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This book thoroughly reviews the diagnosis and treatment of injuries of the orbital walls and apex, including orbital floor, medial orbital wall, naso-orbito-ethmoid, orbitozygomatic, maxillary, and frontobasilar fractures. For each form of injury, signs and symptoms are identified and clear guidance is provided on the interpretation of clinical and radiological findings and on current surgical treatment methods. In addition, the role of orbital imaging techniques, including CT and MRI, in depicting anatomic relations is explained with the aid of a wealth of radiological images and photographs. The described approach to fracture management is multidisciplinary in nature and the advice is evidence based, drawing on the latest published data. Orbital Fractures: A Physician's Manual will be an invaluable reference and guide for ophthalmologists, maxillofacial surgeons, neurosurgeons, otolaryngologists, radiologists, and emergency physicians. It will also be an excellent resource for all medical students, residents in ophthalmology, and fellows who wish to broaden their spectrum of knowledge in orbital pathology.
This richly illustrated case-based atlas thoroughly depicts the role of MR imaging in the assessment of patients presenting with pain due to degenerative disease of the spine and will serve as an excellent guide to differential diagnosis. Importantly, generic radicular compression is the main reason for the painful symptomatology in only a limited number of cases, and this book illustrates and emphasizes how various anatomic elements of the spine can be responsible. The imaging features of a range of disorders involving both the anterior and posterior elements of the spine are described, including active inflammatory osteochondrosis, atypical herniated discs, facet joint disorders, spondylolysis, and degenerative-inflammatory changes of the spinal ligaments and posterior perispinal muscles. Each example is supported by clinical data, and a series of unusual cases are also presented. MR study protocols include T2-weighted sequences with fat saturation and contrast-enhanced T1-weighted sequences with fat saturation to allow better visualization or highlighting of various inflammatory changes in the spine. Radiologists, neuroradiologists, neurosurgeons, orthopedists, and rehabilitation physicians will all find this atlas a valuable asset in their practice.
This book communicates the latest findings in pediatric orthopedics and answers key everyday questions in the field in an informative, readily understandable manner. The scope is comprehensive, encompassing all aspects of diagnosis and therapy. After an opening section on basic principles, the two main sections discuss diseases and injuries by site and cover systemic conditions including trauma, infections, juvenile rheumatoid arthritis, tumors and hereditary diseases. The book is the translation of the latest edition of the well-known classic Kinderorthopadie in der Praxis, which presents the collected knowledge of experts from Basel University Children's Hospital - Fritz Hefti and his co-workers Reinald Brunner, Carol Claudius Hasler, and Gernot Jundt. This edition has been revised and updated in a variety of ways. New findings are incorporated into all chapters, important advances in treatment are presented and the latest concepts in tumor diagnosis and neuro-orthopedics are discussed. The book contains more than 150 additional illustrations, including new clinical images and radiographs and many further amusing cartoons by Franz Freuler. The aim is to make children's orthopedics fun - in both practice and theory! The book has received several awards.
Kidney Cancer: Principles and Practice is a comprehensive and interdisciplinary textbook that encompasses all clinically relevant aspects of the disease. This new edition has been extensively updated and includes brand new material covering the most recent developments in kidney cancer diagnosis and therapy. The user-friendly and clinically oriented content of the book guarantees that it will be of great interest to a wide range of medical professionals, and every effort has been made to ensure that contributions are both easy to understand and directly related to patient care. Content presentation departs from the usual dense chapter format featuring a lengthy series of paragraphs. Instead, each chapter contains several boxed sections, including one that summarizes essential "take home points" for the busy clinician and another that presents a patient-oriented case highlighting the clinical application of elements discussed in that chapter. In addition, accessible original images, illustrations, and diagrams (some in full color) are used to simplify particularly complex material. This book will be of value for clinicians, researchers, residents, fellows, students, and knowledgeable lay people. The contributors comprise an international group of authors with expertise in kidney cancer epidemiology, molecular biology, pathology, diagnosis, clinical features, staging, prognostic and predictive factors, surgery, systemic therapy, and emerging investigational approaches, among others.
This book describes a new method of alveolar distraction osteogenesis that offers important advantages and can be used for the treatment of various orthopedic abnormalities and congenital malformations. Detailed guidance is provided on selection of patients suitable for alveolar distraction, including those with cleft lip and palate, skeletal class II malocclusions and cystic lesions involving the alveolus. All aspects of treatment using the ArchWise distraction appliance are then covered, including technical preparation, surgical set-up and osteotomies, docking site surgery, orthodontic finishing, implant placement and prosthetic restorations. Relevant information is also included on the principles of distraction osteogenesis and bone histology and quality after the procedure. The book concludes with helpful case presentations covering different scenarios in which ArchWise distraction of alveolar bone is appropriate.
This richly illustrated volume describes the performance of total and subtotal gastrectomy with extended D2 lymphadenectomy by providing a detailed step-by-step guide to both manual and mechanical procedures. Gastric cancer is the fourth most commonly occurring cancer and the second most common cancer-related cause of death worldwide, and surgery remains the only potentially curative treatment. Although several aspects of surgical management are still controversial, all guidelines for the treatment of curable gastric cancer recommend subtotal gastrectomy (for tumors located in the antrum and corpus) or total gastrectomy (for tumors located in the fundus) with extended D2 lymphadenectomy. Various technical tips and secrets are revealed that serve to simplify the procedure and simultaneously make it more effective: by rendering esophagojejunal and gastrojejunal anastomosis more secure, the risk of leakage is minimized. High-quality intraoperative color photographs and drawings covering all steps facilitate understanding of these complex operations and will prove an invaluable tool for surgeons, residents and professionals in the field.
This atlas, featuring numerous superb illustrations and vivid photographs, aims to create a bridge between research and practice in the field of periodontal plastic surgery and cosmetic dentistry with a view to enabling optimal decision making in daily practice. After an opening overview of evidence-based decision making and discussion of treatment planning, subsequent chapters address the surgical treatment of recession-type defects, use of soft tissue substitutes, aesthetic clinical crown lengthening and peri-implant plastic surgery. Illustrated case studies depict application of the described surgical procedures in daily practice and advice is provided on clinical indications and contraindications and basics of the surgical sequence. In addition, critical summaries of the results of systematic reviews are provided. Further chapters consider aspects of multidisciplinary decision-making and present decision trees for soft tissue augmentation procedures proposed by the American Academy of Periodontology. The atlas will be a valuable clinical guide for general dentists and specialists in periodontology/periodontics and implantology.
This surgical atlas, featuring a wealth of color photographs, provides detailed step-by-step descriptions of a wide range of open head and neck procedures, including radical and conservative (organ preservation, functional) approaches, aesthetic and reconstructive surgeries with the use of axial and free flaps, and surgery within the narrow confines of the skull base. Individual chapters are dedicated to surgery of the nose and paranasal sinuses, larynx and trachea, thyroid, salivary glands, mandible, face and lips, and neck, the repair of external nose defects, the use of axial and free flaps, and surgical treatment of temporal bone malignancy. The atlas will be a comprehensive practical reference for clinicians in the various specialties involved in head and neck surgery, including otolaryngologists, head and neck surgeons, plastic surgeons, maxillofacial surgeons and surgical oncologists. It will assist practitioners in achieving the high level of competence that is essential owing to the large number of vital structures in the head and neck region.
The treatment of humeral fractures is a complex issue and the source of considerable controversy. In the case of fractures of the proximal humerus, early range of motion is the main aim of treatment. If a fracture modifies the anatomy or function of the glenohumeral and scapulothoracic joints, the surgeon must adhere meticulously to treatment principles in order to ensure a satisfactory outcome. Humeral shaft fractures are frequent, accounting for 1% to 3% of all fractures in adults; while excellent functional results have been reported with nonoperative management, open reduction and internal fixation is preferred in specific clinical settings. In contrast, intra-articular fractures of the distal humerus are frequently complex and full functional recovery is difficult to achieve. This volume clearly explains the concepts that are central to an understanding of humeral fractures from the proximal to the distal tip. Indications for different forms of treatment, including nonsurgical, are presented in detail, and all of the commonly used fixation techniques are described with the help of high-quality illustrations. Further important aspects such as complications, rehabilitation, and treatment of sequelae are also fully considered. This book will be an invaluable and comprehensive aid for all surgeons who treat humeral fractures.
This book is a comprehensive illustrated surgical guide to operative exposures of the spinal nerves, also known as peripheral nerves. Each chapter is devoted to a particular nerve and describes the origin, anatomic relations, branches, surgical approaches, and clinical significance. The text is concise and easy to read and is complemented by informative color photos from cadaveric dissections and surgical procedures. A separate chapter on technical notes identifies surgical pearls relating to techniques such as nerve suturing and nerve transfers. Importantly, unlike other peripheral nerve atlases, this book is accompanied by videos of different approaches. The book will be especially valuable for residents and fellows in training and candidates for oral board and MOC examinations. It is also designed to provide a quick illustrated review for surgeons unfamiliar with a procedure. Most videos are less than 5 minutes long, and it should take less than 10 minutes to review each approach, including watching the video. Anatomy and Exposures of Spinal Nerves will effectively fill a gap caused by the absence of a peripheral nerve surgeon from many neurosurgery training programs.
Chronic electrical stimulation of the brain has demonstrated excellent outcomes in patients with Parkinson s disease and has recently also been applied to various other neurological diseases. This comprehensive, up-to-date textbook will meet the needs of all who wish to learn more about the application of deep brain stimulation and will provide a sound basis for safe and accurate surgery. The book comprises two main parts, the first of which presents relevant anatomical and functional background information on the basal ganglia, thalamus and other brain structures as well as on the mechanism of brain stimulation. The second part describes clinical studies on deep brain stimulation, covering results in a range of movement disorders and psychiatric diseases and also important aspects of instrumentation and technique. The authors are outstanding scientists and experts in the field from across the world."
Focusing exclusively on the various categories of injury to the fingertip - the most common orthopedic injury seen in the ER - this book covers anatomy, physiology, mechanisms of injury, treatment options and outcomes, and possible complications stemming from these treatments. Management strategies discussed in this book range from simple splinting to complex microvascular reconstruction, open reduction internal fixation (ORIF), complex nail reconstruction, decompression of high pressure injection injuries, local and regional flap reconstructions, and free tissue transfers for fingertip coverage. Additional topics include the management of fingertip burns (thermal, chemical and electrical, and frostbite) as well as special considerations in pediatric fingertip injuries and rehabilitation strategies. It will be an essential reference for orthopedic and hand surgeons, as well as plastic, trauma and emergency surgeons and their staff at work in the ER.
Osteonecrosis is a disease caused by reduced blood flow to bones in the joints, including the hip, knee, shoulder, and ankle. The disease, which is usually progressive and leads to joint failure, occurs in young adults aged from their twenties to their fifties. The pathogenesis of osteonecrosis is still unclear, and treatment remains controversial. This textbook provides up-to-date and comprehensive information on the pathophysiology, etiology, diagnosis, classification, and treatment of osteonecrosis. The role of various imaging modalities is considered, and both non-surgical and surgical treatment approaches are clearly explained. The contributions, all from experts in the field, are based on presentations at leading international meetings during the past 10 years and on peer-reviewed papers. The book will be of interest not only to clinical practitioners but also to those engaged in basic research.
Choosing an uncemented femoral prosthesis means first choosing a concept and to be effective, an operator has to have access to all the information that will allow them to reach the desired goals. This is the first step to be made.
The quality of a surgical procedure does not depend on the manual skills of the surgeon performing it, but on how he has prepared and performed the operation virtually before actually performing it. This is the second step.
An operating technique must be adapted to the chosen concept and the purpose of every surgical procedure must be clearly formulated and understood by the operator. This is the third step.
Every surgeon has to have a reliable and rigorous radiological method of analysis for evaluating overall results and which suggests ways of improving results."
This book provides the reader with an up-to-date, practical and succinct overview of basic neuropathology. It does not replace large reference textbooks in neuropathology but emphasizes key concepts and basic principles including recent advances, genetics and classification, and discusses important aspects of specific neuropathological disorders. It also gives practical hints on aspects of neuropathology, including how to best use the neuropathology service and interpret the results of pathological tests. The reader will gain a sufficiently broad basic knowledge of neuropathology which will be of use in their future clinical careers. Neuropathology Simplified is aimed at trainees and residents in neurology, neurosurgery and psychiatry around the world. It may also be of use to basic scientists involved in neuroscience research and also to general histopathology trainees and residents.
This compact book provides step-by-step guidance in the approaches and techniques developed and currently used at the authors' center in Dusseldorf for the treatment of a variety of aneurysms. All of the described procedures are minimally invasive and of proven efficacy. In order to assist the reader in fully comprehending all aspects of the techniques, they are illustrated through clear graphics instead of complex photos and radiologic imaging. While the rapid development of endovascular treatment means that it is no longer necessary to employ microsurgery for difficult and hidden aneurysms, proficiency in microsurgery remains essential. For example, full mastery of microsurgical techniques is vital in order to treat middle cerebral and peripheral aneurysms efficiently and with minimal trauma. Minimal invasiveness and optimal cosmetic results have become critically important in enabling the microsurgical method to compete with the endovascular method. In documenting "tried and tested" procedures, this book will be invaluable for both established neurosurgeons and residents in neurosurgery.
This book provides clear guidance on how to achieve excellent functional results and avoid failures when performing cystectomy and orthotopic bladder substitution. The opening sections present helpful checklists relating to patient selection, preoperative management, the procedures themselves, intraoperative measures, postoperative management, and actions to be taken in the event of various symptoms and complications. The remainder of the book focuses in detail on a variety of specific points of interest such as how and why to attempt a nerve-sparing cystectomy, the role of pelvic lymph node dissection, physical and physiological considerations relevant to reservoir construction, metabolic consequences of the incorporation of bowel into the urinary tract, preservation of renal function, and quality of life issues. The information provided may not only be instrumental to urologists, but also to specialized health care professionals, as well as the concerned patients.
Female genital malformations represent miscellaneous deviations from normal anatomy. With a prevalence of approximately 6% in the general population, they might be associated with health problems, potentially dangerous complications or poor reproductive outcome depending on the type and the degree of the anatomical abnormality. During the last two decades the better understanding of their pathogenesis, the availability of new non-invasive techniques for their diagnosis and the increased experience from their treatment have radically changed their management. A new, clinically oriented classification system has now been developed facilitating their evidence-based appraisal. It is a reality that the management of female genital malformations has changed rapidly during the last few years from an experience based and mainly descriptive field to a scientific evidence-based one. This book presents all uterine, cervical and vaginal anomalies in a systematic way and the new ESHRE/ESGE classification system utilised for their categorization. In addition, their embryogenesis and etiology are summarized. The diagnostic work-up of women with female genital malformations is reviewed in an evidence-based fashion and taking into account the availability of new non-invasive diagnostic methods. The treatment strategy and the therapeutic alternatives to restore health and reproductive problems associated with their presence are critically reviewed.
This book covers all aspects of body contouring with silicone implants with the exception of breast augmentation. After a discussion of the available silicone implants and anesthetic management, the various techniques that may be used in body sculpting are carefully described in a series of chapters focusing on augmentation of the biceps, triceps, pectorals, buttocks, hip/thigh, calf, and quadriceps. Potential complications are identified for each of the procedures and clear guidance is provided on how to avoid them. The book will enable the surgeon to gain a sound understanding of the different body sculpting techniques and when they are applicable. It is intended both for students/beginners and for experienced cosmetic plastic surgeons alike.
These guidelines, compiled by a panel of clinicians and scientists with a high level of expertise, aim to provide readers with the most up-to-date and comprehensive instructions on the treatment and prevention of ocular inflammation. All of the recommendations are explicitly linked to supporting evidence and graded according to the strength of that evidence, and the editors have made every effort to ensure that chapters are of a consistently high methodological quality. The guidelines for each treatment include dose and the frequency and mode of delivery. Significant side- effects of treatment are identified and distinguished from those of the disease in question. Suggestions are presented for the prevention both of the disease itself and of the treatment-related complications. In addition, likely future directions in treatment and prevention are identified. These guidelines will be of great practical value for all clinicians and clinical scientists with an interest in the subject.
This is a concise, up-to-date reference on anesthesia for urological surgery. Urological anesthesia is not recognized as a specialty, and a majority of anesthesiologists and nurse anesthetists will provide anesthesia for these patients. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. The last volume on this topic was published in 2000, and the time is right for a fresh presentation of contemporary expertise in anesthesia for urological surgery.
The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns. The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns."
Plastic Surgery Facial Reconstruction, edited by Drs. Peter C. Neligan and Eduardo D. Rodriguez, is a one-of-a-kind eBook designed to help you master facial reconstruction techniques for optimum outcomes for your patients. Derived from Plastic Surgery, 3rd Edition - the definitive 6-volume masterwork in plastic surgery, this new ebook provides specialized chapters on facial reconstruction procedures, with quality illustrations, photos, and procedural videos from world renown reconstructive plastic surgeons. It is the high-yield, highly visual guidance you need to perform these procedures confidently and achieve optimal outcomes. The result is a must-have for every plastic surgeon's mobile device!
Although muscular diseases are a huge and heterogeneous group, in most cases of progressive disease the result is focal or general muscular weakness that presents as an unspecific symptom. Imaging techniques that offer differential diagnostic clues are therefore urgently needed. Despite this, MRI has to date often been assigned a subsidiary role in the diagnostic work-up of these diseases owing to the frequent inability of routine MRI protocols to detect pathognomonic findings. This situation is changing with the advent of modern MRI techniques that offer deeper insights into surrogate pathophysiologic parameters, such as muscular microcirculation, sodium homeostasis, energy and lipid metabolism, and muscle fiber architecture. Much higher levels of acceptance and demand by clinicians can be anticipated for these new techniques in the near future, and radiologists will have to face up to the increasing value of MRI of the skeletal musculature. In this book, recognized experts from around the world provide a comprehensive overview of the value of cutting-edge MRI for the assessment of normal and diseased skeletal muscle. A range of aspects are covered, from the general role of MRI in imaging the skeletal musculature, including in comparison with ultrasonography, through to the current value of MRI in the diagnostic work-up of different diseases. In addition, several chapters present research findings in respect of modern morphological and functional MRI techniques for assessment of the skeletal musculature and provide examples of the added value provided by these techniques when evaluating muscular diseases.
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