Techniques and Key Points for Endoscopic Cranial Base Reconstruction.
Title:
Techniques and Key Points for Endoscopic Cranial Base Reconstruction.
Author:
Pinheiro-Neto, Carlos D.
ISBN:
9781638537014
Personal Author:
Edition:
1st ed.
Physical Description:
1 online resource (192 pages)
Contents:
Techniques and Key Points for Endoscopic Cranial Base Reconstruction -- MedOne Access Information -- Tittle Page -- Copyright -- Dedication -- Contents -- Videos -- Foreword -- Preface -- Acknowledgments -- Contributors -- Section I Introduction -- 1 Principles of Endoscopic Cranial Base Reconstruction -- 1.1 Introduction -- 1.2 Fundamentals of Endonasal Reconstruction -- 1.3 Repair Options -- 1.4 Vascularized Reconstruction -- 1.5 Reconstruction Decalogue -- 2 Operative Planning and Treatment Algorithm -- 2.1 Introduction -- 2.2 Preoperative Planning -- 2.3 Perioperative and Intraoperative Considerations -- 2.4 Treatment Algorithm -- 2.5 Postoperative Considerations -- 2.5.1 Inpatient Care -- 2.5.2 Outpatient Care -- Section II Nasoseptal Flap and Variations -- 3 Standard Nasoseptal Flap -- 3.1 Anatomy -- 3.2 Fundamentals -- 3.3 Indications -- 3.4 Limitations -- 3.5 Surgical Technique -- 3.5.1 Harvest -- 3.5.2 Reconstruction -- 3.6 Postoperative Care -- 3.7 Managing Complications -- 4 Rescue Nasoseptal Flap -- 4.1 Fundamentals -- 4.2 Indications -- 4.3 Limitations -- 4.4 Surgical Technique -- 4.5 Postoperative Care -- 4.6 Complications -- 5 Extended Nasoseptal Flap -- 5.1 Fundamentals -- 5.2 Indications -- 5.3 Limitations -- 5.4 Surgical Technique -- 5.4.1 Harvest -- 5.4.2 Reconstruction -- 5.5 Postoperative Care -- 5.5.1 One-Week Postoperative Visit -- 5.5.2 One-Month Postoperative Visit -- 5.5.3 Four-Month Postoperative Visit -- 5.6 Complications -- 6 Nasoseptal Flap Pedicle Release -- 6.1 Anatomy -- 6.2 Fundamentals -- 6.3 Indications -- 6.4 Limitations -- 6.5 Surgical Technique -- 6.5.1 360-Degree Bone Removal around the SPA Foramen (Osseous Release) -- 6.5.2 Ipsilateral Transpterygoid Approach -- 6.5.3 360-Degree Circumferential Incision in the Periosteum of the PPF around the SPA (Periosteal Release) -- 6.6 Postoperative Care.
6.6.1 One-Week Postoperative Visit -- 6.6.2 One-Month Postoperative Visit -- 6.7 Complications -- 7 Composite Cartilagomucosal Nasoseptal Flap -- 7.1 Fundamentals -- 7.2 Indications -- 7.3 Limitations -- 7.4 Surgical Technique -- 7.4.1 Flap Harvest -- 7.4.2 Reconstruction -- 7.5 Postoperative Care -- 7.6 Complications -- 8 Resurface of the Septum Donor Site -- 8.1 Fundamentals -- 8.2 Indications -- 8.3 Limitations -- 8.3.1 Reverse Contralateral NSF -- 8.3.2 Inferior Meatal Flap -- 8.4 Surgical Technique -- 8.4.1 Reverse Contralateral NSF -- 8.4.2 Inferior Meatal Flap -- 8.5 Postoperative Care -- 8.6 Complications -- 8.7 Free Mucosal Grafts -- Section III Other Intranasal Flaps -- 9 Middle Turbinate Flap -- 9.1 Anatomy -- 9.2 Fundamentals -- 9.3 Indications -- 9.4 Limitations -- 9.5 Surgical Technique -- 9.5.1 Harvest -- 9.5.2 Reconstruction -- 9.6 Postoperative Care -- 9.7 Complications -- 10 Posterior-Based Lateral NasalWall Flaps -- 10.1 Anatomy -- 10.2 Fundamentals -- 10.3 Indications -- 10.4 Limitations -- 10.5 Surgical Technique -- 10.5.1 Standard Posterior LNWF -- 10.5.2 Extended Posterior LNWF -- 10.5.3 Extended Posterior LNWF with Nasal Septum -- 10.6 Postoperative Care -- 10.7 Complications -- 11 Anterior-Based Lateral NasalWall Flaps -- 11.1 Anatomy -- 11.2 Fundamentals -- 11.3 Indications -- 11.4 Limitations -- 11.5 Surgical Technique -- 11.5.1 Harvest -- 11.5.2 Reconstruction -- 11.6 Postoperative Care -- 11.7 Complications -- Section IV Extranasal Flaps -- 12 Pericranial Flap -- 12.1 Anatomy -- 12.2 Fundamentals -- 12.3 Indications -- 12.4 Limitations -- 12.5 Surgical Technique -- 12.5.1 Pericranial Flap Harvest via Coronal Approach -- 12.5.2 Pericranial Flap Harvest via Endoscopic Approach -- 12.6 Postoperative Care -- 12.7 Complications -- 13 Temporoparietal Fascia Flap -- 13.1 Anatomy -- 13.2 Fundamentals -- 13.3 Indications.
13.4 Limitations -- 13.5 Surgical Technique -- 13.5.1 Endoscopic Infratemporal Fossa Approach -- 13.5.2 Temporoparietal Fascia Flap Harvest and Transposition -- 13.5.3 Reconstruction -- 13.6 Postoperative Care -- 13.7 Complications -- 14 Composite Extranasal Flaps: Osteopericranial and Osteotemporoparietal Fascia Flaps -- 14.1 Anatomy -- 14.2 Fundamentals -- 14.3 Indications -- 14.4 Limitations -- 14.5 Surgical Technique -- 14.5.1 Harvest -- 14.5.2 Reconstruction -- 14.6 Postoperative Care -- 14.7 Complications -- 15 Temporalis Muscle Flap -- 15.1 Anatomy -- 15.2 Fundamentals -- 15.3 Indications -- 15.4 Limitations -- 15.5 Surgical Technique -- 15.5.1 Widening of Pterygoid Passage -- 15.5.2 Temporalis Muscle Flap Harvest -- 15.5.3 Flap Transposition and Inset -- 15.6 Postoperative Care -- 15.7 Complications -- 16 Other Extranasal Flaps: Facial Artery Buccinator Flap and Palatal Flap -- 16.1 Anatomy -- 16.2 Fundamentals -- 16.3 Indications -- 16.4 Limitations -- 16.5 Surgical Technique -- 16.6 Postoperative Care -- 16.7 Complications -- Section V Free Grafts -- 17 Mucosal Grafts -- 17.1 Fundamentals -- 17.2 Indications -- 17.3 Limitations -- 17.4 Surgical Technique -- 17.4.1 Nasal Floor Free Mucosal Graft -- 17.4.2 Middle Turbinate Free Mucosal Graft -- 17.4.3 Nasal Septum Free Mucosal Graft -- 17.4.4 Inferior Turbinate Free Mucosal Graft -- 17.4.5 Lateral Nasal Wall Free Mucosal Graft (Anterior) -- 17.5 Postoperative Care -- 17.6 Complications -- 17.6.1 Nasal Floor Free Mucosal Graft -- 17.6.2 Middle Turbinate Free Mucosal Graft -- 17.6.3 Nasal Septum Free Mucosal Graft -- 17.6.4 Inferior Turbinate Free Mucosal Graft -- 17.6.5 Lateral NasalWall Free Mucosal Graft (Anterior) -- 18 Nonmucosal Grafts: Fat, Muscle, Fascia Lata, and Septal Cartilage -- 18.1 Anatomy -- 18.2 Fundamentals -- 18.3 Indications -- 18.4 Limitations -- 18.5 Surgical Technique.
18.6 Postoperative Care -- 18.7 Complications -- Section VI Free Flaps -- 19 Endoscopic Cranial Base Free Flap Reconstruction -- 19.1 Anatomy -- 19.2 Fundamentals -- 19.3 Indications -- 19.4 Limitations -- 19.5 Surgical Technique -- 19.5.1 Preparation of Recipient Site -- 19.5.2 Free Flap Harvest -- 19.5.3 Free Flap Inset -- 19.6 Postoperative Care -- 19.7 Complications -- Section VII Challenging Cases -- 20 Free Flap Reconstruction -- 20.1 Case Description -- 20.1.1 Presentation -- 20.1.2 Surgical Procedure -- 20.1.3 Postoperative Course -- 20.2 Challenges -- 20.3 Discussion -- 20.4 Alternatives -- 20.5 Conclusions -- 21 Galeal-Frontalis Muscle Flap -- 21.1 Case Description -- 21.1.1 Presentation -- 21.1.2 Surgical Procedure -- 21.1.3 Postoperative Course -- 21.2 Challenges -- 21.3 Discussion -- 21.4 Alternatives -- 21.5 Conclusions -- 22 Necrotic Pericranial Scalp Flap -- 22.1 Case Description -- 22.1.1 Presentation -- 22.1.2 Surgical Procedure -- 22.1.3 Postoperative Course -- 22.2 Challenges -- 22.3 Discussion -- 22.4 Alternatives -- 22.5 Conclusions -- 23 Necrotic Nasoseptal Flap -- 23.1 Case Description -- 23.1.1 Presentation -- 23.1.2 Surgical Procedure -- 23.1.3 Postoperative Course -- 23.2 Challenges -- 23.3 Discussion -- 23.4 Alternatives -- 23.5 Conclusions -- 24 What to Do When a Nasoseptal Flap Is Not Perfusing? -- 24.1 Case Description -- 24.1.1 Presentation -- 24.1.2 Surgical Procedure -- 24.1.3 Postoperative Course -- 24.2 Challenges -- 24.3 Discussion -- 24.4 Alternatives -- 24.5 Conclusion -- 25 Persistent Subcutaneous/Epidural Pneumocephalus Following Skull Base Surgery -- 25.1 Case Description -- 25.1.1 Presentation -- 25.1.2 Surgical Procedure -- 25.1.3 Postoperative Course -- 25.1.4 Surgical Repair -- 25.2 Challenges -- 25.3 Discussion -- 25.4 Alternatives -- 25.5 Conclusions -- 26 Recalcitrant Cerebrospinal Fluid Leak.
26.1 Case Description -- 26.1.1 Presentation -- 26.1.2 Surgical Procedure -- 26.1.3 Postoperative Course -- 26.2 Challenges -- 26.3 Discussion -- 26.4 Alternatives -- 26.5 Conclusion -- Index -- Additional MedOne Access Information.
Abstract:
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 Reconstructionby pioneering otorhinolaryngologist Carlos D. Pinheiro-Neto and neurosurgeon Maria Peris-Celda, co-editor of Thieme's acclaimedRhoton'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.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2022. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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