Advances in Vestibular Schwannoma Microneurosurgery

Description:

This volume describes the most relevant and cutting-edge technological news on the complex surgical procedure of acoustic neuroma. The clinical-radiological diagnosis and surgical indications are briefly presented and the surgical technique is illustrated step-by-step: video clips show the latest means of treating these patients.  All these indications were prepared by highly experienced experts in the field, based on their personal experience. The new technologies discussed concern e.g. the intraoperative identification and position of the facial nerve, hearing preservation, techniques for dural closure, and the usefulness of laser and ultrasound aspirators. The book also discusses a number of ongoing projects, including those on: diluted papaverine for microvascular protection of cranial nerves, flexible endoscope for IAC control of tumor removal, fluid cement for bone closure, administering aspirin to control residual tumors larger than 7mm, and DTI for preoperative prediction of the position of the facial nerve. This is a highly informative presented book providing surgeon interested in acoustic neuroma with necessary information on modern technologies available for improving the results of patients.

Table of Contents:

Part I. General Aspects

1. Introduction: Clinical and Radiological Diagnosis

2. Treatment Options and Surgical Indications

Part II. Illustrated Surgical Technique (Step-by-Step)

3. Patient Positioning

4. Instrumentation for Acoustic Neuroma Microneurosurgery

5. Retrosigmoid Approach

6. Translabyrinthine Approach

7. Video Clips of the Surgical Steps

8. Results in a Personal Series of 160 Cases

Part III. New Technologies

9. Intraoperative Identification and Location of Facial Nerve: Type of Facial Nerve Displacement—How to Use Monopolar Stimulator

10. Hearing Preservation

11. Usefulness of Laser and Ultrasound Aspirator

12. Techniques of Dural Closure for Zero CSF Leak

13. Face-to-Face Two-Surgeons Four-Hands Microsurgery

Part IV. Projects in Progress

14. Diluted Papaverine for Microvascular Protection of Cranial Nerves

15. Flexible Endoscope for IAC Control of Tumor Removal

16. Fluid Cement for Bone Closure

17. Aspirin Administration for Control of Tumor Millimetric Residual

18. DTI for Facial Nerve Preoperative Prediction of Position and Course

19. Vestibular Testing to Predict the Nerve of Origin of Vestibular Schwannomas

20. Microsurgery for Vestibular Schwannomas After Failed Radiation Treatment

Back Matter