull Base Institute, compiles these techniques. Highly specific and amply illustrated by over six hundred color photographs complete with a compendium of the necessary surgical instruments, the step-by-step operating room procedures provide a definitive guide to the difficult yet essential art of skull base surgery.

Comprehensive and concise, Endoscopic Skull Base Surgery is ideal for all surgical specialists and those training to become specialists who wish to gain a new tool in the noble, on-going cause of saving lives.