Cranial, Craniofacial and Skull Base Surgery

This atlas, organized in two sections -neurosurgical section and maxillo-facial section- provides a comprehensive overview of the most modern surgical techniques in cranio-facial and skull base surgery. Each chapter describes in detail the anatomic structures and offers a step-by-step description of the technical aspects of the surgical approaches to the cranial base. Written by leading experts in cranial base surgery and featuring numerous intraoperative photographs and surgical drawings, the volume will be a very practical and useful tool for residents, surgeons and otolaryngologists. The Fruits of Reinvention Surgery related to the human head, its compartment and contents has been reinvented over the past 40 years. A number of instruments, most notably the sophisticated medical imaging device and the operating microscope, have principally fueled this evolution. Along the way, endoscopy and sophisticated navigation capabilities have added to the realization of a unique comprehension of normal and abnormal microanatomy permitting corridors and manipu- tions that allow novel strategies for surgery in these highly vital functional areas. Cappabianca, Califano and Iaconetta have created a detailed and fully modern review of methods and strategies related to complex surgery and therapies associated with this robust reinvention. Technical innovations abound! Distinguished practitioners of these unique developments in the history of surgical - terprise present these amazing technical exercises. The catalog of these approaches, inst- mentation, techniques, strategies and manipulations is inspiring and stands as a testimony to the remarkable progress that we have witnessed in recent decades. The presentation in truly “modern” and represents in many aspects pinnacles of operative achievement. We must ask ourselves, what will be next? Los Angeles, November 2009 Michael L.J. Apuzzo, M.D., Ph.D (hon) Preface We belong to a lucky and happy generation, living during a period of many dramatic, if not revolutionary, technical and technological innovations, such as the digital era, which have changed and improved our routine surgical practice, together with the quality and quantity of life of our patients. Front Matter....Pages I-XVI Front Matter....Pages 1-1 Introduction....Pages 3-6 Instruments....Pages 7-15 Subfrontal Approaches....Pages 17-25 Supraorbital Eyebrow Approach....Pages 27-38 Frontotemporal Approach....Pages 39-59 Orbitozygomatic Approach....Pages 61-86 Transcallosal Approaches to Intraventricular Tumors....Pages 87-105 Subtemporal Approach....Pages 107-136 Suboccipital Lateral Approaches (Presigmoid)....Pages 137-142 Suboccipital Lateral Approaches (Retrosigmoid)....Pages 143-150 Suboccipital Median Approach....Pages 151-157 Middle Cranial Fossa Approach....Pages 159-164 Translabyrinthine and Transcochlear Petrosal Approaches....Pages 165-174 Dorsolateral Approach to the Craniocervical Junction....Pages 175-196 Transsphenoidal Approaches: Endoscopic....Pages 197-212 Endonasal Endoscope-Assisted Microscopic Approach....Pages 213-224 Transsphenoidal Approaches: Microscopic....Pages 225-238 Expanded Endoscopic Endonasal Approaches to the Skull Base....Pages 239-251 Front Matter....Pages 253-253 Introduction....Pages 255-257 Orbital Approaches....Pages 259-280 Front Matter....Pages 253-253 Transoral Approaches....Pages 281-299 Midfacial Approaches....Pages 301-307 Midfacial Translocation Approach....Pages 309-318 Transmandibular Approaches....Pages 319-329 Anterior Cranial Base Reconstruction....Pages 331-342 Back Matter....Pages 343-350