Become familiar with the key anatomic "corridors" in the skull base, the sinonasal tract, and adjacent areas to guide and greatly expand your endoscopic surgical competence. Highlighting the most recent experience from seven top leaders and innovators in the field, this seminal new work presents detailed topographic anatomy of the skull base and adjacent areas in a way not previously seen before. The result is a multidisciplinary atlas merging anatomy, otolaryngology, neurosurgery, and radiology, so as to facilitate creation of a mental "virtual reconstruction" of the complete approach and operative situs. The result is a greatly extended range of surgical possibilities into previously uncharted territory using endoscopic technology. Key Features: Provides the basis for cultivating a firm and confident understanding of the 3D anatomy of this intricately complex region Emphasizes the ability of the endoscopic surgeon to integrate CT and MRI findings into the surgical planning process A logical and modular organization of the contents intends to make for easy correlation with the surgical literature Brilliant step-by-step presentation of dissections using cadavers, helping readers to fully understand all the anatomical nuances Numerous previously unpublished approaches covered here for the first time in a book, step by step Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas is an indispensable resource for fellows and specialists in neurosurgery and ENT surgery wishing to widen their competence in endoscopic skull base surgery.

In recent years, interest in the management of anterior skull base tumors has been fostered by the introduction and subsequent rapid expansion of indications of transnasal endoscopic techniques. In parallel, extraordinary progress has been made in all the other disciplines which are involved in the complex process of managing anterior skull base tumors, leading to substantial improvements in diagnosis and treatment. The anterior skull base can be involved in a large variety of tumors of a varying nature and histology, which in the majority of cases originate from adjacent anatomic sites. In fact, primary lesions of the anterior skull base mainly include osteoma and other tumors originating from bone and cartilage. Tumors involving the anterior skull base have their origin prevalently in the sinonasal tract, but lesions developing on the intracranial site, such as meningiomas, may also extend caudally to encroach upon this area. All these lesions are rare, which means that the pertinent literature does not include prospective studies or treatment guidelines based on a high level of evidence. In view of the extreme histological variability of lesions involving the anterior skull base, much emphasis has been placed on addressing the different nuances of treatment in relation to histology, especially for malignant tumors. The chapters focusing on surgery provide divergent views on selection criteria for a specific surgical technique, which is the aim of this publication.

Tips and pearls on the latest developments on endoscopic approaches to skull base and brain surgery from experts around the globeIdeal for both otolaryngologisthead and neck surgeons and neurosurgeons, Transnasal Endoscopic Skull Base and Brain Surgery: Tips and Pearls gathers together in one comprehensive volume invaluable advice from world-renowned authorities on state-of-the-art endoscopic technologies and techniques.Each succinct chapter begins with a summary of key takeaway points and features an easily accessible outline format. After uniquely detailed coverage of macroscopic and endoscopic anatomy, the expert authors discuss the most up-to-date surgical approaches integrated with key information on technologic advances, such as 3D reconstruction and navigation. Clearly labeled illustrations demonstrate each step of the various procedures. The book closes with practical guidance on postoperative care and guidelines for avoiding and managing the potential complications encountered in these complex surgeries.Features In-depth information on endoscopic surgical procedures for the paranasal sinuses, anterior skull base, and the craniocervical junction Easy-to-reference bullet-points in each chapter distill the renowned authors vast experience Step-by-step surgical descriptions cover the full spectrum of skull base pathology Stunningly detailed illustrations, including more than 500 in full-color, enhance the text throughout This landmark work will improve the accuracy and precision of every surgeon and fellow in otolaryngologyhead and neck surgery and neurosurgery who deals with this delicate anatomic region.

Become familiar with the key anatomic "corridors" in the skull base, the sinonasal tract, and adjacent areas to guide and greatly expand your endoscopic surgical competence. Highlighting the most recent experience from seven top leaders and innovators in the field, this seminal new work presents detailed topographic anatomy of the skull base and adjacent areas in a way not previously seen before. The result is a multidisciplinary atlas merging anatomy, otolaryngology, neurosurgery, and radiology, so as to facilitate creation of a mental "virtual reconstruction" of the complete approach and operative situs. The result is a greatly extended range of surgical possibilities into previously uncharted territory using endoscopic technology. Key Features: Provides the basis for cultivating a firm and confident understanding of the 3D anatomy of this intricately complex region Emphasizes the ability of the endoscopic surgeon to integrate CT and MRI findings into the surgical planning process A logical and modular organization of the contents intends to make for easy correlation with the surgical literature Brilliant step-by-step presentation of dissections using cadavers, helping readers to fully understand all the anatomical nuances Numerous previously unpublished approaches covered here for the first time in a book, step by step Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas is an indispensable resource for fellows and specialists in neurosurgery and ENT surgery wishing to widen their competence in endoscopic skull base surgery.

The quintessential guide to endoscopic skull base reconstruction from multidisciplinary experts Due to close collaboration between otorhinolaryngologists and neurosurgeons, endoscopic endonasal brain surgery has become part of the surgical armamentarium for successful treatment of various cranial base pathologies. Today, it is considered the gold standard surgical technique for many types of skull base tumors. Techniques and Key Points for Endoscopic Cranial Base Reconstruction by pioneering otorhinolaryngologist Carlos D. Pinheiro-Neto and neurosurgeon Maria Peris-Celda, co-editor of Thieme's acclaimed Rhoton's Atlas of Head, Neck, and Brain, encompasses the most important endoscopic cranial base reconstruction techniques performed in the last two decades. The book features contributions from an impressive group of additional experts in this field. Comprised of 26 reader-friendly chapters divided into seven sections, the book starts with discussion of general principles of endoscopic cranial base reconstruction. Sections II through VI provide step-by-step descriptions of reconstructive approaches utilizing diverse flaps including nasoseptal, intranasal, extranasal, and free grafts, followed by free flaps. The final section details management of seven challenging cases that enrich practical clinical experience, from free flap reconstruction to recalcitrant cerebrospinal fluid leak. Key Highlights Decision-making rationales and pearls regarding selection of the most efficacious reconstructive techniques. Consistently formatted chapters feature a succinct review of anatomical concepts integral to each procedure, detailed descriptions for each surgical step, and alternative options. High-quality and meticulous anatomical dissections performed at the editors' anatomy laboratory and beautiful illustrations depict the flow of operations essential to understanding surgical nuances. Nineteen narrated videos visually demonstrate techniques and consolidate learning. This must-have, comprehensive resource will help skull base surgeons master the latest techniques, avoid complications, and achieve improved outcomes for their patients.

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions.

Reviews the role of endoscopic endonasal techniques During the last decade the endoscopic endonasal approach (EEA) to the skull base has become a very powerful method to add to the array of neurosurgical technologies. This volume provides a broad overview of the role of transnasal approaches in a wide spectrum of skull base diseases. It starts with a historical perspective of the evolution from the microscope to the endoscope in endonasal surgery and then explores in depth the principles and techniques of the various methods. Discussed are topics based on anatomical boundaries: pituitary fossa to the suprasellar space to the cavernous sinus, clivus and the anterior cranial fossa. Access to the infratemporal and posterior fossae via both the endoscopic endonasal and the retrosigmoid approaches are reviewed. In addition, the critical topic of reconstruction following 'minimally invasive' skull base surgery and finally the learning curve and complications associated with the applications of these new and exciting approaches are discussed. This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique.