Controversies in Skull Base Surgery

Description:

State-of-the-art approaches and insightful discussions on challenging topics in skull base surgery

Advances in endoscopic, microsurgical, radiosurgical, and pharmacotherapeutic strategies have revolutionized the treatment of skull base pathologies. Controversies in Skull Base Surgery, edited by Andrew Little and Michael Mooney and authored by esteemed multidisciplinary contributors, focuses on management strategies and treatment options for a wide range of tumors affecting the skull base, while addressing the most urgent and challenging questions facing skull base surgeons today.

Throughout nine sections and 46 chapters, experts describe the treatment of neoplasms such as vestibular schwannoma, meningioma, pituitary adenoma, craniopharyngioma, chordoma, cranial nerve schwannoma, sinonasal malignancies, and others. In many chapters, authors provide instructional case studies and suggestions for future studies to help clarify areas of controversy. This textbook is unique in that it tackles problems typically minimized or ignored by other texts that impact a patient's quality of life and recovery.

Key Highlights

Reader-friendly tables feature concise summaries, author pearls, and levels of available evidence

Pearls and insights on hotly debated issues such as the role of radiosurgery, surgery vs. medical management, radical resection vs. subtotal resection, and proton-beam vs. photon therapy for various pathologic conditions

Controversies not frequently discussed in depth, including the use of lumbar drains, postoperative antibiotics, and cerebral revascularization in skull base surgery; multidisciplinary collaboration in endoscopic endonasal surgery; skull base reconstruction techniques; and the future of robotics in skull base surgery

This stellar resource will benefit all residents and advanced practice providers who evaluate and treat patients with skull base pathologies, including neurosurgeons, otolaryngologists, and radiation and medical oncologists.

Table of Contents:

Part I Vestibular Schwannoma

1 Controversies in the Natural History of Acoustic Neuromas

2 Controversies in Radiosurgery for Acoustic Neuromas: Single-Session Therapy versus Hypofractionated Therapy

3 Management of Residual Vestibular Schwannoma After Subtotal Resection: Observation, Repeat Surgery, or Radiosurgery?

4 Treatment Strategies for Small Intracanalicular Vestibular Schwannomas in Young Patients with Good Hearing

Part II Meningioma

5 Transcranial Approaches Are Preferred for Certain Tuberculum and Olfactory Groove Meningiomas

6 Endoscopic Endonasal Surgery Is the Best Treatment for Certain Anterior Fossa Skull Base Meningiomas

7 Controversies in the Management of Petroclival Meningiomas

8 Does Embolization Have a Role to Play in the Treatment of Skull Base Meningiomas?

9 The Role of Radiotherapy for Atypical and Anaplastic Meningiomas

10 Emerging Chemotherapy and Targeted Therapy for Aggressive Meningiomas

Part III Pituitary Adenoma

11 The Role of Transsphenoidal Surgery Following Nondiagnostic Inferior Petrosal Sinus Sampling in Cushing Syndrome

12 Pharmacotherapy Options After Failed Surgery for Cushing Disease

13 Primary Medical Therapy for Acromegaly, Ready for Prime Time?

14 The Role of Radiosurgery for Pituitary Adenomas

15 Exploration of the Cavernous Sinus Is Effective During Transsphenoidal Surgery for Pituitary Adenoma

16 Surgery versus Medical Management: First-Line Treatment for Pituitary Apoplexy

17 Alternative Treatment Strategies for Atypical and Aggressive Pituitary Adenomas

Part IV Craniopharyngioma

18 Controversies in Radical Resection versus Subtotal Resection with Radiation in Craniopharyngioma

19 The Role of Open and Endoscopic Approaches to Craniopharyngiomas

20 The Molecular Pathogenesis of Craniopharyngioma and Potential Therapeutic Targets

Part V Rathke Cleft Cyst and Other Sellar Lesions

21 Resection versus Cyst Fenestration: The Best Treatment for Rathke Cleft Cysts

22 Headache in Patients with Rathke Cleft Cysts

23 Rathke Cleft Cyst Surgery: Indications, Outcomes, and Complications

24 Controversies in the Management of Histiocytosis and Xanthogranulomas

Part VI Other Cranial Tumors

25 Surgical Approach Selection for Skull Base Chordoma

26 Chordoma Genetics and Tumor Phenotype Profiles

27 Surgery versus Radiation versus Observation: What Treatment Is Best for Skull Base Paraganglioma?

28 Management of Chondrosarcoma of the Cranial Base

29 Natural History and Treatment Strategies for Posterior Fossa Epidermoids

Part VII Cranial Nerve Schwannoma

30 Indications for and Outcomes of Radiosurgery in Trigeminal and Jugular Foramen Schwannomas

31 Challenges of Applying Endoscopic Techniques for Cranial Nerve Schwannomas

32 Management of Cranial Nerve III, IV, and VI Schwannomas

33 Treatment of Facial Pain in Patients with Trigeminal Schwannoma

Part VIII Sinonasal Malignancies

34 Induction Therapy for Esthesioneuroblastoma

35 Surgical Approach for Esthesioneuroblastoma: Controversy in Approach Selection

36 What Is the Role of Surgery for Adenoid Cystic Carcinoma?

37 Proton versus Photon Therapy for Sinonasal Malignancies: Pros and Cons of Each Method

Part IX Surgical Approaches and Techniques

38 Controversies in Skull Base Reconstruction Techniques

39 The Role of Lumbar Drains in Skull Base Surgery

40 The Role of Postoperative Antibiotics in Endoscopic Endonasal Surgery

41 Does Otorhinolaryngology Collaboration Improve Outcomes in Endonasal Skull Base Surgery?

42 Controversies in Outcome Measures of Skull Base Surgery

43 To Bypass or Not? The Role of Revascularization in Skull Base Surgery

44 Transcranial versus Endoscopic Repair of Lateral Sphenoid Recess Encephaloceles

45 Cranioplasty Techniques

46 The Future of Robotics in Skull Base Surgery

Index

Additional MedOne Information