Atlas of Microsurgery of the Lateral Skull Base

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Mario Sanna
1701 g
309x223x34 mm

Mario Sanna
In this completely revised and enlarged new edition, Professor Sanna and his team provide systematic demonstrations of the major lateral skull base approaches, drawing from 20 years of experience of the eminent Gruppo Otologico located in Piacenza, Italy.

Key features:

Introductory chapters on the general principles, instrumentation, and special considerations that characterize this type of surgery

Discussion of the radiology of skull base lesions as it relates to surgery, with particular emphasis on findings that can influence the choice of surgical approach, alter the course of surgery, or affect the prognosis

Actual demonstrations of the anatomy seen during the different surgical approache -- standard anatomy textbooks fail to address this issue

For each approach, step-by-step descriptions of the surgical technique and numerous clinical cases representing the most commonly encountered lesions so that the reader receives a comprehensive understanding of how to perform the approach and what to expect during surgery

Pearls and Pitfalls at the end of most chapters gathered from the vast number of cases managed throughout the years by the authors and included to help others avoid mistakes

Over 1300 superb and instructive illustrations consisting of photographs of live surgery and cadaver dissections, radiologic images, and drawings

This essential text also covers other must-know, highly advanced topics, including:

Combined approaches providing the necessary route to manage certain extensive skull base tumors that represent particular challenges

Management strategies for different skull base lesions (e.g., surgical vs. nonsurgical management, the different factors that determine the choice of the surgical approach, cases that are managed conservatively or with radiosurgery)

Management of the internal carotid artery in skull base surgery, including the new technique of using stents to facilitate tumor dissection from the internal carotid artery

This outstanding surgical atlas is invaluable for any surgeon who seeks not only to master the different surgical approaches but also to grasp the real essence of skull base surgery.

Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website,
This atlas presents the different approaches to the temporal bone and lateral skull base in a step-by-step manner, enhanced by high quality color photographs.The most commonly practiced and the most up-to-date approaches to the lateral skull base are discussed. The book's value lies in the didactic, simple, yet comprehensive presentation of the complex procedures. The illustrations and photographs provide the surgeon with a three-dimensional understanding of this difficult area.
1. Operating Room Setup 2. Special Considerations in Skull Base Surgery 3. Radiology of the Lateral Skull Base 4. Introduction to Lateral Skull Base Surgery 4.1 Classification of Lateral Skull Base Approaches 4.2 Surgical Anatomy 5. The Translabyrinthine Approaches 5.1 The Enlarged Translabyrinthine Approach 5.2 The Enlarged Translabyrinthine Approach with Transapical Extension 5.3 Brain Stem Implantation 6. The Transcochlear Approaches 6.1 The Transotic Approach 6.2 The Modified Transchochlear Approache, Types A-D 7. The Middle Fossa Approaches 8. Approaches to the Jugular Foramen 8.1 Type A Infratemporal Fossa Approach 8.2 Type B Petro-occipital Transsigmoid Approach 9. Approaches to the Infratemporal Fossa 9.1 Type B Infratemporal Fossa Approach 9.2 Type C Infratemporal Fossa Approach 9.3 The Group of Preauricular Transzygometic Approaches 9.3.1 Type D Infratemporal Fossa Approach 9.3.2 Preauricular Infratemporal Transzygometic Approach 9.3.3 Preauricular Frontotemporal Orbitozygometic Approach 10. The Retrosigmoid Retrolabyrinthine Approach 11. The Extreme Lateral Approach 12. Combined Approaches 13. Decision-making in Skull Base Surgery 14. General Principles of Embolization in Skull Base Tumors 15. Management of the Internal Carotid Artery in Skull Base Surgery

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