Atlas of 360 Degree Skull Base Surgery

Skull base surgery has evolved over the last decade into a symbiotic combination of cutting-edge technology and surgical skills. From the ORL perspective, skull base is usually performed by three separate teams, namely, rhinologist who performs the endoscopic transnasal skull base surgery, neurotologist who performs posterolateral skull base, and head and neck surgeon who performs the open skull base approaches. These traditional division, although still very much applicable in most countries, is now being challenged by some group of surgeons who perform the entire skull base surgery.

The editors of this surgical atlas belong to this group who performs the entire range of skull base as the surgical skills and instruments are interchangeable. Current fellowship includes exposure to the entire range of skull base, thus pioneering a younger generation of skull base surgeons who inherit the same versatility and technical capability of performing the entire range of skull base surgery. Many colleagues around the globe practice a single corridor of approaches. However, we believe in practicing 360-degree skull base, thus the need for this unique atlas that encompasses the entire skull base. 

Key Features:

• Step-by-step description of procedures with detailed photographs
• More than 2,000 high-definition photographs to enhance the understanding of the text
• Detailed description of tips, tricks, and pitfalls to be avoided is covered in the atlas.
• Complications and their management, reconstruction of skull base defects, and rehabilitation chapters
• Comprehensive overview of pituitary tumors, craniopharyngioma, meningioma, craniovertebral junction pathologies, and chordoma

Table of Contents:

Cover

Title Page

Dedication

Contents

Foreword

Preface

About the Authors

Contributors

Abbreviations

Section I: Pituitary Gland Tumors

1. Pathologies of the Sellar Region

2. Endoscopic Transnasal Approach for Pituitary Tumors

3. Endoscopic Endonasal Surgeries for Pituitary Macroadenoma

4. Endoscopic Endonasal Revision Surgery for Pituitary Adenoma

5. Endoscopic Endonasal Surgery for Functioning Pituitary Adenoma

6. Endoscopic Endonasal Surgery for Cystic Lesions of the Sella

Section II: Supra-sellar Region

7. Craniopharyngioma

8. Endoscopic Endonasal Transsphenoidal Transplanum Transtuberculum Approach

9. Endoscopic Endonasal Surgeries for Craniopharyngioma

10. Microsurgical Approach for Suprasellar Lesions

11. Sellar, Parasellar, and Suprasellar Meningioma

12. Tailored Endonasal Endoscopic Approaches for Meningioma Involving the Planum Sphenoidale and Tuberculum Sellae

13. Pterional Craniotomy and Resection of Tuberculum Sellae Meningioma

Section III: Transcribriform Approach

14. Endoscopic Resection of Sinonasal Tumors with Endonasal Craniectomy

Section IV: Clival Region

15. Skull Base Chordoma

16. Transclival Approach to the Skull Base and Posterior Fossa

17. Endoscopic Endonasal Surgeries for Clival Chordomas

Section V: Craniocervical Junction

18. Pathologies of the Craniocervical Junction

19. Endonasal Endoscopic Surgeries of the Craniocervical Junction

Section VI: Orbital Region

20. Approach to Orbital Lesions: Intraconal and Extraconal

21. Endonasal Endoscopic Surgeries of the Orbit

Section VII: Orbital Apex and Optic Nerve

22. Pathologies of the Orbital Apex and Optic Nerve

23. Endonasal Endoscopic Surgeries of the Orbit Apex and Optic Nerve

Section VIII: Infratemporal Fossa and Parapharyngeal Space

24. Endoscopic Transpterygoid Approaches to the Coronal Plane

25. Endonasal Endoscopic Surgeries of Lesions Occupying the Infratemporal Fossa and the Parapharyngeal Space

26. Management of Juvenile Nasopharyngeal Angiofibroma

Section IX: Petrous Region

27. Pathologies of the Petrous Apex

28. Endonasal Endoscopic Surgeries for Petrous Apex Lesions

29. Endoscopic Petroclival Approach

Section X: Meckel’s Cave

30. Meckel’s Cave Lesions

31. Endonasal Endoscopic Surgeries at Meckel’s Cave

32. Trigeminal Schwannomas

Section XI: Cerebrospinal Fluid Rhinorrhea

33. Endoscopic Management of Cerebrospinal Fluid Rhinorrhea

34. Endonasal Endoscopic Surgeries for Cerebrospinal Fluid Leakage

35. Open Surgical Management of Encephaloceles

Section XII: Reconstruction in Endoscopic Skull Base

36. Principles and Techniques of Reconstruction in Skull Base Defects

Section XIII: Cavernous Sinus

37. Transcavernous and Anterior Transpetrous Approaches

38. Cavernous Sinus Surgery

Section XIV: Sinonasal Tumors

39. Sinonasal Tumors

40. Endonasal Endoscopic Management of Sinonasal Tumors

Section XV: Skullbase Fibro-osseous Pathologies

41. Skull Base Fibro-osseous Pathologies

42. Endoscopic Management of Skull Base Fibro-osseous Pathologies

43. Combined Open and Endonasal Endoscopic Management of Skullbase Fibro-osseous Pathologies

Section XVI: Complications

44. Complications in Endoscopic Skull Base Surgery

Section XVII: Basics in Otology

45. Cortical Mastoidectomy

46. Posterior Tympanotomy and Extended Posterior Tympanotomy

47. Facial Nerve Anatomy and Relationships

Section XVIII: Translabyrinthine Approach

48. The Enlarged Translabyrinthine Approach

49. Translabyrinthine Approach for the Resection of a Large Vestibular Schwannoma

Section XIX: Approaches Through the Otic Capsule

50. Modified Transcochlear Approach Type A

51. Transotic Approach

52. Modified Transcochlear Approach Type B

53. Modified Transcochlear Approach Type C

Section XX: Retrolabyrinthine Approach

54. Petrous Apex Cholesterol Granuloma Excision—Transmastoid Retrolabyrinthine Approach

Section XXI: Presigmoid Approach

55. Presigmoid Retrolabyrinthine Approach

Section XXII: Management of Glomus Tumors/Approaches to Jugular Foramen

56. Glomus Tympanicum Tumors

57. Management of Class B1 and B2 Temporal Bone Paragangliomas (Glomus Tumors)

58. Management of Class B3 Temporal Bone Paragangliomas (Glomus Tumors)

59. Management of Type C Glomus Tumors: Infratemporal Fossa Type A Approach for Glomus Jugulare Tumors

60. Petro-Occipital Transsigmoid Approach

Section XXIII: Approach to Foramen Magnum Tumors

61. Far and Extreme Lateral Transcondylar Approach to the Foramen Magnum

Section XXIV: Surgeries for Vertigo

62. Endolymphatic Sac Decompression

63. Transmastoid Labyrinthectomy

64. Vestibular Neurotomy by Retrosigmoid Approach

Section XXV: Microvascular Decompression

65. Endoscope-Assisted Retrosigmoid Approach in Neurovascular Decompression

Section XXVI: Retrosigmoid Approach

66. Retrosigmoid Approach

67. Retrosigmoid Craniotomy with Stereotactic Supratentorial Cerebrospinal Fluid Diversion

Section XXVII: Middle Cranial Fossa

68. Middle Cranial Fossa Approach

69. Extended Middle Cranial Fossa Approach

Section XXVIII: Otogenic Infections and Tumors

70. Single-Stage Transmastoid Drainage of Otogenic Intracranial Abscess

71. Subtotal Petrosectomy for Cochlear Implantation

72. Lateral Temporal Bone Resection

73. Facial Neuroma

Section XXIX: Rehabilitative Surgery

74. Hearing Restoration in Skull Base Surgery

75. Reanimation of the Paralyzed Face

76. Rehabilitation of Lower Cranial Palsies after Skull Base Surgeries

Index