Surgery of the Cerebellopontine Angle / / Nicholas C. Bambakidis, Cliff A. Megerian, and Robert F. Spetzler, editors

• Pubblicazione: Cham, Switzerland : , : Springer, , [2022]; ©2022
• Edizione: Second edition.
• Descrizione fisica: 1 online resource (408 pages)
• Disciplina: 616.99481
• Soggetto topico: Cerebellopontile angle - Tumors; Cerebellopontile angle - Endoscopic surgery
• Persona (resp. second.): BambakidisNicholas C.; MegerianCliff A.; SpetzlerRobert F <1944-> (Robert Friedrich)
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Preface -- Contents -- Contributors -- Part I: Foundations for Treatment -- 1: Historical Perspectives -- History of Vestibular Schwannoma Surgery -- Otology and the Operating Microscope -- Modern Surgery in the Cerebellopontine Angle -- Neurovascular Decompression -- Radiosurgery -- Conclusions -- References -- 2: Microsurgical Anatomy of the Cerebellopontine Angle and Its Suboccipital Retromastoid Approaches -- Relationships Between the Cranial Surface and the CPA -- Osseous and Muscular Relationships, Transverse and Sigmoid Sinuses, and External Surgical Landmarks -- Relationships Among CPA Nerves and Brainstem -- CPA Upper Neurovascular Complex -- Middle Neurovascular Complex of the CPA -- Lower Neurovascular Complex of the CPA -- Summary -- References -- 3: Radiology -- Technical Considerations -- Screening Studies -- General Classification of Lesions -- Extraaxial Lesions -- Vascular Lesions -- Extradural Lesions -- Intraaxial Lesions -- Angiography -- Preoperative and Follow-Up Imaging -- Preoperative Imaging of Vestibular Schwannomas -- Follow-Up Assessment After Treatment of Vestibular Schwannomas -- Imaging Pitfalls and Pseudomasses -- References -- 4: Neurology -- Anatomy -- Etiologies -- Clinical Manifestations -- Neurological Examination of the CPA -- Additional Testing -- Brainstem Syndromes -- References -- Part II: Surgical Approaches -- 5: Approaches to the Cerebellopontine Angle -- Introduction -- Retrosigmoid Approach -- Surgical Technique -- Transpetrosal Approaches -- Retrolabyrinthine Approach -- Translabyrinthine Approach -- Transcochlear Approach -- Middle Fossa Approach -- Surgical Technique -- Extended Middle Fossa Approach -- Endoscopic Approach -- Neuromonitoring and Anesthetic Considerations -- Facial Nerve Monitoring -- Vestibulocochlear Nerve Monitoring -- Glossopharyngeal and Vagus Nerve Monitoring. ; Summary -- References -- 6: Combined Surgical Approaches -- General Considerations -- Transpetrosal Approaches -- Combined Open Approaches -- Endoscopic Endonasal Approach to the Petroclival Region -- Endoscopic Endonasal Approach Considerations -- Surgical Decision-Making -- References -- 7: Functional Surgery of the Cerebellopontine Angle -- Vestibular Neurectomy -- Clinical Material and Methods -- Operative Technique for Vestibular Neurectomy -- Outcomes of Vestibular Neurectomy -- Advantages and Disadvantages of Different Approaches for Vestibular Neurectomy -- Neurectomy of the Nervus Intermedius -- Case Report -- Diagnosis of Geniculate Neuralgia -- Functional Anatomy -- Neurectomy of the Glossopharyngeal Nerve -- Natural History and Clinical Manifestations of Glossopharyngeal Neuralgia -- Functional Anatomy -- Differential Diagnosis -- Treatment Options -- Preoperative Preparation -- Patient Positioning -- Operative Technique -- Microvascular Decompression -- Case Report: Microvascular Decompression for Tinnitus -- Authors' Experience: Microvascular Decompression for Trigeminal Neuralgia or Hemifacial Spasm -- Endoscopy as a Surgical Adjunct During Microvascular Decompression -- Auditory Brainstem Implantation -- Translabyrinthine Approach -- Retrosigmoid Approach -- Authors' Clinical Experience -- Highlights of Auditory Brainstem Implantation -- Summary and Conclusions -- References -- 8: Endoscopy in the Cerebellopontine Angle -- Equipment -- Overview of Endoscopic Techniques -- Operative Technique -- Avoiding Complications with the Endoscope -- Specific Applications of the Endoscope in the CPA: Cranial Nerve Decompression -- Trigeminal Neuralgia -- Hemifacial Spasm -- Glossopharyngeal Neuralgia -- Specific Applications of the Endoscope in the CPA: CPA Masses -- Vestibular Schwannoma -- Meningioma -- Epidermoid -- Arachnoid Cysts. ; Conclusion -- References -- Part III: Vestibular Schwannomas -- 9: Biology and Genetics of Vestibular Schwannomas in Tumors of the Cerebellopontine Angle -- Background -- The NF2 Gene -- Structure and Function of the NF2 Protein, Merlin -- NF2 Mutations and Their Clinical Correlation -- Merlin Acts as a Tumor Suppressor -- Molecular Roles of the Merlin Tumor Suppressor and Consequence of Its Loss in Vestibular Schwannomas -- Merlin and CD44-Mediated Contact Inhibition of Cellular Proliferation -- Merlin-Rac1 Mediated Cytoskeletal Interactions -- Merlin Activates the Mammalian Hippo Pathway to Induce Growth Arrest -- Merlin Inhibits the Mammalian Target of Rapamycin Pathway -- Additional Merlin-Mediated Pathways -- Epigenetic Alterations in Vestibular Schwannomas -- Histone Modifications and the Role of Histone Deacetylase Inhibitors -- Vascular Endothelial Growth Factor in VS -- Bench to Bedside: Molecular Targets of VS Therapy -- Summary -- References -- 10: Treatment Options for Acoustic Neuroma, Including Stereotactic Radiosurgery -- Introduction -- Observation -- Stereotactic Radiation and Radiosurgery -- Stereotactic Radiosurgery -- Tumor Control Rates -- Hearing Preservation -- Cranial Nerve Function -- Fractionated Radiotherapy -- Comparing Radiosurgery and Radiotherapy -- Proton Beam Therapy -- Risk of Secondary Malignancy -- Summary -- Microsurgery -- Hearing Results -- Facial Nerve Outcomes -- Cerebrospinal Fluid Leakage -- Patient Reported Quality of Life -- Conclusions -- References -- 11: Translabyrinthine Approach -- Preoperative Evaluation -- Patient Selection -- Surgical Procedure -- Tumor Dissection -- Complications -- Outcomes -- Postoperative Care -- Conclusions -- References -- 12: Hearing Rehabilitation Following Acoustic Neuroma Surgery -- Unilateral Hearing Loss -- Hearing Rehabilitation -- Contralateral Routing of Signal. ; Osseointegrated Hearing Implants -- Auditory Brainstem Implants -- Cochlear Implantation -- References -- 13: Acoustic Neuroma Surgery: Retrosigmoid Techniques -- Pathology and Pathophysiology -- Investigation -- Audiometry -- Classification -- Definition of Success -- Auditory Brainstem Responses -- Otoacoustic Emissions -- Vestibular Testing -- Radiology -- MRI Screening: When to Do It? -- Imaging Characteristics -- Complications -- Operative Techniques -- Retrosigmoid Approach -- Patient Position and Monitoring -- Incision -- Soft Tissue Dissection -- Craniotomy -- Dural Opening -- Retraction -- Identification of Nerves at Brainstem -- Removal of CPA Tumor -- Opening the Posterior Wall of the IAC -- Removal of Intracanalicular Tumor -- Closure -- Microsurgical Dissection -- Intraoperative Monitoring -- Hearing Results -- Which Approach? -- Follow-Up and Long-Term Outcomes -- Imaging -- Hearing -- Long-Term Risk of Recurrence -- References -- 14: Acoustic Neuroma Surgery: Middle Fossa Approach -- Introduction -- Surgical Candidacy -- Surgical Technique -- Preoperative Preparation -- Surgical Technique -- Postoperative Care -- Complications and Outcomes -- Conclusion -- References -- 15: Complications and Cranial Nerve Rehabilitation -- Cerebrospinal Fluid Leak and Meningitis -- Vascular Complications -- Venous Sinus Thrombosis -- Cranial Nerve Dysfunction -- Vestibular Dysfunction -- Facial Nerve -- Delayed Facial Paralysis -- Facial Paralysis and Eye Complications -- Lower Cranial Nerves -- Headache -- Conclusion -- References -- 16: Facial Reanimation -- Anatomy of Facial Nerve -- Nerve Injury Classification -- First-Degree Injury -- Second-Degree Injury -- Third-Degree Injury -- Fourth-Degree Injury -- Fifth-Degree Injury -- Nerve Repair and Nerve Grafting -- Nerve Grafting -- Facial Reanimation -- Nerve Substitution Techniques. ; Hypoglossal-Facial Transfer (Cranial Nerve XII-VII Crossover) -- Surgical Technique -- Trigeminal-to-Facial Nerve Transfer -- Surgical Technique -- Cranial Nerve VII-VII Cross-Facial Grafting -- Surgical Technique -- Regional Muscle Transfer Techniques -- Temporalis Muscle Transfer -- Surgical Technique -- Other Regional Muscle Transfers -- Free-Muscle Transfer -- Surgical Technique -- Static and Adjunctive Facial Reanimation -- Summary -- References -- 17: Hearing and Surgical Considerations in Neurofibromatosis Type 2 -- Diagnosis -- Genetics -- Vestibular Schwannomas -- Schwannomas Involving Other Cranial Nerves -- Meningiomas -- Collision Tumors -- Ependymomas -- Ocular Findings -- Surgical Management of Vestibular Schwannomas and Hearing Rehabilitation in NF2 -- Observation Without Surgical Intervention -- Middle Fossa Craniotomy with Decompression of the IAC -- Hearing Preservation Surgery with Total Tumor Removal -- Retrosigmoid Craniotomy with Partial Tumor Removal -- Nonhearing Preservation Surgery with Total Tumor Removal -- Hearing Rehabilitation Via an ABI or CI -- Radiation Therapy for NF2 -- Surgical Management of Other Tumors in NF2 -- Medical Management of NF2 -- Conclusion -- References -- 18: Prevention and Management of CSF Leakage Postoperatively -- Introduction -- Overall Rates -- Preoperative Issues -- Translabyrinthine Approach -- Retrosigmoid Approaches -- Middle Fossa Approach -- Other Approaches -- Management Options -- Recalcitrant Cases -- Conclusion -- References -- Part IV: Nonschwannomatous Lesions of the CPA -- 19: Temporal Bone Neoplasms -- Differential Diagnosis -- Temporal Bone Paragangliomas -- Pathology -- Clinical Manifestations -- Classification Schemes -- Operative Management -- Radiotherapy -- Endolymphatic Sac Tumors -- Pathology -- ELST and VHL -- Clinical Manifestations -- Diagnosis -- Treatment. ; Hemangiomas of the Geniculate Ganglion and Internal Auditory Canal.
• Titolo autorizzato: Surgery of the Cerebellopontine Angle
• ISBN: 3-031-12507-X
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910637729803321
• Lo trovi qui: Univ. Federico II