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Anatomy and Surgery of the Cavernous Sinus (Paperback, Softcover reprint of the original 1st ed. 1989)
Loot Price: R3,353
Discovery Miles 33 530
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Anatomy and Surgery of the Cavernous Sinus (Paperback, Softcover reprint of the original 1st ed. 1989)
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The decision of Harvey Cushing to leave general surgery and
concentrate on the infant field of central nervous system surgery
was in retrospect a landmark in the history of neurosurgery. His
concentrated work, and also that of his colleague Walter Dandy,
originated with the desires of both pioneers to understand surgical
anatomy and neurophysiology. The fundamental knowledge and surgical
techni ques that they provided became the standard of excellence
for several generations of neurosurgeons; so much so that the
general belief was that the surgical techniques could not be
improved upon. Twenty-five to thirty years ago microtechniques
began to appear in a few surgical research centers, they were then
gradually applied to clinical neurosurgery and have contributed to
a new level of understanding in surgical anatomy and
neurophysiology. We are now fortunate to have a new standard of
morbidity and mortality in the surgical treatment of intrathecal
aneurysms, angiomas, and tumors. It has been said that
microneurosurgery was reaching its limits, especially when treating
lesions in and around the cavernous sinus and skull base; those
lesions notorious for involvement of the dural and extradural
compartments, with a tendency to infiltrate adjacent nerves and
blood vessels. The dangers of uncontrollable hemorrhage from the
basal sinuses and post-operative CSF rhinorrhea appeared
unsurmountable. The lateral aspects of the petro-clival region have
been of interest to a few pioneering ENT surgeons and neurosurgeons
but the cavernous sinus in most respects has remained the final
unconquered summit."
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