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The purpose of this book is to discover, popularize and practice the retrosigmoid approach as it was originally conceived ?by otologists for otologists?, but of course it can be used by all surgical specialties involved with pathologies of the cerebellopontine angle. To understand why this approach has become indispensable for us, i.e. the otologists, we have to go back in time. During the 1970s, the operating microscope was widely used in all ENT centers, while its utility was just appearing in neurosurgery. The original concept of the ?a minima? (French word for minimally invasive) retrosigmoid approach was to adapt the techniques of microsurgery of ear to surgery of the acousticofacial nerve bundle. Another purpose of developing the retrosigmoid approach was to reduce morbidity so as to distinguish it from the legendary seriousness of the suboccipital approach. Key Features Functional disorders of cerebellopontine angle (CPA) include conditions that are not life threatening but at the same time severely affecting the quality of life of affected patients, especially in elderly population. The purpose of these surgeries is to improve the quality of life of the patients and reducing the unacceptable complications. The book Functional Surgery of Cerebellopontine Angle by Minimally Invasive Retrosigmoid Approach is based on the surgical experience of more than 2000 cases using this approach handled by Professor Jacques Magnan over the last 40 years. This book attempts to present the update on the current surgical management of functional disorders of CPA in a concise, "step by step" and "How I do it"format. The book includes 540 excellent color digital operative endoscopic and microscopic photographs for illustrating the magnificent and previously unforeseen anatomy and pathology of CPA. This comprehensive text and atlas attempts to provide detail description of this endoscope-assisted microscopic approach for all functional conditions, like Meniere`s disease (vestibular neurotomy), small and medium acoustic neuromas and vascular compression syndromes, like trigeminal neuralgia and hemifacial spasm. A separate chapter on newer method of continuous cochlear and facial nerve monitoring and mapping and its applications in each of these conditions will be bringing a paradigm shift in indications and surgical management of these conditions. It would serve as a handy text and guide for the neurologists, electrophysiologists, otorhinolaryngologists, neuro-otologic surgeons and neurosurgeons who are interested in the pathologies related to the cerebellopontine angle. Printed Pages: 208. Buchnummer des Verkäufers 67640
Inhaltsangabe: The cerebellum is the area at the back of the brain that controls motor movement coordination, balance, equilibrium and muscle tone. The pons connects the cerebral cortex (responsible for thinking perceiving, producing and understanding language) with the medulla oblongata (controls autonomic functions such as breathing, digestion, heart and blood vessel function, swallowing and sneezing). It also serves as a communications centre between the two hemispheres of the brain. The cerebellopontine angle (CPA) is the anatomical space at the junction of the cerebellum and the pons and is a frequent site of benign tumour formation and other non life-threatening, functional disorders. (About.com). This manual is a comprehensive guide to functional surgery of the CPA using the minimally invasive retrosigmoid technique, which involves making a small incision behind the ear, providing endoscopic access to the cerebellum and brain stem. Beginning with the surgical anatomy of CPA and in depth discussion on the instruments and set up for the procedure, the following sections cover the pathophysiology, radiological characteristics, neurological presentation, diagnosis and treatment of a wide spectrum of CPA lesions. Written by internationally recognised experts from France, India and Japan, this highly illustrated resource includes 550 full colour clinical photographs, diagrams and tables, as well as extensive references. Key points *Comprehensive guide to minimally invasive retrosigmoid surgery of the cerebellopontine angle (CPA) *In depth discussion of instruments and set up for the procedure *Internationally recognised author team *Includes 550 photographs, diagrams and tables
About the Author: Jacques Magnan MD Professor Emeritus, University Aix-Marseille; Head ORL & Head and Neck Surgery, Hopital Nord, Marseille, France Bhavin Parikh MS (ENT) Fellowship in Otology Bharti ENT Care Centre, Vododara, Gujarat, India Hidemi Miyazaki MD (ORL) Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo Kyosai Hospital, Japan
Titel: Functional Surgery of Cerebellopontine Angle...
Verlag: Jaypee Brothers Medical Publishers (P) Ltd.
Auflage: First edition.
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