Atlas of Acoustic Neurinoma Microsurgery: . Zus.-Arb.: Mario by Mario Sanna, Fernando Mancini, Alessandra Russo, Abdelkader

By Mario Sanna, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, Maurizio Falcioni, Giuseppe Di Trapani, Essam A. Saleh

"Authored via 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 methods complemented by way of basically categorized, full-color intraoperative photos. a number of instances derived from the specialist authors' personal adventure accompany each one description to illustrate the medical software of many of the techniques Read more...

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Authored by way of pioneers within the box, Acoustic Neurinoma Microsurgery -- now in a completely up to date moment version -- presents step by step descriptions of the commonest surgical techniques complemented Read more...

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Additional 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

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How to Obtain Better Access to the Tumor Fig. 17 Difference between classical (a) and enlarged approach (b). In the enlarged approach; the removal of retractors and, more importantly, the wide bone removal allow retraction of the sigmoid sinus and provide much wider access. Since skull base tumors are deeply located in an area of complicated neurovascular structures, adequate exposure has always been a major concern in this type of surgery. Traditional neurosurgical techniques entailed a relatively small craniotomy through which access is mainly obtained by brain retraction.

B Enlargement of the labyrinthine portion of the fallopian canal. Fig. 27 Arachnoid cyst. Fig. 28 Epidermoid (with contrast enhancement). Differential Diagnosis a 21 b c Fig. 29 a Residual tumor left at the level of the petrous apex. Note an iatrogenic cholesteatoma embedded into the fat used to obliterate the transotic approach. b Huge residual lesion occupying the prepontine cistern with significant compression of the brainstem. c Residual vestibular schwannoma after a retrosigmoid approach (note the scar adhesions between soft tissues and the dura of the cerebellum).

D 22 2 Imaging Study of Acoustic Neurinomas a Fig. 30 a CPA completely filled with fat positioned during the TLA. b Shrinking of the fat to 50% during the first year. Therapeutic Follow-Up Postoperative Scans Patients with vestibular schwannomas are usually followed-up with postoperative MRI for some years (5–8) in order to exclude residual tumors with potential for growth. The fat positioned during the translabyrinthine approach that occupies the CPA completely immediately postoperatively (Fig.

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