Practical Neurotology and Skull Base Surgery.
- 1st ed.
- 1 online resource (329 pages)
Intro -- CHAPTER 1 Skull Base Approaches: Neurosurgical Perspective Daniel Pieper INTRODUCTION One of the most significant challenges to the skull base surgeon in training is learning the different approaches to the skull base. The vast array of approaches and the varying nomenclature lends to this confusion when describing the surgical procedure. Realizing that each of the skull base approaches are extensions of the basic approaches of cranial surgery, the surgeon can better understand each technique's -- CHAPTER 2 Surgical Approaches to the Skull Base Rodney C. Diaz and Seilesh Babu INTRODUCTION The neurotology/neurosurgery team has at its disposal numerous approaches for traversing the lateral skull base and accessing the intracranial vault.1 The discussion of approaches is divided, somewhat arbitrarily, into three general categories: transtemporal approaches, suboccipital approaches, and subtemporal approaches. The transtemporal approaches are grouped to encompass techniques in which the tempo -- CHAPTER 3 Minimally Invasive and Endoscopic Approaches to the Skull Base Gregory Artz, Marc Rosen, James Evans, and Daniel Pieper INTRODUCTION Since the pioneering research and clinical experience in Austria by Messerklinger and Stamberger and the first publication in the United States by Kennedy in 1985, endoscopic sinus surgery has become one the most common procedures performed by otolarynogologists.1 With the early work of these and many other surgeons combined with the development of improv. CHAPTER 4 Vestibular Schwannoma Rodney C. Diaz INTRODUCTION Acoustic neuromas are the most common benign tumor of the cerebellopontine angle (CPA) and are the most common intracranial tumor treated by neurotologists. The term "acoustic neuroma" is technically incorrect, as the tumor neither arises from the acoustic nerve nor does it arise from neuronal cells. "Vestibular schwannoma" or "vestibular neurilemmoma" is more commonly accepted and more accurate. However, the otolaryngological, neurotol -- CHAPTER 5 Neurofibromatosis Type II and Auditory Brainstem Implant Rodney C. Diaz and Jeremy D. Meier INTRODUCTION Neurofibromatosis type II (NF2) presents unique challenges to the neurotologist. The hallmark and clinically defining feature of NF2 is the presence of bilateral acoustic neuromas or vestibular schwannomas. Many other central tumors may also be present in this disease, limited not only to the intracranial vault but along the spinal axis as well. Limiting disease progression while pr -- CHAPTER 6 Lesions of Petrous Apex Christopher Linstrom, Raj Murali, and Dan Sdrulla, INTRODUCTION Lesions of the petrous apex are relatively rare, but must be considered as part of the differential diagnosis in a patient presenting with hearing loss, tinnitus, vertigo, disequilibrium, otalgia, or headache. Furthermore, the combination of any unilateral otologic complaint with weakness or paralysis of the abducens nerve (CN VI) suggests a lesion of the petrous apex. The focus of this chapter is t. CHAPTER 7 Petroclival Tumors Wayne Shaia, Sean Wise, and Seilesh Babu INTRODUCTION Petroclival tumors can be difficult intracranial tumors to manage clinically and surgically. With the recognized role for conservative management, the accuracy achieved with stereotactic radiosurgery, and the development of new microsurgical approaches, the optimal treatment strategy for petroclival tumors can be challenging for both clinician and patient. Petroclival tumors are lesions that arise from the upper t -- CHAPTER 8 Temporal Bone Malignancy John Zappia, Matthew Kircher, and Seilesh Babu INTRODUCTION Fortunately, malignancies of the temporal bone are rare. These tumors are mostly of epithelial origin, arising from the external auditory canal and middle ear. Tumors of nonepithelial origin, tumors extending from adjacent areas and metastatic lesions also occur. Temporal bone malignancies tend to be aggressive, difficult to diagnose, and sometimes difficult to treat. These factors, along with the freq -- CHAPTER 9 Diffuse Osseous Lesions of Temporal Bone Michael Hoa and Seilesh Babu INTRODUCTION Diffuse osseous lesions of the temporal bone are a heterogeneous group of disorders that can represent manifestations of either systemic disease or a focal disease process. The usual clinical presentation of this diverse group of diseases includes hearing loss, progressive stenosis of the external auditory canal (EAC), and cranial nerve dysfunction that occurs as a result of progressive narrowing of skul. CHAPTER 10 Stereotactic Radiotherapy for Skull Base Lesions Yoav Hahn, Brent J. Benscoter, and Dennis Bojrab INTRODUCTION Stereotactic radiation has become both an alternative and adjunctive treatment to surgery for the management of skull base tumors, including schwannomas, meningiomas, and paragangliomas. Considerable improvements in computer technology and delivery devices have made use of radiation for skull base tumors more common, though the exact understanding of its efficacy is continual -- CHAPTER 11 Intraoperative Cranial Nerve Monitoring Jack M. Kartush and Alice Lee INTRODUCTION The increasing availability and sophistication of intraoperative cranial nerve monitoring (IOM) within the last few decades has opened a new era in the pursuit of functional neural preservation during microsurgery. The use of intraoperative electromyographic (EMG) facial nerve monitoring has been a standard of care for the resection of acoustic neuromas and other cerebellopontine angle tumors for over a.
Presenting the neurosurgeon's perspective and approach to skull base surgery, this book includes an up-to-date description for management of vestibular schwannomas including detailed surgical approaches and stereotactic radiotherapy. It is a helpful tool to assist in Neurotology sub-certification exam preparation.
9781597566339
Skull base -- Surgery. Otologic Surgical Procedures. Neurosurgical Procedures. Otorhinolaryngologic Neoplasms. Skull Base Neoplasms.