Full Description
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.
Contents
Section I: Anatomy, physiology, and general principles.- Anterior skull base anatomy.- Lateral skull base anatomy.- CSF physiology.- Diagnosis of CSF leak.- Imaging for detection of CSF leaks.- Conservative and medical therapy for CSF leaks.- CSF division.- Anesthesia considerations in skull base reconstruction.- Allografts in skull base reconstruction.- Section II: Anterior skull base pathology.- Traumatic and iatrogenic CSF leaks.- Congenital encephaloceles.- Anterior skull base surgical approaches.- Section III: Lateral skull base surgical approaches.- Traumatic and iatrogenic CSF leaks.- Spontaneous CSF leaks and encephaloceles.- Lateral skull base surgical approaches.- Section IV: Anterior skull base reconstruction.- Free graft techniques.- Local vascularized pedicled flaps.- Extracranial flaps.- Microvascular reconstruction.- Reconstruction of the frontal and ethmoid defects.- Reconstruction of sphenoid defects: lateral recess, sellar, tuberculum, andplanum defects.- Reconstruction of the clival and craniocervical junction defects.- Section V: Lateral skull base reconstruction.- Management of CSF leaks during otologic surgery.- General repair principles following posterior cranial base surgery.- Reconstruction of the middle cranial fossa floor.- Reconstruction of large temporal bone defects.- Section VI: Postoperative care.- Post operative management following skull base reconstruction.- Management of the postoperative leak.- Other complications following skull base reconstruction.- Outcomes of anterior skull base reconstruction.- Outcomes of lateral skull base reconstruction.- Medicolegal issues in skull base reconstruction. Section VII: Future applications.- Emerging developments in skull base reconstruction.
