By MD S.James Zinreich, Donlin M. Long, John K. Niparko, Bert W. O'Malley Jr, S. James Zinrich, Daniel J. Lee
Operative tactics without delay at the base of the mind, internal ear, and cranial nerves are inherently tender undertakings, and are additional complex by means of the trouble of attaining quick access to this restricted house. that includes large diagrams, illustrations, and images, this ebook comprehensively covers the entire crucial surgical ways to the bottom of the cranium. Written by way of pioneers operating at one of many world's major facilities for complex neurosurgery, it truly describes the stairs in which all of the key anatomical constructions on the cranium base and internal ear might be accessed that allows you to practice complex surgical interventions.
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Additional resources for Atlas of Skull Base Surgery (The Encyclopedia of Visual Medicine Series)
An important note is that the inferior frontal bone osteotomy should be wide enough so that replacement of Page 30 the frontal bone flap does not constrict the blood supply to the pericranial flap. To prevent possible epiphora from transection of the nasolacrimal duct, Crawford lacrimal stents may be placed through the superior and inferior lacrimal puncta or a formal dacryo-cystorhinostomy may be performed. g. bacitracin), placed for hemostasis and to eliminate dead space and reduce the risk of postoperative tension pneumocephalus.
Long Page 12 The treatment of skull base tumors is a recent development in as much as the related surgical techniques have been described within the last century, and the radiation techniques within the past 20 years. In the early 1900s, surgeons worked alone, and the concept of a skull base ‘team’ did not yet exist. Working at the Johns Hopkins Hospital, Harvey Cushing is widely recognized as the first to introduce the concept of a team approach to operative management of tumors of the nervous system.
A nasogastric tube is placed through one nostril and is removed upon return of normal bowel sounds. A nasal pharyngeal airway stent is usually placed in the opposite nostril to divert air that could be forced intracranially upon extubation or in the postoperative period. The nasal pharyngeal stent is left in place for 5–7 days. Antibiotics are continued until the nasal packing is completely removed. The use of systemic steroids and anticonvulsants is determined by the extent of frontal lobe retraction or resection.
Atlas of Skull Base Surgery (The Encyclopedia of Visual Medicine Series) by MD S.James Zinreich, Donlin M. Long, John K. Niparko, Bert W. O'Malley Jr, S. James Zinrich, Daniel J. Lee