By Mario Sanna, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, Maurizio Falcioni, Giuseppe Di Trapani, Essam A. Saleh
"Authored through 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 methods complemented by way of basically categorised, full-color intraoperative images. quite a few situations derived from the professional authors' personal adventure accompany every one description to illustrate the medical software of some of the techniques in addition to to supply sensible examples of what to do whilst confronted with surgical issues. Concise, tightly targeted chapters conceal every thing from surgical anatomy and working room setup to precise causes of ways to accomplish the entire variety of surgeries, together with the enlarged translabyrinthine strategy with transapical extension (introduced by way of Gruppo Otologico), the enlarged heart cranial fossa technique, the transotic procedure, the changed transcochlear process, and masses extra. good points - New chapters at the normal 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 treatment plans for sufferers with neurofibromatosis kind 2 - In-depth info on key points of sufferer care, resembling sufferer choice, preoperative care, and postoperative follow-up - Over one thousand fine quality images--including greater than 900 full-color intraoperative photographs-- accurately show each one step of the various tactics - a number of situations in each one bankruptcy organize the reader for medical events Reflecting the most recent developments in acoustic neurinoma microsurgery, this visible consultant can assist increase the surgical abilities of each otolaryngologist and neurosurgeon who plays this gentle and complex kind of surgery"--Provided by way of publisher. Read more...
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Extra resources 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
7 In this case, we encountered bradycardia during manipulation on the brainstem and had to leave some tumor behind. a Preoperative gadoliniumenhanced MRI. b Postoperative MRI. c The residual tumor seems to be smaller 7 years later. c b a Fig. 8 a Postoperative MRI after the first stage. In this case we were forced to leave the tumor because we could obtain only too narrow a surgical access to remove the tumor due to an extremely protruding jugular bulb (arrow). Note the relation to the internal auditory canal (arrow head).
9 Surgeon’s position. a Correct position. b Wrong position. Surgeon’s Position Scrub Nurse’s Position The surgeon should sit comfortably on a chair with a draped backrest (Fig. 9a). The chair should have wheels to allow free movement. Most instruments are held like a pen. During fine manipulations, the surgeon’s hand should be supported on the bed. This enables the surgeon to manipulate precisely without tremor. It also lessens the tension on the arms and thereby decreases surgeon’s fatigue (Fig.
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). Differential Diagnosis a 21 b c Fig.