Techniques and Key Points For Endoscopic Cranial Base Reconstruction

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.

  This book includes complimentary access to a digital copy on https://medone.thieme.com.

  Inhalt

  Section I Introduction
  Chapter 1 Principles of Endoscopic Cranial Base Reconstruction
  Chapter 2 Operative Planning and Treatment Algorithm
  Section II Nasoseptal Flap and Variations
  Chapter 3 Standard Nasoseptal Flap
  Chapter 4 Rescue Nasoseptal Flap
  Chapter 5 Extended Nasoseptal Flap
  Chapter 6 Nasoseptal Flap Pedicle Release
  Chapter 7 Composite Cartilagomucosal Nasoseptal Flap
  Chapter 8 Resurface of the Septum Donor Site
  Section III Other Intranasal Flaps
  Chapter 9 Middle Turbinate Flap
  Chapter 10 Posterior-Based Lateral Nasal Wall Flaps
  Chapter 11 Anterior-Based Lateral Nasal Wall Flaps
  Section IV Extranasal Flaps
  Chapter 12 Pericranial Flap
  Chapter 13 Temporoparietal Fascia Flap
  Chapter 14 Composite Extranasal Flaps: Osteopericranial and Osteotemporoparietal Fascia Flaps
  Chapter 15 Temporalis Muscle Flap
  Chapter 16 Other Extranasal Flaps: Facial Artery Buccinator Flap and Palatal Flap
  Section V Free Grafts
  Chapter 17 Mucosal Grafts
  Chapter 18 Nonmucosal Grafts: Fat, Muscle, Fascia Lata, and Septal Cartilage
  Section VI Free Flaps
  Chapter 19 Endoscopic Cranial Base Free Flap Reconstruction
  Section VII Challenging Cases
  Chapter 20 Free Flap Reconstruction
  Chapter 21 Galeal-Frontalis Muscle Flap
  Chapter 22 Necrotic Pericranial Scalp Flap
  Chapter 23 Necrotic Nasoseptal Flap
  Chapter 24 What to Do When a Nasoseptal Flap Is Not Perfusing?
  Chapter 25 Persistent Subcutaneous/Epidural Pneumocephalus Following Skull Base Surgery
  Chapter 26 Recalcitrant Cerebrospinal Fluid Leak