Minimally Invasive Skull Base Surgery

Principles & Practice

Buch | Hardcover

375 Seiten

2013
Nova Science Publishers Inc (Verlag)
978-1-62808-567-9 (ISBN)

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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 1980's 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.

Epistemology of Minimally Invasive Skull Base Surgery; Endoscopic Endonasal Anatomy & Approaches to the Anterior Skull Base; Expanded Endoscopic Endonasal Approaches to the Orbit & Lateral Anterior Skull Base; Endoscopic Repair of Anterior Cranial Base Defects; Neurosurgical Overview of Minimally Invasive Resection of Anterior Skull Base Malignancy: A Comparison to Traditional Craniofacial Resection; Expanded Endoscopic Endonasal Approaches to the Middle Cranial Fossa; The Endoscopic Endonasal Transtuberculum-Transplanum Approach; Craniopharyngiomas: The Endonasal Endoscopic Approach; Endoscopic Optic Nerve Decompression; Endoscopic Approach & Management of Parasellar Lesions; Extended Endoscopic Endonasal Approaches to the Pterygopalatine & Infratemporal Fossae; Management of Middle Fossa CSF Leak; The Epidural Anterior Petrosectomy: A Minimally Invasive Skull Base Approach to the Posterior Fossa; Pediatric Endoscopic Skull Base Surgery; Endoscopic Transnasal Removal of Midline Skull Base Tumors Under the Side-Viewing Scopes; Percutaneous Biopsy of Parasellar Lesions Through the Foramen Ovale; Purely Endoscopic Keyhole Supraorbital Approaches for Anterior & Middle Skull Base Tumors; Mini-Invasive Microvascular Decompression for Posterior Fossa Neurovascular Conflicts; Radiosurgical Management of Trigeminal Neuralgia; Minimally Invasive Approaches to Cranial Nerves for Microvascular Decompression: Hearing Preservation; Endoscopic Transchoroidal Fissure Approach to the Posterior Part of Third Ventricle & Posterior Fossa; Optimally Invasive Skull Base Surgery for Large Benign Tumors; Anterior Craniovertebral Junction Tumors: Successful Resection Through Simple Approaches; Endoscopic-Assisted Transoral Approach to the Clivus & the Craniovertebral Junction: Transnasal or Transoral? A Clinical & Experimental Issue; Endoscopic Endonasal Approaches to the Paramedian Posterior Skull Base; Index.

Verlagsort	New York
Sprache	englisch
Maße	180 x 260 mm
Gewicht	960 g
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Neurochirurgie
ISBN-10	1-62808-567-3 / 1628085673
ISBN-13	978-1-62808-567-9 / 9781628085679
Zustand	Neuware