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.

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.

"Today, expanded endonasal approaches (EEA) have revolutionized the surgical treatment paradigm for pediatric central skull base lesions. Specially adapted micro-instruments have been developed to permit passage through the narrow sinonasal pathways in children, enabling access to the entire midline skull base, from the crista galli to the cervico-medullary junction. Pediatric Endoscopic Endonasal Skull Base Surgery is the first textbook focused solely on endoscopic endonasal management of cranial base pathologies in children. The book reflects in-depth expertise from an extraordinary group of international contributors from five continents, who share extensive knowledge on this emerging field. Thirty four chapters are presented in three comprehensive sections. Key Features: 1) Core topics including anatomy, rhinological and anesthetic considerations, patient positioning and OR set-up, instrumentation, and endonasal corridors and approaches; 2) Fifteen chapters detail endoscopic treatment of a full spectrum of pediatric pathologies, such as encephalocele/meningoencephalocele, cysts, and benign and malignant tumors; 3) Discussion of multiple skull closure techniques, managing complications, and neurosurgical and otolaryngological postoperative care; 4) Visually rich, the succinct text is enhanced with 500 high-quality surgical illustrations and intraoperative photographs, as well as procedural videos. This unique reference is essential reading for neurosurgical and otolaryngology residents and fellows, as well as veteran surgeons, nurse-practitioners, and physician-assistants who treat and care for pediatric patients with skull-base conditions"--

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.

"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 the 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"--

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.

As a result of technological improvements, neuroendoscopy is now used in the treatment of many more patients, enabling the performance of previously unavailable operations with low complication rates and rapid patient recovery. This book presents the distilled experience of world experts in this evolving field. Current applications in a wide variety of settings are explained in detail and likely future developments are identified. In addition, the available neuroendoscopic instruments are reviewed and the results of international trials and collaborative studies, presented. This book will fully acquaint the reader with the breadth and depth of available neuroendoscopy techniques and their impressive therapeutic potential. It should serve as the reference book on neuroendoscopy for the next 10 years.

Currently, surgical management provides the definitive treatment of choice for most pituitary adenomas, craniopharyngiomas and meningiomas of the sellar region. The elegant minimally invasive transnasal endoscopic approach to the sella turcica and the anterior skull base has added a new dimension of versatility to pituitary surgery and can be adapted to many lesions in the region. In this multi-author book with numerous color illustrations the main aspects of the endonasal endoscopic approach to the skull base are presented, starting with a clear description of the endoscopic anatomy, the panoramic view afforded by the endoscope and the development of effective instruments and adjuncts. After the diagnostic studies, the strictly surgical features are considered in detail. The standard technique is described and particular aspects are treated, including the new extended approaches to the cavernous sinus, spheno-ethmoid planum and clival regions. The book stresses the importance of teamwork and has been produced by one of the pioneering groups in the field of endoscopic approaches to the pituitary. It is a useful guide primarily for neurosurgeons and sinonasal endoscopic surgeons but also for other specialists involved in the diagnosis and treatment of skull base lesions.

The essential multidisciplinary guide for the prevention and management of vascular injury from master skull base surgeons Vascular injury is the most significant source of morbidity or mortality during skull base surgery, regardless of the surgical approach. While skull base approaches always placed arteries and veins at risk, newer endoscopic endonasal approaches have introduced new challenges for the prevention and management of vascular injury. Greater anatomic knowledge, additional surgical options, improved instrumentation, advances in interventional neuroradiology, and enhanced training all contribute to successful outcomes. Vascular Challenges in Skull Base Surgery by renowned skull base experts Paul Gardner, Carl Snyderman, Brian Jankowitz, and distinguished contributors, fills a gap in the literature, with invaluable guidance on managing rare but potentially catastrophic surgical complications. The full range of surgical approaches to the anterior, middle, and posterior cranial fossae are covered in 22 chapters. Diverse topics encompass open and endoscopic endonasal surgical approaches, endovascular techniques including balloon test occlusion and embolization, and standard and alternative bypass procedures. The last three chapters discuss venous considerations, neurophysiologic monitoring, and the role of training and simulation in vascular injury prevention. Key learning points, illustrated discussion of relevant anatomy, and tips and tricks are targeted at helping skull base surgeons leverage practical strategies to improve patient outcomes. Key Highlights An impressive group of expert, highly-experienced surgeons share firsthand knowledge Insightful analyses of root causes and clinical pearls provide indispensable prevention tactics High-quality images and videos enhance visual understanding of surgical anatomy and techniques Trainees and practicing skull base surgeons will greatly benefit from the collective knowledge and evidence-based injury avoidance strategies shared by authors who have learned to master the art of skull base surgery.

Neuroendoscopy: State-of-the-art, global subspecialty encompassed in multimedia volume Honorable mention from the 2017 PROSE Awards HONORABLE MENTION for Textbook/Clinical Medicine! The development and refinement of neuroendoscopy has been driven by the persistent desire of neurosurgeons to advance the field and offer less invasive, more efficacious options to patients. This remarkable multimedia book reflects the technological advances achieved in the last two decades in fiber optics, cold light, cameras, and endoscopic instrumentation. Written by an impressive Who's Who of international neurosurgeons, the outstanding text and videos reflect global contributions to neuroendoscopy. Current indications for intracranial and intraventricular endoscopy are described in depth, through detailed chapters, stellar videos, professional animations, and exquisite illustrations. The authors share their clinical expertise on procedures ranging from endoscopic third ventriculostomy to transventricular approach of the fourth ventricle. Cover to cover, this book details the differences, alternatives, advantages, and limitations of the flexible neuroendoscope. This hands-on learning tool will enable neurosurgeons to perform endoscopy of the ventricles and basal cisterns for exploratory purposes and conditions such as hydrocephalus, congenital aqueductal stenosis, tumors, hypothalamic hamartoma, arachnoid cysts, and neurocysticercosis. Additional topics include endoscopic-assisted microvascular decompression and aneurysm surgery, fluorescence, complications, anesthesia, utilization in developing countries, and future trends. Key Features: Comprehensive multimedia reference with online access to 70 superb videos and animations More than 300 meticulously drawn illustrations Beautifully illustrated anatomical chapters that facilitate in-depth understanding of endoscopic anatomy An entire chapter devoted to flexible neuroendoscopy Indications, preoperative preparation, procedure description, intraoperative complications and their management ("risk and rescue: techniques), expert pearls, postoperative management, and outcomes This volume is a must-have resource for neurosurgery and neurology residents, neurosurgeons, pediatric neurosurgeons, and all physicians involved in the care of patients with intracranial and intraventricular disease.