Microsurgical and Endoscopic Approaches to the Skull Base. Anatomy, Tactics, and Techniques

Section I: Instrumentals and Equipment
1. Instrumentation for Endoscopic Skull Base Surgery
2. Neurosurgical Instrumentation
3. Neurophysiological Monitoring in Skull Base Surgery
Section II: Anterior Transnasal and Transoral Approaches
4. Anatomical Landmarks of Anterior Approaches: An Endoscopic View
5. Direct Microscopic Transsphenoidal Surgery with Hybrid Use of Endoscopy
6. The Extended Transphenoidal Approach (Mid-maxillotomy) to the Clivus
7. The Microsurgical Transoral Approach
8. Elongated and Pediculated Pericranial Flap for Endonasal Reconstruction of the Entire Ventral Skull Base
9. Expanded Endoscopic Endonasal Approaches to the Sellar and Parasellar Regions
10. The Endoscopic Transpterygoid Approach to the Parasellar and Infratemporal Fossa
Section III: Surgical Approaches to the Orbit
11. Microsurgical Anatomy of the Orbit
12. Lateral Orbitotomy Approach to the Orbit and Cavernous Sinus
13. Transcranial Approaches to the Orbit
14. The Medial Endoscopic Approach to the Orbit
Section IV: Anterior Approaches to the Skull Base
15. Microsurgical Anatomy of the Anterior Skull Base Through a Cranial View
16. Microsurgical Anatomy of the Anterior Skull Base as Seen Through the Endonasal Endoscopic View
17. Eyebrow Supraorbital Approach for Skull Base Lesions
18. Transbasal/Transcranial Microsurgical Approaches to Anterior Fossa Meningiomas
19. Orbitocranial Approach
20. The Extended Endoscopic Endonasal Approach to the Anterior Fossa
Section V: Anterolateral Approaches
21. Microsurgical Anatomy of the Cavernous Sinus
22. Transcavernous Approach
23. Microsurgical Anatomy of the Middle Fossa and Petrous Apex
24. Pterional Approach
25. Anterolateral Skull Base: Anatomy, Surgical Technique, and Nuances
26. Pretemporal Approach
27. Cranio-Orbit-Zygomatic (COZ) Approach
28. Anterior Petrosal Approach
29. Endoscopic Approach to the Cavernous Sinus Area: Surgical Technique
Section VI: Posterolateral Approaches
30. Temporal Bone Anatomy
31. Microsurgical Anatomy of the Jugular Foramen
32. Anatomy of the Cerebellopontine Angle: A Microscopic Perspective
33. The Posterior Retrolabyrinthine Presigmoid Approach
34. Retrosigmoid Approach
35. Endoscopic Assisted Approach to the Cerebellopontine Angle
36. Infratemporal Fossa Approach to the Jugular Foramen
37. The Facial Reanimation: Multidisciplinar Approaches
Section VII: Posterior and Lateral Approaches to the Craniocervical Junction
38. Microsurgical Anatomy of the Foramen Magnum
39. Far-Lateral Approach and Its Variants
40. Surgical Treatment for Atlantoaxial Instability
41. Endoscopic Approach to the Craniocervical Junction
Section VIII: Approaches to the Posterior Incisural Space
42. Anatomy of the Posterior Incisural Space: Microscopic Perspective
43. Anatomy of the Posterior Incisural Space: Endoscopic Perspective
44. The Occipito-polar Approach: Study of the Occipital lnterhemispheric Supratentorial Transtentorial Transfalcine Approach
45. Supracerebellar Infratentorial Approach: Microsurgical Perspective
46. Supracerebellar Infratentorial Approach: Endoscopic Perspective
47. STA-MCA Bypass
48. High-Flow Cervical Carotid Artery to Middle Cerebral Artery Bypass
49. Intracranial–Intracranial Bypass for Treatment of Complex Vascular Lesions and Tumors
50. Endoscopic Endonasal Approaches for the Treatment of Vascular Lesions
51. Endoscopic Endonasal Transclival Approach to the Posterior Fossa
52. Supracerebellar Transtentorial Approach

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts

A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts.

Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region.

• Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies
• Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment
• A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge
• High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures

This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions.

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