Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques

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 in nine 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. This book includes complimentary access to a digital copy on https://medone.thieme.com. Section I: Instrumentals and Equipment 1. Instrumentation for Endoscopic Skull Base Surgery 2. Neurosurgical Instrumentation 3. Neurophysiological Monitoring in Skull Base Surgery Section II: Anterior Transnasal and Transoral Approaches 4. Anatomical Landmarks of Anterior Approaches: An Endoscopic View 5. Direct Microscopic Transsphenoidal Surgery with Hybrid Use of Endoscopy 6. The Extended Transphenoidal Approach (Mid-maxillotomy) to the Clivus 7. The Microsurgical Transoral Approach 8. Elongated and Pediculated Pericranial Flap for Endonasal Reconstruction of the Entire Ventral Skull Base 9. Expanded Endoscopic Endonasal Approaches to the Sellar and Parasellar Regions 10. The Endoscopic Transpterygoid Approach to the Parasellar and Infratemporal Fossa 11. Endoscopic Endonasal Transclival Approach to the Posterior Fossa Section III: Surgical Approaches to the Orbit 12. Microsurgical Anatomy of the Orbit 13. Lateral Orbitotomy Approach to the Orbit and Cavernous Sinus 14. Transcranial Approaches to the Orbit 15. The Medial Endoscopic Approach to the Orbit Section IV: Anterior Approaches to the Skull Base 16. Microsurgical Anatomy of the Anterior Skull Base Through a Cranial View 17. Microsurgical Anatomy of the Anterior Skull Base as Seen Through the Endonasal Endoscopic View 18. Eyebrow Supraorbital Approach for Skull Base Lesions 19. Transbasal/Transcranial Microsurgical Approaches to Anterior Fossa Meningiomas 20. Orbitocranial Approach 21. The Extended Endoscopic Endonasal Approach to the Anterior Fossa Section V: Anterolateral Approaches 22. Microsurgical Anatomy of the Cavernous Sinus 23. Transcavernous Approach 24. Microsurgical Anatomy of the Middle Fossa and Petrous Apex 25. Pterional Approach 26. Anterolateral Skull Base: Anatomy, Surgical Technique, and Nuances 27. Pretemporal Approach 28. Cranio-Orbit-Zygomatic (COZ) Approach 29. Anterior Petrosal Approach 30. Endoscopic Approach to the Cavernous Sinus Area: Surgical Technique Section VI: Posterolateral Approaches 31. Temporal Bone Anatomy 32. Microsurgical Anatomy of the Jugular Foramen 33. Anatomy of the Cerebellopontine Angle: A Microscopic Perspective 34. The Posterior Retrolabyrinthine Presigmoid Approach 35. Retrosigmoid Approach 36. Endoscopic Assisted Approach to the Cerebellopontine Angle 37. Infratemporal Fossa Approach to the Jugular Foramen 38. The Facial Reanimation: Multidisciplinary Approaches Section VII: Posterior and Lateral Approaches to the Craniocervical Junction 39. Microsurgical Anatomy of the Foramen Magnum 40. Far-Lateral Approach and Its Variants 41. Surgical Treatment for Atlantoaxial Instability 42. Endoscopic Approach to the Craniocervical Junction Section VIII: Approaches to the Posterior Incisural Space 43. Anatomy of the Posterior Incisural Space: Microscopic Perspective 44. Anatomy of the Posterior Incisural Space: Endoscopic Perspective 45. The Occipito-polar Approach: Study of the Occipital lnterhemispheric Supratentorial Transtentorial Transfalcine Approach 46. Supracerebellar Infratentorial Approach: Microsurgical Perspective 47. Supracerebellar Infratentorial Approach: Endoscopic Perspective 48. Supracerebellar Transtentorial Approach Section IX: Cerebrovascular Management for Skull Base Surgery 49. STA-MCA Bypass 50. High-Flow Cervical Carotid Artery to Middle Cerebral Artery Bypass 51. Intracranial-Intracranial Bypass for Treatment of Complex Vascular Lesions and Tumors 52. Endoscopic Endonasal Approaches for the Treatment of Vascular Lesions