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The key reference dedicated to surgery for cholesteatoma... 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. Key Features
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. This book includes complimentary access to a
digital copy on https://medone.thieme.com.
Lavishly illustrated second edition of the classic text on acoustic
neurinoma microsurgery 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. Features: 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.
A powerful guide to the primary diagnosis of disorders of the
external auditory canal, tympanic membrane, middle ear, temporal
bone, and skull base Despite the many advances in diagnostic
technologies and imaging modalities in recent years, otoscopy
remains the first diagnostic option in the diagnosis of otologic
disease. 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. Key Features:
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 Color Atlas of Endo-Otoscopy, produced with the
support of Mario Sanna Foundation, is certain to become a valuable
tool for all physicians involved in the care of patients with ear
ailments.
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. Key Features: 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
The Temporal Bone effectively transmits Mario Sanna's passionate
dedication in otologic teaching and training to excellence.
Residents and fellows should definitely find it indispensable.
Endoscopy is firmly established as a major technology for
investigation and therapy in a wide range of disciplines. The field
of otolaryngology or head and neck surgery owes its existence to
the very special difficulties of examining the dark recesses of the
head and neck. Therefore, this field has been at the forefront of
developing endoscopic techniques for use in this anatomic area.
While rhinologists have been quick to embrace the endoscope in the
management of sinus disorders, otologists and skull base surgeons
have been less than enthusiastic despite the vast range of possible
applications in this area. In this book the authors consider the
new field of application of endoscope technology in neuro-otology
and skull base surgery. 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.
This comprehensive, high-level surgical reference and atlas is
tailored for surgeons who are undertaking training for cochlear
implant procedures and implantable auditory devices and for
experienced surgeons who would like to expand their knowledge,
improve their skills and outcomes, and learn advanced surgical
techniques. Following the principle underlying Professor Sanna's
other successful publications, Surgery for Cochlear and Other
Auditory Implants takes an integrated approach to anatomy, imaging,
technology, decision making, surgical procedures described step by
step, and clinical cases. This book allows readers to: Improve the
efficiency and outcomes of cochlear implantation and other auditory
implant surgeries Learn the required basic and advanced surgical
techniques Evaluate different surgical options and types of
implants Review common and uncommon variations of anatomy and
malformations Understand issues and surgical modifications unique
to pediatric cochlear implantation, to revision surgery, and in
postmeningitis, otosclerosis, and NF2 cases Find decision-making
algorithms for difficult pathologies Examine common and not so
common intraoperative dilemmas and identify strategies to resolve
them Review preoperative assessment and set up and outcomes Find
out about classification systems in cochlear implant failure,
malformations, otosclerosis, and post meningitis Supplementing the
1200 images within the book are 15 outstanding videos available on
Thieme's MediaCenter demonstrating the implantation of the
different cochlear implantation devices that are currently
available and the application of brainstem implants in these
situations: tumor removal, malformation (missing auditory nerve in
children), and cochlear ossification.
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. Key
features: 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 approach -- 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 This essential text
also covers other must-know, highly advanced topics, including:
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 This outstanding surgical atlas is
invaluable for any surgeon who seeks not only to master the
different surgical approaches but also to grasp the real essence of
skull base surgery. 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.
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