By Mario Sanna, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, Maurizio Falcioni, Giuseppe Di Trapani, Essam A. Saleh
"Authored by means of pioneers within the box, the Atlas of Acoustic Neurinoma Microsurgery--now in a completely up-to-date moment edition--provides step by step descriptions of a few of the surgical ways complemented by way of basically categorized, full-color intraoperative images. quite a few circumstances derived from the professional authors' personal event accompany each one description to illustrate the medical software of a number of the techniques in addition to to supply useful examples of what to do while confronted with surgical problems. Concise, tightly targeted chapters disguise every little thing from surgical anatomy and working room setup to specified factors of ways to accomplish the total variety of surgeries, together with the enlarged translabyrinthine strategy with transapical extension (introduced by way of Gruppo Otologico), the enlarged center cranial fossa strategy, the transotic technique, the converted transcochlear procedure, and masses extra. positive aspects - New chapters at the common positive aspects of acoustic neurinomas; sensible surgical procedure and intraoperative tracking of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and therapies for sufferers with neurofibromatosis style 2 - In-depth info on key features of sufferer care, resembling sufferer choice, preoperative care, and postoperative follow-up - Over a thousand high quality images--including greater than 900 full-color intraoperative photographs-- accurately show every one step of the various techniques - a number of circumstances in each one bankruptcy organize the reader for scientific occasions Reflecting the newest developments in acoustic neurinoma microsurgery, this visible consultant can assist improve the surgical abilities of each otolaryngologist and neurosurgeon who plays this tender and intricate type of surgery"--Provided by way of publisher. Read more...
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Extra resources for Atlas of Acoustic Neurinoma Microsurgery: . Zus.-Arb.: Mario Sanna Essam Saleh, Benedict Panizza, Alexandra Russo, Abdel TaibahWith the collaboration of Refik Caylan, Fernando Mancini
The abdomen, Stockings for prevention of thrombosis of deep veins. Monitoring of Facial and Cochlear Nerve A Nerve Integrity Monitor-2 (NIM-2) (Medtronic Xomed, Jacksonville, FL, USA) is used for facial nerve monitoring (Fig. 8). Pairs of electrodes are placed in the orbicularis oculi and orbicularis oris muscles to allow continuous electromyographic monitoring of the facial nerve. When the aim is preservation of hearing, an ipsilateral ear stimulator is applied and electrodes are placed to monitor evoked auditory brainstem responses (EABR) and/or direct cochlear nerve potential (CNAP).
B Middle cranial fossa approach. Fig. 2 Diagram illustrating the way we adjust the operating bed to facilitate surgery. Fig. 3 Position of the anesthesia machine at the leg of the table. 32 4 Operating Room Setup and Patient Care b a Fig. 4 Operating room layout. a Translabyrinthine approach and retrosigmoid–retrolabyrinthine approach. b Middle fossa approach. The monitor stand is placed so that the scrub nurse can clearly follow the microsurgical proce- dures. The surgeon sits at the head of the surgical bed.
Minimum pressure should be applied, particularly when working in the vicinity of important structures. The largest possible burr should be used. In the initial phases of mastoidectomy, a large conical burr is preferred as the working area of this burr is much greater than that of a Rosen head burr. The majority of bone work is performed with cutting burrs. Diamond burrs are reserved for working near delicate structures such as the facial nerve, sigmoid sinus or dura. Diamond burrs can also be used without irrigation to control bleeding originating from the bone.