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Author: Moncef Berhouma
Publisher: Nova Science Publishers
ISBN: 9781628085679
Category : Computer-assisted surgery
Languages : en
Pages : 0
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Book Description
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 1980s 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.
Author: Moncef Berhouma
Publisher: Nova Science Publishers
ISBN: 9781628085679
Category : Computer-assisted surgery
Languages : en
Pages : 0
Get Book Here
Book Description
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 1980s 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.
Author: Amin B. Kassam
Publisher: Karger Medical and Scientific Publishers
ISBN: 3805592108
Category : Medical
Languages : en
Pages : 246
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Book Description
Reviews the role of endoscopic endonasal techniques During the last decade the endoscopic endonasal approach (EEA) to the skull base has become a very powerful method to add to the array of neurosurgical technologies. This volume provides a broad overview of the role of transnasal approaches in a wide spectrum of skull base diseases. It starts with a historical perspective of the evolution from the microscope to the endoscope in endonasal surgery and then explores in depth the principles and techniques of the various methods. Discussed are topics based on anatomical boundaries: pituitary fossa to the suprasellar space to the cavernous sinus, clivus and the anterior cranial fossa. Access to the infratemporal and posterior fossae via both the endoscopic endonasal and the retrosigmoid approaches are reviewed. In addition, the critical topic of reconstruction following 'minimally invasive' skull base surgery and finally the learning curve and complications associated with the applications of these new and exciting approaches are discussed. This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique.
Author: Carl Snyderman
Publisher: Lippincott Williams & Wilkins
ISBN: 1469888637
Category : Medical
Languages : en
Pages : 1054
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Book Description
This new volume in the MTOS - Head and Neck Surgery Series edited by Eugene Myers, MD presents both the common and advanced procedures in skull base surgery and appeals to both the specialist and the generalist. It covers over 45 procedures and describes both open and minimally invasive approaches to the skull base. Key Features: Authors are world renowned experts in the field Comprehensive coverage of open and minimally invasive techniques Edited by pioneers and leaders in the development of the endoscopic endonasal approach Each chapter follows a tightly designed format with a focus on “how to do it” Includes step-by-step instructions for each procedure Each technique is extensively supplemented with over 1500 color intraoperative photographs and line drawings
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Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Author: Marios Stavrakas
Publisher: Springer Nature
ISBN: 3030668657
Category : Medical
Languages : en
Pages : 382
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Book Description
This book offers a selection of pertinent patient case-presentations in the field of rhinology, anterior skull base and facial plastics surgery. It further explores the evidence-based management of simple to complex clinical presentations. Each chapter start with the diagnosis and progresses from medical or surgical treatment to the post-operative follow up of the presented clinical condition. The various case reports are concise; however, sufficiently comprehensive and cover conditions from emergencies in adult and paediatric rhinology, to elective care, sino-nasal and anterior skull base neoplasms systemic diseases affecting the nose and paranasal sinuses, and underpinned by illustrations, imaging, and intra-operative photographs to emphasize the clinical approach. Rhinology and Anterior Skull Base Surgery - A Case-based Approach is a highly informative and carefully presented book, providing insights for exam candidates, trainees, general practitioners, rhinologists and otolaryngologists with an interest in anterior skull base, facial plastics and rhinology.
Author: Paul A. Gardner
Publisher: Thieme
ISBN: 1638536465
Category : Medical
Languages : en
Pages : 569
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Book Description
The essential multidisciplinary guide for the prevention and management of vascular injury from master skull base surgeons Vascular injury is the most significant source of morbidity or mortality during skull base surgery, regardless of the surgical approach. While skull base approaches always placed arteries and veins at risk, newer endoscopic endonasal approaches have introduced new challenges for the prevention and management of vascular injury. Greater anatomic knowledge, additional surgical options, improved instrumentation, advances in interventional neuroradiology, and enhanced training all contribute to successful outcomes. Vascular Challenges in Skull Base Surgery by renowned skull base experts Paul Gardner, Carl Snyderman, Brian Jankowitz, and distinguished contributors, fills a gap in the literature, with invaluable guidance on managing rare but potentially catastrophic surgical complications. The full range of surgical approaches to the anterior, middle, and posterior cranial fossae are covered in 22 chapters. Diverse topics encompass open and endoscopic endonasal surgical approaches, endovascular techniques including balloon test occlusion and embolization, and standard and alternative bypass procedures. The last three chapters discuss venous considerations, neurophysiologic monitoring, and the role of training and simulation in vascular injury prevention. Key learning points, illustrated discussion of relevant anatomy, and tips and tricks are targeted at helping skull base surgeons leverage practical strategies to improve patient outcomes. Key Highlights An impressive group of expert, highly-experienced surgeons share firsthand knowledge Insightful analyses of root causes and clinical pearls provide indispensable prevention tactics High-quality images and videos enhance visual understanding of surgical anatomy and techniques Trainees and practicing skull base surgeons will greatly benefit from the collective knowledge and evidence-based injury avoidance strategies shared by authors who have learned to master the art of skull base surgery.
Author: Hrayr K. Shahinian
Publisher: Springer Science & Business Media
ISBN: 1597453404
Category : Medical
Languages : en
Pages : 197
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Book Description
To date, more than three thousand brain and skull base tumors, along with various vascular problems, have been treated by using advanced, fully endoscopic, minimally invasive surgical techniques. In this book, Dr. Hrayr K. Shahinian, director of the Skull Base Institute, compiles these techniques. The book is highly specific and amply illustrated. The step-by-step operating room procedures provide a definitive guide to the difficult yet essential art of skull base surgery.
Author: Spyros Sgouros
Publisher: Springer Science & Business Media
ISBN: 3642390854
Category : Medical
Languages : en
Pages : 232
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Book Description
As a result of technological improvements, neuroendoscopy is now used in the treatment of many more patients, enabling the performance of previously unavailable operations with low complication rates and rapid patient recovery. This book presents the distilled experience of world experts in this evolving field. Current applications in a wide variety of settings are explained in detail and likely future developments are identified. In addition, the available neuroendoscopic instruments are reviewed and the results of international trials and collaborative studies, presented. This book will fully acquaint the reader with the breadth and depth of available neuroendoscopy techniques and their impressive therapeutic potential. It should serve as the reference book on neuroendoscopy for the next 10 years.
Author: Alfredo Quiñones-Hinojosa
Publisher: Univ of California Press
ISBN: 0520949609
Category : Social Science
Languages : en
Pages : 328
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Book Description
Today he is known as Dr. Q, an internationally renowned neurosurgeon and neuroscientist who leads cutting-edge research to cure brain cancer. But not too long ago, he was Freddy, a nineteen-year-old undocumented migrant worker toiling in the tomato fields of central California. In this gripping memoir, Alfredo Quiñones-Hinojosa tells his amazing life story—from his impoverished childhood in the tiny village of Palaco, Mexico, to his harrowing border crossing and his transformation from illegal immigrant to American citizen and gifted student at the University of California at Berkeley and at Harvard Medical School. Packed with adventure and adversity—including a few terrifying brushes with death—Becoming Dr. Q is a testament to persistence, hard work, the power of hope and imagination, and the pursuit of excellence. It’s also a story about the importance of family, of mentors, and of giving people a chance.
Author: Jaime Torres-Corzo
Publisher: Thieme
ISBN: 1626231621
Category : Medical
Languages : en
Pages : 420
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Book Description
Neuroendoscopy: State-of-the-art, global subspecialty encompassed in multimedia volume Honorable mention from the 2017 PROSE Awards HONORABLE MENTION for Textbook/Clinical Medicine! The development and refinement of neuroendoscopy has been driven by the persistent desire of neurosurgeons to advance the field and offer less invasive, more efficacious options to patients. This remarkable multimedia book reflects the technological advances achieved in the last two decades in fiber optics, cold light, cameras, and endoscopic instrumentation. Written by an impressive Who's Who of international neurosurgeons, the outstanding text and videos reflect global contributions to neuroendoscopy. Current indications for intracranial and intraventricular endoscopy are described in depth, through detailed chapters, stellar videos, professional animations, and exquisite illustrations. The authors share their clinical expertise on procedures ranging from endoscopic third ventriculostomy to transventricular approach of the fourth ventricle. Cover to cover, this book details the differences, alternatives, advantages, and limitations of the flexible neuroendoscope. This hands-on learning tool will enable neurosurgeons to perform endoscopy of the ventricles and basal cisterns for exploratory purposes and conditions such as hydrocephalus, congenital aqueductal stenosis, tumors, hypothalamic hamartoma, arachnoid cysts, and neurocysticercosis. Additional topics include endoscopic-assisted microvascular decompression and aneurysm surgery, fluorescence, complications, anesthesia, utilization in developing countries, and future trends. Key Features: Comprehensive multimedia reference with online access to 70 superb videos and animations More than 300 meticulously drawn illustrations Beautifully illustrated anatomical chapters that facilitate in-depth understanding of endoscopic anatomy An entire chapter devoted to flexible neuroendoscopy Indications, preoperative preparation, procedure description, intraoperative complications and their management ("risk and rescue: techniques), expert pearls, postoperative management, and outcomes This volume is a must-have resource for neurosurgery and neurology residents, neurosurgeons, pediatric neurosurgeons, and all physicians involved in the care of patients with intracranial and intraventricular disease.
