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The cholesteatoma, strictly speaking a cyst and not a cancer, nevertheless shows expansive and destructive growth patterns that may give rise to serious symptoms and consequences, including fatality, not unlike those seen for malignant neoplasms.
The great challenge of therapy is to eradicate the pathologic growth while preserving hearing and other critical functions of the middle ear and petrous bone, respecting the proximity of vital neural and vascular structures, and the intricate three-dimensional relationships involved.
Mario Sanna's Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma is the ultimate illustrated guide to complete management of the cholesteatoma, including assessment of the full expansion and degree of destruction caused by the growths, and short- and long-term follow-up to assess and treat for recurrence.
Brilliantly illustrated with diagnostic images from otoscopy and radiology, both normal and pathological
Step-by-step description of approaches and techniques for the procedures
Special coverage of petrous bone cholesteatoma, which is less frequent than other forms but more difficult to diagnose and treat, with introduction and description of a new function-sparing procedure, the subtotal petrosectomy
Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma extends Mario Sanna's passionate dedication to excellence in otologic teaching and training into this highly complex surgical area. Practitioners, residents, and fellows will find it indispensable.
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Temporal bone anatomy is arguably the most complex anatomy in the human body. The proximity of vital neural and vascular structures, the intricate three-dimensional relationships involved, and the manner in which these structures are encased in a labyrinth of bony canals pose a major challenge to the preparation for and performance of surgery. It follows that specialized anatomy teaching courses are indispensable, and these are most effective when executed with the help of dissections on cadaver preparations.
Mario Sanna's Temporal Bone is a guide to the dissection courses that the author himself would have sought to have while he was receiving training—as such, creating it has been a "dream come true" for the author. The manual is designed to complement and reinforce the experiences of course participants, comprehensively covering the normal and surgical anatomy of the temporal bone and all aspects of basic and advanced otologic and neurootologic surgery.
The surgical anatomy is shown with the help of specially prepared cadaveric dissections
The approaches/techniques in these dissections are described step-by-step
For every approach/technique, the surgical anatomy, indications, surgical steps, and hints and pitfalls are described
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This is an easy-to-consult book for residents and specialists, featuring brilliant diagnostic images from the newest generation of endoscopic otoscopes. Written by a renowned team of experts with 30 years of experience, this book helps readers obtain proficiency in otoscopy and in the interpretation of findings. Readers will learn what clinical consequences the diagnoses may have through case examples and treatment suggestions.
Richly illustrated with over 1000 mostly full-color photographs and many radiological studies
Shows a vast range of common and rare pathologies that can be visualized and assessed via endo-otoscopy
Juxtaposes, when appropriate, the clinical picture, radiological diagnosis, and intraoperative findings with the endo-otoscopic findings of the patient
In each chapter, a surgical summary lists various approaches that may be used to optimally plan treatment of the patient
A special final chapter covers the assessment of postsurgical findings as seen in otoscopy, so as to distinguish between normal healing and changes that may require further intervention
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Based on more than 30 years' experience and over 20,000 clinical cases, the second edition of Middle Ear and Mastoid Microsurgery presents detailed surgical management strategies for the full spectrum of otologic disorders, from decision-making and preoperative considerations to descriptions of both common and complex surgical techniques. The superb schematic drawings and intraoperative images, combined with instructional text, facilitate an in-depth understanding of surgical anatomy and operative steps that is unparalleled in the literature.
Now over 1,600 vivid, full-color intraoperative images, many newly obtained with digital cameras, that take readers through the operative procedures in highly detailed step-by-step sequences
Expanded chapter on temporal bone anatomy, with dissection images correlated to CT scans that are crucial for a full understanding of surgical middleÂ ear anatomy and 3D relationships between important structures
Updated chapter on paragangliomas, offering proven surgical solutions to this difficult pathology according to the authors' modified classification
Revised chapter on subtotal petrosectomy, with treatments for intractable otorrhea in dead ears and other severe pathologies such as extensive Jiquorrhea and meningoencephalic herniation
Updated coverage of the remarkable advances in cochlear implant technology for profound sensorineural hearing loss
Complete with general operating room principles, anesthesia, and technical considerations, plus guidance on pitfalls, problems and potential complications, this comprehensive book is an in-depth review of modern middle ear surgery. From temporal bone anatomy to canalplasty to the most advanced surgical techniques, it sets the standard as the authoritative reference for all otologic surgeons at all levels of training.
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Authored by pioneers in the field, Acoustic Neurinoma Microsurgery -- now in a fully updated second edition -- provides step-by-step descriptions of the most common surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications.
Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more.
New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2
In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up
1,034 high-quality images -- including more than 900 full-color intraoperative photographs -- precisely display each step of the different procedures
Multiple cases in each chapter prepare the reader for clinical situations
Reflecting the latest technical advancements in acoustic neurinoma microsurgery, this visual guide will develop the surgical skills of every otolaryngologist and neurosurgeon that performs this delicate and complicated form of surgery.
Dr. Sanna is part of The Gruppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.
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In this completely revised and enlarged new edition, Professor Sanna and his team provide systematic demonstrations of the major lateral skull base approaches, drawing from 20 years of experience of the eminent Gruppo Otologico located in Piacenza, Italy.
Introductory chapters on the general principles, instrumentation, and special considerations that characterize this type of surgery
Discussion of the radiology of skull base lesions as it relates to surgery, with particular emphasis on findings that can influence the choice of surgical approach, alter the course of surgery, or affect the prognosis
Actual demonstrations of the anatomy seen during the different surgical approache -- standard anatomy textbooks fail to address this issue
For each approach, step-by-step descriptions of the surgical technique and numerous clinical cases representing the most commonly encountered lesions so that the reader receives a comprehensive understanding of how to perform the approach and what to expect during surgery
Pearls and Pitfalls at the end of most chapters gathered from the vast number of cases managed throughout the years by the authors and included to help others avoid mistakes
Over 1300 superb and instructive illustrations consisting of photographs of live surgery and cadaver dissections, radiologic images, and drawings
Combined approaches providing the necessary route to manage certain extensive skull base tumors that represent particular challenges
Management strategies for different skull base lesions (e.g., surgical vs. nonsurgical management, the different factors that determine the choice of the surgical approach, cases that are managed conservatively or with radiosurgery)
Management of the internal carotid artery in skull base surgery, including the new technique of using stents to facilitate tumor dissection from the internal carotid artery
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This lavishly illustrated atlas provides comprehensive coverage of the surgical management of facial nerve tumors and of the facial nerve in diseases affecting the temporal bone and lateral skull base. The surgical management and the different operative procedures involved are described step-by-step using full-color images of outstanding quality drawn from a collection of over 1700 cases of skull base surgery and 18000 case of middle ear surgery.
The expert authors discuss the management of the facial nerve in various pathologies, the facial nerve in petrous bone cholesteatoma, the management of the facial nerve in vestibular schwannomas and meningiomas, and facial nerve management in glomus tumors, middle ear carcinomas, and with cochlear implants.
Opening chapters on facial nerve anatomy, radiology, operating room set-up, and intraoperative facial nerve monitoring, representing the knowledge needed before considering surgery
Chapters on facial nerve repair and reanimation, and comprehensive coverage of tumors of the facial nerve
Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, http://www.gruppootologico.it/eng.
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The anatomy of the temporal bone is one of the most complicated areas in the human body. The vital structures, the three-dimensional relationships involved, and the fact that these structures are hidden within bony canals make the anatomy difficult to grasp.
Described as a dream come true by the authors, Professor Sanna and his colleagues have devoted a major effort to creating this book to serve as a guide for young trainees wanting to learn more about temporal bone dissection. It provides comprehensive, high-quality, full-color pictures of the detailed steps of all the major surgical approaches that can be performed in the temporal bone, supplemented by images of cadaveric dissections as an aid to understanding the intracranial anatomy when indicated by the approach.
Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.