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Title Advances in vestibular schwannoma microneurosurgery : improving results with new technologies / Luciano Mastronardi, Takanori Fukushima, Alberto Campione, editors
Published Cham, Switzerland : Springer, 2019


Description 1 online resource (xi, 174 pages) : illustrations (some color)
Contents Intro; Foreword; Preface; New Technologies Available for the Surgical Treatment of Acoustic Neuromas; Contents; Part I: General Aspects; 1: Introduction: Clinical and Radiological Diagnosis; 1.1 Epidemiology; 1.2 Risk Factors; 1.3 Pathogenesis and Pathology; 1.4 Clinical Presentation; 1.5 Diagnosis; References; 2: Treatment Options and Surgical Indications; 2.1 "Wait and Watch" (Fig. 2.1); 2.2 Radiation Therapy (Fig. 2.2); 2.3 Surgery (Fig. 2.3); References; Part II: Illustrated Surgical Technique (Step-by-Step); 3: Patient Positioning; 3.1 Lateral Position [1, 2]
3.2 Supine Position [1-3]3.3 Semi-sitting Position [1, 3, 4]; 3.4 Comparison of Outcomes Following Operations Performed in the Three Positions; References; 4: Instrumentation for Acoustic Neuroma Microneurosurgery; 4.1 Standard Microsurgical Instruments; 4.2 Electronic Microsurgical Devices; 4.3 Endoscopes; 4.4 Intraoperative Neurophysiological Monitoring (IONM) Devices; References; 5: Retrosigmoid Approach; 5.1 Patient Preparation, Positioning, and Incision; 5.2 Keyhole Retrosigmoid Craniotomy; 5.3 Dural Opening and Lateral Medullary Cistern CSF Aspiration
5.4 Opening of the Internal Auditory Canal5.5 Localization of the Facial Nerve; 5.6 Capsular Elevation and Tumor Debulking; 5.7 Removal of the Tumor in the IAC; 5.8 Dissection of Capsule from the Brainstem and Cranial Nerves; 5.9 Closure; References; 6: Translabyrinthine Approach; 6.1 Positioning, Incision, and Bony Landmarks; 6.2 Mastoidectomy; 6.3 Retrolabyrinthine Mastoidectomy: Final Exposure; 6.4 Retrolabyrinthine Approach; 6.5 Translabyrinthine Drilling and Opening of the IAC; 6.6 Closure; References; 7: Video Clips of the Surgical Steps; 7.1 Video 7.1: Keyhole Craniotomy
7.2 Video 7.2: Opening of the Dura7.3 Video 7.3: Identification of Facial Nerve; 7.4 Video 7.4: V-cut with Thulium Laser; 7.5 Video 7.5: Opening of the Internal Auditory Canal; 7.6 Video 7.6: Microdissection in the Internal Auditory Canal; 7.7 Video 7.7: Flexible Endoscopy Final Check in the Internal Auditory Canal; 7.8 Video 7.8: Final View; 8: Results in a Personal Series of 160 Cases; 8.1 Preoperative Data; 8.2 Intraoperative Data; 8.3 Postoperative Data; References; Part III: New Technologies
9: Intraoperative Identification and Location of Facial Nerve: Type of Facial Nerve Displacement-How to Use Monopolar Stimulator9.1 Intraoperative Identification and Location of Facial Nerve: Position, Course, and Functional Preservation; 9.1.1 Guidelines on Intraoperative Facial Nerve Monitoring; 9.2 Standard Techniques: Essential Technical Considerations [6]; 9.2.1 Direct Electrical Stimulation (DES); DES: Localization of Facial Nerve; DES: Functional Preservation of Facial Nerve and Functional Outcome Predictive Values; Limits of DES; 9.2.2 Free-Running EMG
Summary This volume describes the most relevant and cutting-edge technological news on the complex surgical procedure of acoustic neuroma. The clinical-radiological diagnosis and surgical indications are briefly presented and the surgical technique is illustrated step-by-step: video clips show the latest means of treating these patients. All these indications were prepared by highly experienced experts in the field, based on their personal experience. The new technologies discussed concern e.g. the intraoperative identification and position of the facial nerve, hearing preservation, techniques for dural closure, and the usefulness of laser and ultrasound aspirators. The book also discusses a number of ongoing projects, including those on: diluted papaverine for microvascular protection of cranial nerves, flexible endoscope for IAC control of tumor removal, fluid cement for bone closure, administering aspirin to control residual tumors larger than 7mm, and DTI for preoperative prediction of the position of the facial nerve
Notes Online resource; title from PDF title page (SpringerLink, viewed February 4, 2019)
Subject Acoustic neuroma -- Surgery
Neuroma, Acoustic -- surgery
Genre/Form Electronic books
Form Electronic book
Author Mastronardi, Luciano, editor
Fukushima, Takanori, editor.
Campione, Alberto, editor
ISBN 9783030031671