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This atlas provides all the basic and advanced information required
by surgeons in order to understand fully the skull base anatomy. It
is organized according to anatomo-surgical pathways to the hidden
areas of the skull base. These pathways are described in
step-by-step fashion with the aid of a wealth of color images and
illustrations. The emphasis is on endoscopic anatomy, but in order
to provide a holistic perspective, informative three-dimensional
reconstructions are presented alongside the endoscopic images and
radiologic images are included when appropriate. In effect, windows
are opened on the anatomy so that the reader is guided on a journey
throughout the skull base region. This anatomically oriented atlas
will serve as an ideal learning tool for novice surgeons and will
also prove an invaluable reference for the more experienced surgeon
Filling a gap in the anatomical and ENT literature, the authors
show the various approaches to the middle ear which allow safe
surgical manipulations, such as through the tympanic membrane or
the Eustachian tube.
For the beginner or for the accomplished sinus surgeon, mastering
the anatomy of the lateral nasal wall is an ongoing challenge. Even
though there are excellent standard anatomical references and
equally outstanding sinus courses with cadaver dissection, a
reference depicting the surgical anatomy is needed. A step-by-step
surgical approach on the anterior nasal spine to the anterior wall
of the sphenoid is presented. The sinus surgeon is confronted with
a wide range of different spaces created by the ethmoid bone. No
other bone in the human body has so many anatomical variations.
Four critical anatomical structures are emphasized as the
foundation for a precise approach to surgery of the maxillary,
anterior ethmoid, frontal, and posterior ethmoid sinuses. The goal
of this book is to meet the tremendous challenge of offering an
anatomical approach which will serve the sinus surgeon of every
level of experience and expertise.
It is only recently that the use of the endoscope as the sole
visualizing tool has been introduced in transsphenoidal pituitary
surgery with its favorable related implications and minimal
operative trauma. Of course, microscopic and endoscopic anatomy are
basically the same, but the optical distorsion of endoscopic images
is quite substantial compared to microscopic depictions. An
endoscope lens produces images with maximal magnification at its
center and severe contraction at its periphery. Nearer images are
disproportionally enlarged and remote images are falsely
miniaturized. This optical illusion may disorientate a surgeon who
is not familiar with this peculiar condition at the skull base.
This atlas acts as a guide through the endoscopic anatomy and gives
detailed descriptions of the preoperative management and the
surgical procedures.
Become familiar with the key anatomic "corridors" in the skull
base, the sinonasal tract, and adjacent areas to guide and greatly
expand your endoscopic surgical competence. Highlighting the most
recent experience from seven top leaders and innovators in the
field, this seminal new work presents detailed topographic anatomy
of the skull base and adjacent areas in a way not previously seen
before. The result is a multidisciplinary atlas merging anatomy,
otolaryngology, neurosurgery, and radiology, so as to facilitate
creation of a mental "virtual reconstruction" of the complete
approach and operative situs. The result is a greatly extended
range of surgical possibilities into previously uncharted territory
using endoscopic technology. Key Features: Provides the basis for
cultivating a firm and confident understanding of the 3D anatomy of
this intricately complex region Emphasizes the ability of the
endoscopic surgeon to integrate CT and MRI findings into the
surgical planning process A logical and modular organization of the
contents intends to make for easy correlation with the surgical
literature Brilliant step-by-step presentation of dissections using
cadavers, helping readers to fully understand all the anatomical
nuances Numerous previously unpublished approaches covered here for
the first time in a book, step by step Endoscopic Transnasal
Anatomy of the Skull Base and Adjacent Areas is an indispensable
resource for fellows and specialists in neurosurgery and ENT
surgery wishing to widen their competence in endoscopic skull base
surgery. This book includes complimentary access to a digital copy
on https://medone.thieme.com.
Although endoscopic carpal tunnel release has been performed for
more than 10 years, there are still some uncertainties about its
effectiveness and safety. The many techniques and surgical kits
which keep being recommended for the procedure add to the problem
of objectively assessing its merits and comparing results. In this
illustrated textbook, endoscopic carpal tunnel release is described
in all its aspects. Specific pre- and post-operative diagnostic
problems are discussed and the anatomy and physiology are reviewed.
The reader is taken through the procedure step by step and special
emphasis is placed on how to avoid complications. Differences
between endoscopic and conventional release are explained both on
theoretical grounds and in clinical terms. Members of all
professional groups involved in the treatment of patients with
carpal tunnel syndrome will find this illustrated textbook to be a
useful practical guide and to provide ample reference material.
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