Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Atlas of Operative Otorhinolaryngology and Head and Neck Surgery: Otology and Lateral Skullbase Surgery (Volume 1)
Bachi T Hathiram, Vicky S Khattar
CHAPTER 1:
The Surgical Technique of Otoplasty
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
1. Perioperative Routine
2. Skin Incision
3. Creation of the Antihelical Fold
4. Correction of the Conchal Bowl
5. Lobule and Helical Rim Positioning
6. Dressing and Postoperative Care
NEW TECHNIQUES IN THE SURGERY
The Négrevergne Otoplasty Technique
COMPLICATIONS
OTHER TREATMENT OPTIONS AVAILABLE FOR THE SAME CONDITION
SUMMARY
ACKNOWLEDGEMENT
CHAPTER 2:
Single Stage Pinna Reconstruction
INTRODUCTION
INDICATIONS
SPECIFIC PREOPERATIVE EVALUATIONS—EVALUATION OF DEGREE OF MICROTIA
Aguilar and Jahrsdoerfer Classification
Four Stages: By Brent Technique
First Stage: Auricular Framework Fabrication with Contralateral Rib Cartilage
Second Stage: Lobule Transposition
Third Stage: Auricular Framework Elevation
Fourth Stage: Tragus Construction
Nagata Technique
Stage I: Fabrication of Auricular Framework, Tragus Reconstruction and Lobule Transposition
Stage II: Framework Elevation
COMPLICATIONS
Ear Reconstruction Site
Cartilage Donor Site
SURGICAL STEPS FOR SINGLE STAGE PINNA RECONSTRUCTION
Preoperation and Preparation
Local Anesthesia
Implant Preparation
Harvesting the Abdominal, Chest Wall or Inguinal Skin Grafts
Elevation Scalp Flaps, Elevating Temporoparietal Fascia Flaps, Lobule Transposition14
Implant Placement
Suture Skin Grafts
Dressing
POSTOPERATION
CHAPTER 3:
Treatment of Earlobe Keloids
INTRODUCTION
PATHOLOGY
TREATMENT
CHAPTER 4:
Preauricular Sinus
INTRODUCTION
INDICATIONS FOR SURGERY
PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS (FIGS 1 TO 6)
COMPLICATIONS AND THEIR MANAGEMENT
Intraoperative Complications
Postoperative Complications
ACKNOWLEDGMENTs
CHAPTER 5:
External Auditory Canal Obliteration
STEPS OF SURGERY
CHAPTER 6:
Meatoplasty
DEFINITION
INDICATIONS
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGERY
Principle of Surgery
Steps of the Surgical Procedure
OTHER TECHNIQUES OF MEATOPLASTY
Meatoplasty Using a Koerner's Flap
Siebenmann's Meatoplasty
Portmann's Technique of Conchomeatoplasty4
POINTS TO REMEMBER
THE SURGICAL TECHNIQUE OF REVISION MEATOPLASTY
CONCLUSION
CHAPTER 7:
Intratympanic Injection
INTRODUCTION
INDICATIONS
PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
DOSAGES
FREQUENCY
NEWER TECHNIQUES AND MODIFICATION8
COMPLICATIONS AND THEIR MANAGEMENT
CHAPTER 8:
Surgical Approaches to the Middle Ear Cleft and Their Indications
INFILTRATION
BASIC INCISIONS
Rosen's Endomeatal Incision
Indications
Lempert's Endaural Incision
Indications
Wilde's Postaural Incision
Indications
ACKNOWLEDGMENTS
CHAPTER 9:
Tympanoplasty (Author's Technique)
INTRODUCTION
INDICATIONS FOR THE SURGERY
PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
Method of Local Infiltration
STEPS OF SURGERY
Dry and Clean the Ear
The Posterior Incision
Raising the Posterior Tympanomeatal Flap
Inspection of the Middle Ear
Strip the Malleus
The Anterior Incision
Raising the Anterior Tympanomeatal Flap
Harvest of the Fascia Lata
Preparation of a Graft
Placement of the Graft in the Middle Ear
Canal Packing
POSTOPERATIVE EVALUATION
MODIFICATIONS SUGGESTED
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
ADVANTAGES OF AUTHOR'S TYMPANOPLASTY
CHAPTER 10:
Ossiculoplasty
INTRODUCTION
AUSTIN'S CLASSIFICATION OF OSSICULAR CHAIN DEFECTS
PATIENT SELECTION (INDICATIONS) FOR OSSICULOPLASTY
PREOPERATIVE EVALUATION
ANESTHESIA
GRAFT MATERIALS USED FOR OSSICULOPLASTY
Autografts
Homografts
Alloplastic Prosthesis
SURGICAL STEPS OF INCUS INTERPOSITION OSSICULOPLASTY
Approach
Posterior Canal Wall Incision and Tympanomeatal Flap Elevation
Clearance of Middle Ear Disease
Refashioning the Incus
Detachment of Incus
Drilling the Incus
Repositioning the Incus
Alloplastic Prosthesis
Outcome Measures
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY (FIGS 7A TO D)
CHAPTER 11:
The Vibrant Soundbridge
INTRODUCTION
Vibrating Ossicular Prosthesis Template
Crimping Forceps
HISTORICAL REVIEW
THE DEVICE
COMPARISON WITH A HEARING AID
TECHNIQUES
SENSORINEURAL HEARING LOSS (Fig. 10)
CONDUCTIVE AND MIXED HEARING LOSS (FIG. 11)
SURGICAL PROCEDURE
Incision
The “Facial Recess” Route
The “Device-seat” and “Tie-down” Holes
Routes to the Middle Ear
The Facial Recess Route (Fig. 13)
The Transmeatal Route (Fig. 14)
Fixation of Demodulator
Floating Mass Transducer Placement in Incus Vibroplasty
Opening the FMT Clip with a Straight Needle (Fig. 16)
SUMMARY
ACKNOWLEDGMENT
CHAPTER 12:
Totally Implantable Middle Ear Device Esteem®
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
NEW TECHNIQUES IN THE SURGERY
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
OTHER TREATMENT OPTIONS AVAILABLE FOR THE SAME CONDITION
CHAPTER 13:
The Surgical Management of Cholesteatoma
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
The Simple Mastoidectomy
Intact Canal Wall or Canal Wall Up Mastoidectomy
Canal Wall Down Mastoidectomy
Radical Mastoidectomy
Atticotomy/Limited Mastoidectomy
Surgical Incision/Approach
Postauricular Incision
Endaural Incision
Surgical Methods
Introduction
Simple Mastoidectomy
Intact Canal Wall Up Mastoidectomy—Posterior Tympanotomy—Combined Approach
Canal Wall Down Mastoidectomy
Radical Mastoidectomy
Canal Wall Down Versus Canal Wall Up/The Controversy
Atticotomy—Limited Mastoidectomy—The Third Way in Cholesteatoma Surgery
Postoperative Care
COMPLICATIONS
Facial Nerve Injury
Hearing Loss
Infection
Vertigo
Intracranial Injury
Bleeding
Chronic Aural Discharge
SPECIAL INSTRUMENTS USED FOR THE MIDDLE EAR SURGERY
CONCLUSION
CHAPTER 14:
Transposed Canal Wall Tympanomastoidectomy
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
Features
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
OTHER TREATMENT OPTIONS AVAILABLE FOR THE SAME CONDITION
CHAPTER 15:
Inside-Out Mastoidectomy
PHILOSOPHY OF INSIDE-OUT MASTOIDECTOMY
INDICATIONS FOR INSIDE-OUT SURGERY
PREOPERATIVE EVALUATION AND ANESTHETIC CONSIDERATIONS ARE THE SAME AS FOR ANY ROUTINE EAR SURGERY
SURGICAL STEPS
Incision
Musculoperiosteal Incision
Atticotomy
Canal Wall Down
Facial Nerve
Ossiculoplasty
Partial Obliteration of Cavity
Management of Exposed Dura
Meatoplasty
Closure
ADVANTAGES OF INSIDE-OUT TECHNIQUE
CHAPTER 16:
The Surgical Management of Congenital Cholesteatoma
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
Presentation
Surgical Assessment
ANESTHETIC CONSIDERATIONS
SURGICAL APPROACHES AND STEPS
Transcanal
Surgical Steps
Endaural
Surgical Steps
Extended Tympanotomy
Surgical Steps
Intact Canal Wall
Surgical Steps
Canal Wall Down
Surgical Steps
Postoperative Considerations
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
NEW TECHNIQUES
OTHER TREATMENT OPTIONS
CHAPTER 17:
The Technique of Otoendoscopy for Cholesteatoma Surgery
INTRODUCTION
PREOPERATIVE EVALUATION
INSTRUMENTATION AND SURGICAL TECHNIQUE
Detailed Description of the Endoscopic Ear Surgery Setup: Whether Exclusive Endoscopic or Endoscope Assisted Ear Surgery
SURGICAL TECHNIQUES
CONCLUSIONS
CHAPTER 18:
Endoscopic Management of Cholesteatoma
APPLIED ENDOSCOPIC ANATOMY FOR CLEARANCE OF CHOLESTEATOMA
Anatomy of Posterior Mesotympanum—The Retrotympanic Recesses (Fig. 1)
Anatomical Bony Landmarks in the Posterior Mesotympanum
Anatomy of Attic1,2
Boundaries
Attic Classification1
Applied Anatomy
CHOLESTEATOMA CONCEPTS, APPROACHES AND CLASSIFICATION
Traditional Microscopic Approaches for Cholesteatoma
Role of Endoscope in Management of Cholesteatoma
Endoscope-Assisted Combined Approach Tympanoplasty
Endoscopic Permeatal Tympanoplasty for Cholesteatoma
Endoscopic Second Look
Author's Approach to Cholesteatoma
Preparation
Preoperative Evaluation
Aim of Preoperative Evaluation
Intraoperative Evaluation
Why the Mesotympanic Work First in all Cases?
Management as per the Staged Extent of Cholesteatoma
Instruments
Instrumentation
Troubleshooting
Anesthesia
ENDOSCOPIC PERMEATAL TYMPANOPLASTY FOR CHOLESTEATOMA
Surgical Steps
Incision, Tympanomeatal Flap and Exposure
Clearance of Cholesteatoma from the Hidden Areas—Endoscopic Vision is a Boon
Hypotympanum
Sinus Tympani
Ossicular Area
Protympanum
Attic
Aditus
Reconstruction of Middle Ear
Ossicular Reconstruction
Attic and Tympanic Membrane Reconstruction
Postoperative Problems
Residual Cholesteatoma
Retraction
Middle Ear Ventilation
Perforations
ENDOSCOPE-ASSISTED COMBINED APPROACH TYMPANOPLASTY
RELOOK
The Need
Indications
Contraindications
Methods
Second Look Surgical Procedural Steps
Second Look Mastoidoscopy
Second Look Lateral Tympanotomy
Conclusion
CONCLUSION
ACKNOWLEDGMENTS
CHAPTER 19:
Surgical Management of Complications of Chronic Suppurative Otitis Media
INTRODUCTION
MODE OF SPREAD OF INFECTION
SPECIFIC INVESTIGATIONS
ANESTHETIC CONSIDERATIONS
CONTRAINDICATIONS
STEPS OF SURGERY
ACKNOWLEDGMENTS
CHAPTER 20:
Tympanosclerosis: Surgery and Hearing Results
INTRODUCTION
SURGICAL TREATMENT
POSTOPERATIVE RESULTS
CHAPTER 21:
Stapedotomy
INTRODUCTION
INDICATION
CONTRAINDICATIONS
SPECIFIC INVESTIGATION
ANESTHETIC CONSIDERATIONS
STEPS OF SURGERY (FIGS 1 TO 10)
Steps for “Reverse Stapedotomy”
SPECIAL CONSIDERATIONS
COMPLICATIONS
POSTOPERATIVE CONSIDERATIONS
RECENT ADVANCES
ACKNOWLEDGMENTS
CHAPTER 22:
Total Decompression of the Facial Nerve—Superior Prelabyrinthine Cell Tracts Approach
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
NEW TECHNIQUES IN THE SURGERY
COMPLICATIONS
SURGICAL STEPS
Step 1 (Fig. 1)
Step 2 (Fig. 2)
Step 3 (Fig. 3)
Step 4 (Fig. 4)
Step 5 (Fig. 5)
Step 6 (Fig. 6)
Step 7 (Fig. 7)
Step 8 (Fig. 8)
Step 9 (Fig. 9)
SPECIAL INSTRUMENTS USED FOR THE SURGERY
OTHER TREATMENT OPTIONS AVAILABLE FOR THE SAME CONDITION
CHAPTER 23:
Zygomatic Root Approach
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
Features
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
OTHER TREATMENT OPTIONS AVAILABLE FOR THE SAME CONDITION
CHAPTER 24:
Decompression of the Facial Nerve Following Traumatic Palsy
INTRODUCTION
INDICATIONS FOR DECOMPRESSION OF THE NERVE
EVALUATION OF FACIAL NERVE FUNCTION
SPECIFIC INVESTIGATIONS
ANESTHETIC CONSIDERATIONS
STEPS OF SURGERY
Traumatic Facial Nerve Paralysis
Slitting the Nerve Sheath
Coexistent Post-traumatic Cerebrospinal Fluid Otorrhea and Facial Palsy
Important Landmarks
Trauma at the Stylomastoid Foramen
Iatrogenic Facial Nerve Paralysis
CONTRAINDICATIONS TO SURGICAL DECOMPRESSION
CHAPTER 25:
Bone Conduction Implants
INTRODUCTION
INDICATIONS
AUDIOLOGICAL INVESTIGATIONS
RADIOLOGICAL INVESTIGATIONS
SURGICAL INSTRUMENTS
Cochlear Baha® Instrument Organizer
Abutment Inserter
Implant Inserter
Widening Drill
SURGICAL TECHNIQUE SELECTION
FAST or single-stage surgery in:
Two-Stage Surgery in:
SURGICAL STEPS
Mark the Site with Template
Linear Incision
Exposure of Cortical Bone
Drilling Fixture
Widening Drill
Fixture with Abutment Installation in FAST or Single-Stage Surgery
Soft Tissue Reduction in FAST Procedure
FAST Surgery: Wound Closure and Abutment Exposed
Fixture with Mount Installation
Second-Stage of Two-Stage
Second-Stage of Two-Stage: Removal of Cover Screw
Second-stage of Two-stage: Abutment Insertion
Bringing Abutment Out/Healing Cap
COMPLICATIONS
Intraoperative
Perioperative
Postoperative
SOUND PROCESSOR FITTING
ACKNOWLEDGMENTS
CHAPTER 26:
Minimally Invasive Cochlear Implantation with Mastoidal Three-Layer Flap
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
Features
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
OTHER TREATMENT OPTIONS AVAILABLE FOR THE SAME CONDITION
CHAPTER 27:
Cochlear Implants
INDICATIONS FOR THE SURGERY
CONTRAINDICATIONS
SPECIFIC PREOPERATIVE EVALUATION
Audiological Evaluation
Imaging
Pediatric Evaluation
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
CHAPTER 28:
Cochlear Implantation
BACKGROUND
INDICATIONS FOR THE SURGERY
Candidacy Criteria
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
NEW TECHNIQUES IN THE SURGERY
POSTOPERATIVE CARE
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
OTHER TREATMENT OPTIONS
ACKNOWLEDGMENTS
CHAPTER 29:
Cochlear Implants
COMPONENTS OF A COCHLEAR IMPLANT SYSTEM
TYPES OF COCHLEAR IMPLANTS2
SPEECH PROCESSING STRATEGIES2
INDICATIONS FOR COCHLEAR IMPLANTATION3
CONTRAINDICATIONS FOR COCHLEAR IMPLANTATION3
PREOPERATIVE ASSESSMENT
COCHLEAR IMPLANTATION SURGERY
POSTOPERATIVE MANAGEMENT
COMPLICATIONS OF COCHLEAR IMPLANTATION
SWITCH-ON AND MAPPING OF COCHLEAR IMPLANT
MEASURING LEVEL OF PERFORMANCE
OUTCOMES OF COCHLEAR IMPLANTATION
DIFFICULT SCENARIOS IN COCHLEAR IMPLANTATION
Cochlear Implantation in Labyrinthitis Ossificans
Cochlear Implantation in Mondini's Deformity/Large Vestibular Aqueduct Syndrome
Auditory Neuropathy/Auditory Dys-synchrony Spectrum Disorder
Cochlear Implantation in Multihandicapped Individuals
Minimally Invasive Cochlear Implantation4
Cochlear Endoscopy
Perimodiolar and Midscalar Cochlear Implantation
Bilateral Cochlear Implantation
FUTURE DIRECTIONS IN COCHLEAR IMPLANTATION
CHAPTER 30:
Totally Implantable Hearing Devices
INCLUSION CRITERIA FOR TOTALLY IMPLANTABLE HEARING DEVICES
OPERATIVE PROCEDURE FOR TOTALLY IMPLANTABLE HEARING DEVICE
SUMMARY
CHAPTER 31:
Auditory Brainstem Implants
INDICATIONS FOR AUDITORY BRAINSTEM IMPLANTATION
CLINICAL ASSESSMENT FOR AUDITORY BRAINSTEM IMPLANTATION
OPERATIVE PROCEDURE FOR AUDITORY BRAINSTEM IMPLANTATION
HABILITATION AFTER AUDITORY BRAINSTEM IMPLANTATION
OUTCOMES OF AUDITORY BRAINSTEM IMPLANTATION
DISCUSSION
SUMMARY
CHAPTER 32:
Direct Acoustical Cochlear Stimulator
INDICATIONS FOR DIRECT ACOUSTICAL COCHLEAR STIMULATOR
CHAPTER 33:
Electro-Acoustic Stimulation/ Hybrid Implants
INDICATIONS
COMPONENTS OF HYBRID IMPLANT
BENEFITS OF HYBRID HEARING
SUMMARY
CHAPTER 34:
Auditory Midbrain Implants
INDICATIONS FOR AUDITORY MIDBRAIN IMPLANT
OPERATIVE PROCEDURE FOR AUDITORY MIDBRAIN IMPLANT
SUMMARY
CHAPTER 35:
Endolymphatic Sac Surgery for Meniere's Disease
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
NEW TECHNIQUES IN THE SURGERY
COMPLICATIONS
SPECIAL INSTRUMENTS USED FOR THE SURGERY
OTHER TREATMENT OPTIONS AVAILABLE FOR THE SAME CONDITION
CHAPTER 36:
Transmastoid Repair of Temporal Meningoencephaloceles and Cerebrospinal Fluid Otorrhea
INTRODUCTION
TEMPORAL BONE DEFECTS, CEREBROSPINAL FLUID LEAKS AND MENINGOENCEPHALOCELES
Congenital Defects
Chronic Otitis Media and Iatrogenic Lesions
Post-Traumatic Defects
SURGICAL APPROACHES
The Subtemporal Approach
The Transmastoid Approach
Combined Approach
MATERIALS FOR RECONSTRUCTION
ORGANIC TISSUES
Alloplastic Materials
CONCLUSION
SUMMARY
CHAPTER 37:
The Surgical Management of Cerebrospinal Fluid Otorrhea
INTRODUCTION
SPECIFIC INVESTIGATIONS
SPECIAL CONSIDERATIONS
Principles in the Management of CSF Leaks of the Temporal Bone
Materials Used to Repair and Reinforce the Defect
Techniques of the Multilayered Closure of the Defect17
STEPS OF SURGERY
Transmastoid Repair of CSF Otorrhea
ACKNOWLEDGMENTs
CHAPTER 38:
Decision-Making in Lateral Skull Base Surgery
INTRODUCTION
DECISION-MAKING IN VESTIBULAR SCHWANNOMA SURGERY
DECISION-MAKING IN GLOMUS TUMORS
DECISION-MAKING IN PETROUS AND PETROCLIVAL LESIONS
SUMMARY
CHAPTER 39:
Middle Fossa Approach
INTRODUCTION
INDICATIONS
SPECIFIC PREOPERATIVE EVALUATION
ANESTHETIC CONSIDERATIONS
SURGICAL STEPS
General Procedure
Specific Considerations for Two Different Indications
Resurfacing Technique for Superior Semicircular Canal Dehiscence Syndrome (Figs 4 and 5)
Internal Auditory Canal Decompression for Skull Base Bone Dysplasias
ANY NEWER TECHNIQUE/MODIFICATION IN THE SURGERY
COMPLICATIONS
General Complications
Resurfacing Superior Semicircular Canal
SPECIAL INSTRUMENTS USED FOR THE SURGERY
CHAPTER 40:
Surgical Approach to Jugular Foramen Tumors (Infratemporal Fossa Type A)
INTRODUCTION
SURGICAL STEPS
CHAPTER 41:
Enlarged Translabyrinthine Approach
INDICATIONS FOR THE SURGERY
SPECIFIC PREOPERATIVE EVALUATION
SURGICAL PROCEDURE
Incision
Extended Cortical Mastoidectomy
Labyrinthectomy
Exposure of Internal Auditory Meatus
Dural Incision and Draining of Cerebrospinal Fluid
Tumor Removal with Preservation of Facial Nerve
Closure
FACIAL NERVE FUNCTION (AUTHORS' RESULTS)
ANESTHETIC CONSIDERATIONS
SPECIAL EQUIPMENT
COMPLICATIONS
CHAPTER 42:
Management of Vestibular Schwannoma: Dependence on Stakeholder's View for Small and Medium-Sized Tumors
INTRODUCTION
SIZE AND GROWTH RATE OF THE TUMOR
Localization
Age and General Medical Condition
Facial Nerve Function
Hearing and Hearing Deterioration Rate
Balance and Vestibular Function
Trigeminal Nerve Function
RISK OF MALIGNANT TRANSFORMATION AND RADIATION-INDUCED TUMORS
HEALTH-RELATED QUALITY OF LIFE MEASURES
PATIENT'S AND SURGEON'S PREFERENCE
COST-EFFECTIVENESS
DECISION ANALYSIS
SUMMARY
CHAPTER 43:
Gamma Knife Radiosurgery for Vestibular Schwannomas
INTRODUCTION
INDICATIONS FOR GAMMA KNIFE RADIOSURGERY
RESULTS OF GAMMA KNIFE RADIOSURGERY
COMPLICATIONS OF RADIOSURGERY
Risk of Facial Nerve Palsy
Risk of Hearing Deterioration
Risk of Trigeminal Nerve Neuropathy
Tumor Volume Increase after Radiosurgery
Hyporesorptive Hydrocephalus
Secondary Malignant Tumors
STEREOTACTIC FRACTIONATED RADIOTHERAPY
CONSERVATIVE APPROACH—NATURAL COURSE OF THE DISEASE
SUMMARY
CHAPTER 44:
Jugular Glomus: Literature Review and Surgical Technique
INTRODUCTION
SPECIFIC PREOPERATIVE EVALUATION
Epidemiology
Diagnosis
Clinical Aspects
Surgical Anatomy
Management of Glomus Tumors
Embolization
Radiation
Surgery
ANESTHETIC CONSIDERATIONS
SURGICAL TECHNIQUE
Position
Surgical Steps
Cranial Region Dissection
Cervical Dissection
Five Crucial Points in the Management of Glomus Tumors
Types A, B, C and D Approaches
CONCLUSION
GLOMUS JUGULAR TIPS
INDEX
TOC
Index
×
Chapter Notes
Save
Clear
