By Mario Sanna, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, Maurizio Falcioni, Giuseppe Di Trapani, Essam A. Saleh
"Authored by way 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 some of the surgical techniques complemented by means of basically categorized, full-color intraoperative photos. quite a few situations derived from the specialist authors' personal event accompany each one description to illustrate the medical program of a number of the techniques in addition to to provide useful examples of what to do while confronted with surgical issues. Concise, tightly concentrated chapters disguise every little thing from surgical anatomy and working room setup to precise causes of the way to accomplish the total diversity of surgeries, together with the enlarged translabyrinthine technique with transapical extension (introduced by means of Gruppo Otologico), the enlarged center cranial fossa strategy, the transotic process, the transformed transcochlear process, and masses extra. positive aspects - New chapters at the common positive factors of acoustic neurinomas; useful surgical procedure and intraoperative tracking of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatments for sufferers with neurofibromatosis variety 2 - In-depth info on key facets of sufferer care, comparable to sufferer choice, preoperative care, and postoperative follow-up - Over a thousand fine quality images--including greater than 900 full-color intraoperative photographs-- accurately exhibit each one step of the several strategies - a number of instances in each one bankruptcy organize the reader for medical events Reflecting the most recent developments in acoustic neurinoma microsurgery, this visible advisor may help enhance the surgical talents of each otolaryngologist and neurosurgeon who plays this soft and intricate type of surgery"--Provided by means of publisher. Read more...
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Additional info 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
An increase of vascularity over the dura has been noted. Last but not least, the associated anesthetic risk is higher. Elderly patients usually have more difficulty in the postoperative recovery period both immediately and in the long term (rehabilitation). In addition, elderly patients usually have concomitant diseases, for example, hypertension, and cardiac problems, which increase morbidity and mortality. In our center, we practice strict guidelines when selecting elderly patients for operation and make the patients and their relatives aware of the inherent increase in risks (Fig.
An aperient is routinely given to those who suffer from constipation, preventing straining at stool and consequent increased cerebrospinal fluid pressure. 39 Discharge After 5 days, the dressing is removed and the wound is checked. The dressing is then reapplied for an additional 5 days. All sutures are removed 12–14 days postoperatively. The majority of patients are discharged on the 5th or 6th day. 40 5 Surgery in the Cerebellopontine Angle: General Concepts In this chapter, the anatomy relevant to acoustic neurinoma surgery and the essential surgical techniques in the cerebellopontine angle (CPA) are described.
With cere- b bellar and midbrain re-expansion these tumor remnants are usually pushed laterally, making revision surgery easier if required (Fig. 32). Because of scars and tissue positioned to pack the canal, especially in the retrosigmoid approach, small enhancements inside the IAC are common in the postoperative period (Fig. 33). Progressive growth is the only sure indicator of residual lesion. Wait and Scan Some patients affected by small lesions are not candidates for surgery and may initially be followed with a “wait and scan” policy.