Record Nr.

UNINA9910510562703321

Autore

Cheesman Anthony

Titolo

Skull Base Surgery

Pubbl/distr/stampa


Berlin, Heidelberg : , : Springer Berlin / Heidelberg, , 2021
©2022

ISBN

9783540742593

9783540742579

Descrizione fisica

1 online resource (98 pages)

Collana

Springer Surgery Atlas Ser.

Altri autori (Persone)

AlusiGhassan

SabinH. Ian

Disciplina

617.514

Soggetti

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

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

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

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.

Sommario/riassunto

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.

Record Nr.

UNISALENTO991002850699707536

Autore

Garlan, Yvon

Titolo

Recherches de poliorcétique grecque / Yvon Garlan ; dessins et relèves de Jean-Pierre Adam

Pubbl/distr/stampa


Athenes : École française d'Athènes, 1974

Descrizione fisica

XII, 423 p. ; 28 cm

Collana

Bibliothèque des écoles françaises d'Athènes et de Rome ; 223

Altri autori (Persone)

Adam, Jean Pierre