Skull Base Reconstruction. Management of Cerebrospinal Fluid Leaks and Skull Base Defects

Part I. Anatomy, Physiology, and General Principles
1. Anterior Skull Base Anatomy
2. Lateral Skull Base Anatomy
3. CSF Physiology and Intracranial Pressure
4. Diagnosis of CSF Leak
5. Imaging for Detection of CSF Leaks
6. Conservative and Medical Therapy for Cerebrospinal Fluid Leaks
7. Cerebrospinal Fluid Diversion
8. Anesthesia Considerations in Skull Base Reconstruction
9. Allografts and Materials in Skull Base Reconstruction
Part II. Anterior Skull Base Pathology
10. Traumatic and Iatrogenic CSF Leaks
11. Spontaneous CSF Leaks and Encephaloceles
12. Congenital Encephaloceles
13. Anterior Skull Base Surgical Approaches
Part III. Lateral Skull Base Pathology
14. Traumatic and Iatrogenic CSF Leaks
15. Spontaneous CSF Leaks and Encephaloceles
16. Lateral Skull Base Surgical Approaches
Part IV. Anterior Skull Base Reconstruction
17. Free Graft Techniques for Skull Base Reconstruction
18. Local Vascularized Pedicled Flaps for Skull Base Reconstruction
19. Extracranial Flaps for Skull Base Reconstruction
20. Free Flap Reconstruction of Anterior Skull Base Defects
21. Reconstruction of Frontal and Ethmoid Defects
22. Reconstruction of Sphenoid Defects: Lateral Recess, Sellar, Tuberculum, and Planum Defects
23. Reconstruction of Clival and Craniocervical Junction Defects
Part V. Lateral Skull Base Reconstruction
24. Management of Cerebrospinal Fluid Leaks During Otologic Surgery
25. General Repair Principles Following Posterior Cranial Base Surgery
26. Reconstruction of the Middle Cranial Fossa Floor
27. Reconstruction of Large Temporal Bone Defects
Part VI. Postoperative Care
28. Postoperative Management Following Skull Base Reconstruction
29. Management of the Postoperative Leak
30. Other Complications Following Skull Base Reconstruction
31. Outcomes of Anterior Skull Base Reconstruction
32. Outcomes of Lateral Skull Base Reconstruction
33. Medicolegal Issues in Skull Base Reconstruction
Part VII. Future Applications
34. Emerging Developments in Skull Base Reconstruction

This text, edited by two fellowship-trained rhinologists and two fellowship-trained neurotologists, represents an up-to-date comprehensive resource for any clinician or scientist involved in skull base reconstruction. Each chapter is written by a “super specialist” who has a clinical and/or academic focus in skull base pathologies and reconstruction. The first section is dedicated to basic principles, anatomy, physiology, imaging and anesthetic considerations. The second and third sections discuss pathological processes that lead to cerebrospinal fluid leaks and the need for skull base reconstruction within the anterior and lateral skull base, respectively. The fourth and fifth sections focus on anterior and lateral skull base reconstruction, respectively, with attention to reconstruction techniques and strategies for managing each defect type. The sixth section comprehensively reviews postoperative care and management strategies, where there is high variability and limited evidence, and is intended to present multiple perspectives that each carry merit. The final section highlights developments, research and emerging ideas regarding this ever-growing topic.  Previous to this, there had been no book dedicated to this highly important and emerging topic that really challenges even the best of surgeons to this day. The intended audience of Skull Base Reconstruction includes skull base surgeons, otolaryngologists, neurosurgeons, neurologists, ophthalmologists, radiologists, emergency medicine physicians, trauma surgeons, and trainees and students in all of those areas.