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Record Nr. |
UNINA9910510562703321 |
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Autore |
Cheesman Anthony |
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Titolo |
Skull Base Surgery |
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Pubbl/distr/stampa |
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Berlin, Heidelberg : , : Springer Berlin / Heidelberg, , 2021 |
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©2022 |
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ISBN |
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9783540742593 |
9783540742579 |
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Descrizione fisica |
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1 online resource (98 pages) |
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Collana |
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Springer Surgery Atlas Ser. |
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Altri autori (Persone) |
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Disciplina |
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Soggetti |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di contenuto |
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Intro -- Foreword: Skull Base Surgery -- Preface -- Acknowledgments -- Contents -- 1: General Considerations -- 1.1 Concepts Underlying Anterior Skull Base Surgery -- 1.2 Evolution of Anterior Skull Base Surgery -- 1.3 Skull Base Approaches -- Need for Good Anatomical Knowledge with Transnasal Approaches -- 1.4 General Workup for Skull Base Procedures -- Imaging -- Image Guidance -- Patient Positioning -- Anaesthesia -- Temporary Tarsorrhaphy -- Lacrimal Stenting -- References -- 2: Sub-frontal Approach (Spectacle Incision Approach) -- 2.1 Workup of Cases -- 2.2 Patient Position -- 2.3 Anaesthesia -- 2.4 Image Guidance -- 2.5 Microscope -- 2.6 Frozen Section Facilities -- 2.7 Surgical Approach -- Trans-Nasal Approach to the Skull Base -- Bi-Coronal Approach -- Spectacle Incision and Glabella Bone Flap (Sub-frontal) -- Design of Bone Flap -- Soft Tissue Approach -- Clearance of Nasal Extent of the Disease -- Resection of the Skull Base and Intracranial Portion of the Tumour -- Dural Repair -- Resection of Involved Orbital Periosteum -- Lacrimal Stenting -- Packing of the Craniofacial Cavity -- Bone Repair -- Bone Flap Repair -- Skin Closure -- Alternative Methods of Dural Repair -- References -- 3: Supraorbital Craniotomy -- 3.1 Skin Incision -- 3.2 Placement of the Initial Entry Point -- 3.3 Bone Flap Completed -- 3.4 The Dura -- 3.5 Dural Opening -- 3.6 Intracranial Exposure -- 3.7 |
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Closure -- Suggested Reading -- 4: Orbitozygomatic Approach -- 4.1 Head Position (Fig. 4.1) -- 4.2 Skin Incision -- 4.3 Completed Scalp Flap -- 4.4 Pterional Bone Flap (Fig. 4.3) -- 4.5 Orbitozygomatic Osteotomy (Fig. 4.4) -- 4.6 Dural Exposure (Figs. 4.5 and 4.6) -- 4.7 Dural Reflection (Fig. 4.6) -- 4.8 Dural Closure 9 Replacement of Orbitozygomatic Bony Flap (Fig. 4.7) -- 4.9 Replacement of Pterional Bone Flap. |
4.10 Repair of Temporalis Muscle -- 4.11 Skin Closure (Fig. 4.8) -- Suggested Reading -- 5: Le Fort 1 Approach -- 5.1 Approach Diagram (Fig. 5.1) -- 5.2 Patient Position -- 5.3 Sublabial Incision Marking (Fig. 5.2) -- 5.4 Sublabial Incision to Bone (Fig. 5.3) -- 5.5 Placement of Metal Plates (Fig. 5.4) -- 5.6 Anterior Maxillary Osteotomy (Fig. 5.5) -- 5.7 Posterior Osteotomy (Fig. 5.6) -- 5.8 Mobilisation and Retraction (Fig. 5.7) -- Lateral View of Mobilisation (Fig. 5.8) -- 5.9 Archer Retractor (Fig. 5.9) -- Archer Retractor In Situ (Fig. 5.10) -- 5.10 Placement of Metal Plates (Fig. 5.11) -- 5.11 Mucosal Closure (Fig. 5.12) -- 6: Midfacial Degloving -- 6.1 Introduction -- 6.2 Patient Position -- 6.3 Anaesthesia -- 6.4 Rhinoplasty Approach -- 6.5 Elevation of the Facial Skin over the Anterior Aspect of the Maxilla -- Position and Injection for Sublabial Incision (Figs. 6.7, 6.8, and 6.9) -- 6.6 Linking the Labial and Nasal Incisions and Flap Elevation -- 6.7 Medial Maxillectomy to Expose the Antrum and Skull Base -- Elevation of Nasal Mucosa from Lateral Wall (Figs. 6.13 and 6.14) -- 6.8 Bony Steps of the Medial Maxillectomy -- Removal of the Anterior Wall of the Maxilla -- Identification and Opening of the Lacrimal Canal -- Removal of the Lateral Bony Wall -- 6.9 Management Juvenile Angiofibroma -- 6.10 Reconstruction of the Skull Base: Nasal Septal Flap -- Extension of the Bone Removal of the Medial Maxillectomy to Expose the Central Skull Base -- Anatomy of the Pterygopalatine Fossae -- Exploration of the Lateral Skull Base via Pterygopalatine Fossa -- Exploration of the Pituitary Fossa and Its Surrounding Structures -- 6.11 Reconstruction of Skull Base and Closure -- Lacrimal Stenting -- Nasal Packing -- Suturing -- 6.12 Immediate Post-operative Care -- References -- Suggested Reading -- 7: Lateral Rhinotomy. |
7.1 Foramina of Sphenoid Bone -- 7.2 Soft-Tissue Approaches -- 7.3 Bony Approaches (Fig. 7.2) -- 7.4 Maxillectomy -- 7.5 Medial Maxillectomy Procedure (Fig. 7.3) -- 7.6 Patient Workup -- 7.7 Patient Position and Anaesthesia -- 7.8 Technique for Medial Maxillectomy Approach -- Indications for Use -- Incision Design -- Exposure of Anterior and Superior Walls of the Maxilla -- Separation of Nasal Soft Tissues from Medial Aspect of Maxilla -- 7.9 Mobilisation of Orbital Floor -- 7.10 Medial Maxillectomy Osteotomies -- 7.11 Alternative Method of Reconstruction -- The Septal Mucosal Flap -- Maxillectomy and Orbital Exenteration -- Operative Technique -- Soft-Tissue Approach -- Facial Incision (Fig. 7.16a) -- Oral Incisions (Fig. 7.16b) -- Nasal Incision -- 7.12 Maxillectomy Osteotomies (Fig. 7.18) -- 7.13 Possible Resection of the Inferior Orbital Periosteum -- 7.14 Repair -- 7.15 Immediate Post-operative Rehabilitation -- 7.16 Maxillofacial Technical Help -- 7.17 Orbital Exenteration -- Additional Steps Needed for Orbital Exenteration -- Additional Removal of the Orbital Wall Following Maxillectomy -- References -- Suggested Reading -- 8: Bicoronal Flap, Frontal Craniotomy -- 8.1 Patient Position (Fig. 8.2) -- 8.2 Shaving (Fig. 8.3) -- 8.3 Incision (Fig. 8.4a, b) -- 8.4 Application of Haemostatic Clips (Fig. 8.5) -- 8.5 Raising the Scalp Flap (Fig. 8.6) -- 8.6 Raising the Pericranial Flap (Figs. 8.7 and 8.8) -- 8.7 Anatomical Landmarks (Fig. 8.9) -- 8.8 Exposure of the Superior Orbital Margin (Fig. 8.10) -- 8.9 Glabellar Flap (Fig. 8.11) -- 8.10 |
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Application of Titanium Mini-Plates (Fig. 8.12) -- 8.11 Drill Placement (Fig. 8.13) -- 8.12 Exposure and Removal of Posterior Wall of Frontal Sinus (Fig. 8.14) -- 8.13 Dural Incision and Tumour Exposure (See Figs. 2.11 and 2.12) -- 8.14 Tumour Removal (See Fig. 2.13). |
8.15 Dural Repair (See Figs. 2.15 and 2.16) -- 8.16 Replacement of Bone Flap (See Fig. 2.20) -- 8.17 Unilateral Frontal Flap (Fig. 8.15) -- 8.18 Bifrontal Flap (Fig. 8.16) -- 8.19 Craniotome (Fig. 8.17) -- 8.20 Elevation of Bone Flap (Fig. 8.18) -- 8.21 Retraction of Frontal Lobes and Exposure of Orbital Roofs and Cribriform Plate (Fig. 8.19) -- 8.22 Skin Closure (Fig. 8.20) -- 8.23 Cranioplasty: Planned Replacement of Involved Skull with a Preformed Cranioplasty (Figs. 8.21, 8.22, 8.23, 8.24, and 8.25) -- Suggested Reading. |
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Sommario/riassunto |
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This illustrated book represents a genuinely multi-disciplinary and collaborative approach to the standard procedures in skull base surgery. It emphasizes the basic operative steps of each approach and describes variations from the basic approach. |
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