Endoscopic Cranial Base and Pituitary Surgery, An Issue of Otolaryngologic Clinics of North America

Troy D. Woodard, Pablo F. Recinos, Raj Sindwani

Description

This issue on endoscopic cranial base and pituitary surgery is led by experts in the field of Otolaryngology and Neurosurgery. Otolaryngologists/Head and Neck surgeons Dr. Raj Sindwani and Dr. Troy Woodard join with Neurosurgeon Dr. Pablo Recinos to present a comprehensive clinical approach. Topics include: Building an endoscopic skull base program (room setup and key equipment / IGS); Skull Base Anatomy (corridors, intra and extradural); Imaging in skull base surgery – CT, MRI, CT cisternogram, intraop CT; Sellar lesions / pathology; Principles of endoscopic pituitary surgery ; Reconstruction of skull base defects – free graft, pedicle, TPF, alloderm; Lumbar drain utility (role of intrathecal fluorescein); Hemostasis in Skull Base Surgery (control of smaller vessels, maneuvers to minimize bleeding – warm irrigations, HOB up, embolization); Management of ICA Injury (intraop options, late complications); Meningioma; Esthesioneuroblastoma; Cordoma; Sinonasal Malignancies of Skull Base; Craniopharyngioma; Endonasal approaches to the craniocervical junction; Medical complications of Pituitary/skull base surgery – (ie. SIADH, DI, Hypopit); Post-op management of skull base patient (postop Abx, imaging, debridements, topical irrigations, more...). Articles cover surgical procedure, surgical complications, and surgical anatomy as relevant to the clinical discussion.

Sujets

• Médecine
• Médecine Générale
• Medical
• Otolaryngology

Informations

• Publié par: Elsevier
• Date de parution: 19 janvier 2016
• Nombre de lectures: 0
• EAN13: 9780323417648
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Endoscopic Cranial Base and Pituitary Surgery
Otolaryngologic Clinics of North America
Editors
Raj Sindwani, MD, FACS
Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio; Minimally Invasive Cranial Base and Pituitary Surgery Program, Burkhardt Brain Tumor and Neuro-Oncology Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio
Troy D. Woodard, MD, FACS
Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio; Minimally Invasive Cranial Base and Pituitary Surgery Program, Burkhardt Brain Tumor and Neuro-Oncology Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio
Pablo F. Recinos, MD
Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio; Minimally Invasive Cranial Base and Pituitary Surgery Program, Burkhardt Brain Tumor and Neuro-Oncology Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio

Clinics Review Articles

www.oto.theclinics.com

February 2016 Volume 49 Number 1
Table of Contents
Cover image
Title page
Copyright
CME Accreditation Page
Contributors
Editors
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Preface. Endoscopic Cranial Base and Pituitary Surgery
Building a Successful Endoscopic Skull Base and Pituitary Surgery Practice
Key points
Introduction
Who
What
When
How
Why
Summary
References
Skull Base Anatomy
Key points
Introduction
Sphenoid bone
Sphenoid sinus
Pituitary gland
Cavernous sinus
Suprasellar space
Anterior cranial base
Clivus
Summary
References
Anatomy, Physiology, and Laboratory Evaluation of the Pituitary Gland
Key points
Introduction
Basic anatomy
Physiology
Overview of pituitary dysfunction
Diagnosis of common hypersecretion syndromes
Evaluation of pituitary incidentalomas
Perioperative evaluation of pituitary function
Summary
References
Imaging in Endoscopic Cranial Skull Base and Pituitary Surgery
Key points
Introduction
Imaging technique
Anatomy of anterior skull base
Anatomy of the central skull base
Anterior skull base pathology
Central skull base pathology
Presurgical considerations in endoscopic endonasal surgery
Postoperative imaging of endoscopic endonasal surgery
Summary
References
Sellar Lesions/Pathology
Key points
Introduction
Embryology of the pituitary gland
Anatomical boundaries of the pituitary fossa
Signs and symptoms related to sellar lesions
Neuroimaging
Biological workup
Neoplastic lesions
Nonpituitary tumors
Developmental lesions
Inflammatory and infectious lesions
Vascular lesions: aneurysms
References
Principles of Pituitary Surgery
Key points
Introduction
Principles of surgery
Summary
References
Reconstruction of Skull Base Defects
Key points
Introduction
Treatment goals and planned outcomes
Preoperative planning and preparation
Patient positioning
Reconstruction
Nasoseptal flap
Endoscopic-assisted pericranial flap
Temporoparietal fascia flap
Multilayer bolster/closure
Potential complications and management
Outcomes
References
Cerebrospinal Fluid Diversion in Endoscopic Skull Base Reconstruction: An Evidence-Based Approach to the Use of Lumbar Drains
Key points
Introduction
Cerebrospinal fluid physiology and principles of diversion
Use of lumbar drains in endoscopic skull base surgery
Complications of lumbar drains
Recommendations
Summary
References
Strategies for Improving Visualization During Endoscopic Skull Base Surgery
Key points
Introduction
Hemostasis
Intraoperative considerations
Patient positioning
Topical and local vasoconstriction
Irrigation
Control of arterial bleeding
Embolization
Surgical ligation
Control of venous bleeding
Surgical techniques
Summary
References
An Overview of Anterior Skull Base Meningiomas and the Endoscopic Endonasal Approach
Key points
Epidemiology
Cause and pathophysiology
Classification
Pathology
Clinical presentation of midline anterior skull base meningiomas
Radiology
Management
Surgical treatment
Outcome and complications
Radiation therapy and radiosurgery
Summary
References
Endoscopic Management of Esthesioneuroblastoma
Key points
Introduction
Treatment goals and planned outcomes
Preoperative planning and preparation
Patient positioning
Procedural approach
Postoperative care
Complications
Rehabilitation and recovery
Outcomes
Summary
References
Endoscopic Endonasal Management of Skull Base Chordomas: Surgical Technique, Nuances, and Pitfalls
Key points
Introduction
Treatment goals and planned outcomes
Surgical technique and procedure
Complications and management
Postprocedural care
Expected outcomes and clinical results in the literature
Summary
References
Sinonasal Malignancies of Anterior Skull Base: Histology-driven Treatment Strategies
Key points
Introduction
Diagnostic work-up
Multidisciplinary treatment protocols
Surgical approaches
Outcomes
Open issues
Summary
References
Endoscopic Endonasal Management of Craniopharyngioma
Key points
Introduction
Treatment goals and planned outcomes
Preoperative planning and preparation
Patient positioning
Procedural approach
Potential complications
Postprocedural care, rehabilitation, and recovery
Outcomes and literature review
Summary
References
Endoscopic Approaches to the Craniovertebral Junction
Key points
Introduction
Treatment goals
Preoperative planning
Patient positioning
Procedural approach
Potential complications and management
Post-procedural care
Rehabilitation and recovery
Summary
References
Complication Avoidance in Endoscopic Skull Base Surgery
Key points
Introduction
Endocrinologic complications
Perioperative antibiotics and meningitis
Other medical complications
Cranial neuropathies
Management of postoperative cerebrospinal fluid fistula
Vascular injury
Summary
References
Injury of the Internal Carotid Artery During Endoscopic Skull Base Surgery: Prevention and Management Protocol
Key points
Introduction
Risk factors
Preoperative work-up
Intraoperative
Postoperative rescue
Summary
References
Comprehensive Postoperative Management After Endoscopic Skull Base Surgery
Key points
Introduction
Intraoperative considerations
General postoperative course and care after endoscopic skull base surgery
Early postoperative care strategies depending on cerebrospinal fluid leak type and reconstruction
Postoperative care when there is no cerebrospinal fluid leak
Postoperative care when there is low-flow cerebrospinal fluid leak
Postoperative care when there is a high-flow cerebrospinal fluid leak or a large complex skull base defect
Special postoperative considerations
Summary
References
Index
Copyright
Elsevier
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OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA Volume 49, Number 1
February 2016 ISSN 0030-6665, ISBN-13: 978-0-323-41763-1
Editor: Jessica McCool
Developmental Editor: Alison Swety
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