Pediatric Endoscopic Endonasal Skull Base Surgery

Pediatric Endoscopic Endonasal Skull Base Surgery

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The definitive state-of-the-art resource on pediatric endoscopic endonasal approaches

Today, expanded endonasal approaches (EEA) have revolutionized the surgical treatment paradigm for pediatric central skull base lesions. Specially adapted micro-instruments have been developed to permit passage through the narrow sinonasal pathways in children, enabling access to the entire midline skull base, from the crista galli to the cervico-medullary junction.

Pediatric Endoscopic Endonasal Skull Base Surgery by Harminder Singh, Jeffrey Greenfield, Vijay Anand, and Theodore Schwartz is the first textbook focused solely on endoscopic endonasal management of cranial base pathologies in children. The book reflects in-depth expertise from an extraordinary group of international contributors from five continents, who share extensive knowledge on this emerging field. Thirty chapters are presented in three comprehensive sections.

Key Features

Core topics including anatomy, rhinological and anesthetic considerations, patient positioning and OR set-up, instrumentation, and endonasal corridors and approaches

Fifteen chapters detail endoscopic treatment of a full spectrum of pediatric pathologies, such as craniopharyngioma, meningoencephalocele, basilar invagination, and benign and malignant tumors, among others

Discussion of multiple skull-base closure techniques, managing complications, and neurosurgical and otolaryngological postoperative care

Visually rich, the succinct text is enhanced with 500 high-quality surgical illustrations and intraoperative photographs, as well as procedural videos

This unique reference is essential reading for neurosurgical and otolaryngology residents and fellows, as well as veteran surgeons, nurse-practitioners, and physician-assistants who treat and care for pediatric patients with skull-base conditions.

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

Endoscopic Endonasal Odontoidectomy

Endoscopic Endonasal Odontoidectomy

Supported by preliminary anatomical and clinical studies exploring the feasibility and usefulness of approaching many ventral pathologies of the craniocervical junction (CCJ) using the endoscopic endonasal approach, four European centers joined forces to accumulate and share their growing surgical experience of this advanced technique. By describing the steps that led to the development and continuous refinement of this approach to the CCJ, a article delves deeply into an analysis of the cases operated on since 2010 at these four institutions, and discusses in detail the operative nuances that so far have allowed achievement of successful outcomes with excellent perioperative patient comfort and satisfactory long-term quality of life 1).


The gold-standard surgical approach to the odontoid process is via a transoral approach. This approach necessitates opening of the oropharynx and is associated with risks of infection, and swallowing and breathing complications. The endoscopic endonasal approach has the potential to reduce these complications as the oral cavity is avoided.

Transoral microscopic odontoidectomy followed by posterior fixation has been accepted as a standard procedure to treat nonreducible basilar invagination during the half past century. In recent years, the development of endoscopic techniques has raised challenges regarding the traditional treatment algorithm. The endoscopic transnasal odontoidectomy is a feasible and effective method in the treatment of irreducible ventral cervicomedullary junction compression, which has several advantages over the transoral approach. The endoscopic odontoidectomy includes transnasal, transoral, and transcervical approaches. The 3 different approaches for endoscopic odontoidectomy present complementary advantages and limitations. The necessity of posterior fixation after odontoidectomy should be considered in every single case on the basis of the peculiar anatomic and clinical conditions 2).

Neuroanatomy and Technique

Case series

Case reports

Videos

References

1)

Chibbaro S, Ganau M, Cebula H, Nannavecchia B, Todeschi J, Romano A, Debry C, Proust F, Olivi A, Gaillard S, Visocchi M. The Endonasal Endoscopic Approach to Pathologies of the Anterior Craniocervical Junction: Analytical Review of Cases Treated at Four European Neurosurgical Centres. Acta Neurochir Suppl. 2019;125:187-195. doi: 10.1007/978-3-319-62515-7_28. PubMed PMID: 30610322.
2)

Yu Y, Hu F, Zhang X, Sun C. Endoscopic Transnasal Odontoidectomy. Sports Med Arthrosc. 2016 Mar;24(1):2-6. doi: 10.1097/JSA.0000000000000081. PubMed PMID: 26752771.

Transnasal Endoscopic Skull Base and Brain Surgery Surgical Anatomy and its Applications

Transnasal Endoscopic Skull Base and Brain Surgery Surgical Anatomy and its Applications

$229.99

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This fully revised and updated second edition of Transnasal Endoscopic Skull Base and Brain Surgery: Surgical Anatomy and its Applications builds on the acclaimed first edition, focusing on the correlation between endoscopic skull base anatomy and state-of-the-art clinical applications. Among these are the transplanum/transtuberculum, transcribrifom, transclival, and craniocervical junction surgical approaches.

Renowned skull base surgeon Aldo Stamm and leading worldwide experts have compiled a comprehensive multidisciplinary textbook with 72 chapters in 14 sections, didactically organized by regions and diseases. Detailed descriptions of sinonasal, orbital, cranial base, and intracranial anatomy, imaging modalities, and in-depth surgical navigation techniques form the foundation of this remarkable book. The content reflects significant knowledge and diverse perspectives from masters in neurosurgery, otorhinolaryngology, head and neck surgery, neuroendocrinology, intensive care, neuro-anesthesiology, and other disciplines.

Key Highlights

Chapter summaries and highlights facilitate understanding and retention of complex concepts 1,500 beautiful anatomical, operative, and dissection illustrations and photographs enhance understanding of impacted areas 18 accompanying videos provide guidance on endoscopic transnasal approaches in patients with diverse skull base diseases Pearls, pitfalls, and nuances throughout this book provide invaluable insights on achieving optimal outcomes Neurosurgeons, otolaryngologists–head and neck surgeons, and others will greatly benefit from the step-by-step endoscopic procedural guidance and tips in this quintessential skull base surgical reference.

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

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