Download e-book for iPad: Colour Atlas of Micro-Oto-Neurosurgical Procedures by Vittorio, M.D. Colletti, James E. Benecke

By Vittorio, M.D. Colletti, James E. Benecke

ISBN-10: 1447137892

ISBN-13: 9781447137894

ISBN-10: 1447137914

ISBN-13: 9781447137917

Modern microsurgical innovations have spread out a brand new horizon for the otoneurosurgeon. This quantity is a vital contribu­ tion to the scholar who's studying those surgical methods. Surgical otoneurology has now handed the infancy degree, yet continues to be a teenager. As extra otologists and neurosurgeons develop into expert during this form of surgical procedure, new and higher techniques will evolve. definitely there has to be far better administration of the carotid artery because it passes in the course of the temporal bone. higher concepts to maintain the IX, X, and XI nerves within the jugular bulb quarter may be constructed, and extra smooth strategies for administration of lesions contained in the cochlea and vestibular labyrinth may be constructed. As our diagnostic recommendations have better, quite via imaging, surgical recommendations to compare the enhanced diagnostic recommendations will emerge. For destiny otoneurologists who're pre­ pared, many difficulties concerning the temporal bone which are now thought of untreatable may be effectively controlled for extraordinarily thankful sufferers. the aim of this article is to familiarize the otoneurosur­ geon with the anatomy of the temporal bone, cranium base, infratem­ poral fossa, and cerebellopontine perspective. This anatomy might be taught by means of demonstrating surgeries. This atlas that's an instance of cooperation among the universities of l. a. and Verona will let the reader to rehearse otoneurosurgical approaches within the laboratory, and, whilst the ideas were mastered, follow some of the ways within the therapy of internal ear and cranium base lesions. William F. residence MD.

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Extra resources for Colour Atlas of Micro-Oto-Neurosurgical Procedures

Sample text

The sinodural angle is drilled out down to the dura over the superior petrosal sinus. E. Inferiorly, the dissection is carried down to the jugular bulb. The retrofacial air tract should be widely opened. F. The wound is irrigated with an antibioticcontaining solution prior to opening the dura. An anteriorly-based dural flap is created by opening the dura superiorly along the superior petrosal sinus, inferiorly above the jugular bulb, and uniting these incisions by cutting just medial to the sigmoid sinus and lateral to the endolymphatic sac.

This is traced back to the geniculate 60 ganglion, which may not be protected by bone. Care should be exercised in elevating the dura here in order to avoid injury to a dehiscent geniculate. J. Continue to elevate the dura until the arcuate eminence and petro us ridge are identified. Identify the superior petrosal sinus along the petro us ridge, taking care to avoid lacerating this structure. The superior semicircular canal is protected by the arcuate eminence. The superior canal is oriented almost directly at a right angle to the superior petrosal sinus, althougth the arcuate eminence may assume any orientation relative to the sinus.

40 5. RETROLABYRINTHINE APPROACH (VESTIBULAR NERVE SECTION) 1. Following adequate bone removal the dura is opened between the sigmoid sinus and posterior semicircular canal. 2. Gentle retraction of the ce- rebellum demonstrates the eighth nerve complex in the cerebellopontine angle. 41 3. The eighth nerve is well visualized with a large loop of AICA between VII and VIII 4. Retraction of the eighth nerve reveals the facial nerve. 5. The vestibular portion of the eighth nerve is sectioned. 42 6. The nervus intermedius and facial nerve are seen following adequate vestibular neurectomy.

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Colour Atlas of Micro-Oto-Neurosurgical Procedures by Vittorio, M.D. Colletti, James E. Benecke


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