By Mario Sanna, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, Maurizio Falcioni, Giuseppe Di Trapani, Essam A. Saleh
"Authored through pioneers within the box, the Atlas of Acoustic Neurinoma Microsurgery--now in a completely up-to-date moment edition--provides step by step descriptions of some of the surgical techniques complemented by means of basically classified, full-color intraoperative pictures. quite a few instances derived from the professional authors' personal adventure accompany each one description to illustrate the scientific program of some of the techniques in addition to to supply functional examples of what to do while confronted with surgical problems. Concise, tightly centred chapters conceal every thing from surgical anatomy and working room setup to distinctive factors of the way to accomplish the complete variety of surgeries, together with the enlarged translabyrinthine method with transapical extension (introduced via Gruppo Otologico), the enlarged heart cranial fossa technique, the transotic strategy, the changed transcochlear method, and lots more and plenty extra. good points - New chapters at the normal positive factors of acoustic neurinomas; sensible surgical procedure and intraoperative tracking of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatments for sufferers with neurofibromatosis style 2 - In-depth info on key elements of sufferer care, corresponding to sufferer choice, preoperative care, and postoperative follow-up - Over a thousand fine quality images--including greater than 900 full-color intraoperative photographs-- accurately show each one step of the various methods - a number of circumstances in every one bankruptcy arrange the reader for scientific events Reflecting the newest developments in acoustic neurinoma microsurgery, this visible consultant can assist boost the surgical talents of each otolaryngologist and neurosurgeon who plays this smooth and intricate type of surgery"--Provided by means of publisher. Read more...
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Extra info for Atlas of Acoustic Neurinoma Microsurgery: . Zus.-Arb.: Mario Sanna Essam Saleh, Benedict Panizza, Alexandra Russo, Abdel TaibahWith the collaboration of Refik Caylan, Fernando Mancini
B Close-up of the tips we use with cautery. In our practice we prefer the use of the Vesalius machine (molecular resonance generator, Fig. ” In this way, all the energy will be used to break these molecular bonds, avoiding an increase in the kinetic energy and consequently avoiding a rise in temperature. This scalpel produces an alternating current characterized by high-frequency waves combined in a particular way (CSS method); the fundamental wave is at 4 MHz, and the subsequent ones are at 8, 12, and 16 MHz with decreasing amplitude and increasing frequency.
From left to right: conventional cautery, Vesalius, and drill system. In our center, all the pedal controls are operated by the nurse. b Fig. 13 a Zeiss operating microscope equipped with a still digital camera and a CCD camera. b The same microscope fully draped for surgery. a Instruments 35 a Fig. 14 device. Monitor, recording device (DVD recorders), and image capturing Instruments Suction Irrigation Suction irrigators of different sizes with finger control are used throughout surgery. The channel for irrigation is connected to an infusion set and the rate of infusion is controlled by the scrub nurse.
30a) usually shrinks to 50% during the first year, allowing re-expansion of the cerebellum and the brainstem (Fig. 30b). After partial removal, the residual tumor may be confused with the fat; MRI with fat suppression technique is indicated for better evaluation of the presence of the residual lesion (Fig. 31). Sometimes a tumor component deeply indented into the brainstem is left during surgery in order to avoid neurological complications. With cere- b bellar and midbrain re-expansion these tumor remnants are usually pushed laterally, making revision surgery easier if required (Fig.