By Mario Sanna, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, Maurizio Falcioni, Giuseppe Di Trapani, Essam A. Saleh
"Authored via pioneers within the box, the Atlas of Acoustic Neurinoma Microsurgery--now in an absolutely up-to-date moment edition--provides step by step descriptions of many of the surgical ways complemented through basically classified, full-color intraoperative photos. quite a few circumstances derived from the specialist authors' personal adventure accompany every one description to illustrate the medical software of many of the techniques in addition to to provide sensible examples of what to do whilst confronted with surgical problems. Concise, tightly centred chapters disguise every little thing from surgical anatomy and working room setup to special motives of the way to accomplish the whole variety of surgeries, together with the enlarged translabyrinthine strategy with transapical extension (introduced by way of Gruppo Otologico), the enlarged center cranial fossa procedure, the transotic method, the changed transcochlear process, and lots more and plenty extra. gains - New chapters at the basic positive aspects of acoustic neurinomas; practical surgical procedure and intraoperative tracking of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and remedies for sufferers with neurofibromatosis sort 2 - In-depth details on key facets of sufferer care, resembling sufferer choice, preoperative care, and postoperative follow-up - Over one thousand top quality images--including greater than 900 full-color intraoperative photographs-- accurately demonstrate every one step of the several methods - a number of instances in every one bankruptcy organize the reader for scientific events Reflecting the newest developments in acoustic neurinoma microsurgery, this visible consultant might help enhance the surgical abilities of each otolaryngologist and neurosurgeon who plays this soft and complex kind of surgery"--Provided through publisher. Read more...
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Additional info for Atlas of Acoustic Neurinoma Microsurgery: . Zus.-Arb.: Mario Sanna Essam Saleh, Benedict Panizza, Alexandra Russo, Abdel TaibahWith the collaboration of Refik Caylan, Fernando Mancini
C a b Fig. 24 Lower cranial nerve schwannoma. a Missing invasion of the IAC. b Lower cranial nerve schwannoma inside the jugular foramen. 20 2 Fig. 25 Imaging Study of Acoustic Neurinomas Lipoma of the CPA in a nonenhanced T1 sequence. a b Fig. 26 Facial nerve schwannomas. a Localization entirely within CPA and IAC with involvement of the labyrinthine portion and the geniculate ganglion. b Enlargement of the labyrinthine portion of the fallopian canal. Fig. 27 Arachnoid cyst. Fig. 28 Epidermoid (with contrast enhancement).
The cerebellopontine fissure is of an angular V shape formed by the cerebellum and the lateral part of the pons (middle cerebellar peduncle) and its apex indicates posteriorly. It has a superior limb that is directed upward and forward from the apex and an inferior limb directed inferiorly and forward. The space between these two limbs is referred to as the cerebellopontine angle. The middle cerebellar peduncle courses in the space between the two limbs. 42 5 Surgery in the Cerebellopontine Angle: General Concepts Fig.
B The side-holes at the tip are clearly visible. Drills ● We use the System ORL-E-922 (Bien Air, Bienne, Switzerland, Figs. 17) for the initial bone work. This system includes a multifunctional control unit in the form of a foot-pedal. A forward/reverse switch determines the direction of burr rotation. The Bauch motor is self-cooling and autoclavable. Both straight and angled handpieces are used. Fig. 16 Different drills used during surgery are shown together with the rack for burr ends. I Bien Air; II Anspach drill; III Midas Rex drill.