By Mario Sanna, Essam A. Saleh, Alessandra Russo, Abdelkader Taibah, Paolo Piazza, Fernando Mancini, Tarek Khrais
Fresh advances in cranium base surgical procedure are revolutionizing the sphere. in addition to the severe place factor, the most important challenge in lateral cranium base surgical procedure is knowing the complicated kinfolk among the several buildings of the quarter, requiring a deep wisdom of anatomy. during this re-creation provides quite a few step by step ways to the temporal bone and lateral cranium base. every one series is illustrated with photos of cadaver specimens that convey the extradural and intradural elements, together with cerebral vessels and nerves. a special demonstration of 3-dimensional anatomy of the surgical box as obvious by means of the medical professional provides to the practical caliber of the book. Read more...
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Additional info for Atlas of microsurgery of the lateral skull base
Fig. 7 The facial nerve (FN) runs superior to the footplate of the stapes (St) and immediately superior to cochleariform process (cp). 32 4 Introduction to Lateral Skull Base Surgery Fig. 8 A dissection done through the superior surface of the temporal bone to show the different structures from above. Note the close proximity of the cochlea (Co) to the internal carotid artery (ICA) and the geniculate ganglion (GG). The eustachian tube (ET) has been opened. The genu of the internal carotid artery lies medial to the eustachian tube.
Intradural Lesions (Cerebellopontine Angle) Fig. 15 A perfect dissection plane. perilesional edema; which is hyperintense on T2-weighted images and hypodense on CT (Figs. 17). These cases usually show an altered plane of cleavage and are very difficult to remove totally without causing damage to the adherent brain tissue. Epidermoids are characterized by slow growth. They tend to expand and spread along normal cleavage planes and thus they usually occupy more than one intracranial compartment. They have irregular “scalloped” margins.
18 The superior vestibular nerve (SVN) is followed laterally to the superior ampullary nerve (SAN). Fig. 19 Fig. 20 Detachment of the inferior vestibular nerve (IVN). 12. Identification of the facial nerve: − The superior vestibular nerve is followed laterally where it leaves the fundus of the internal auditory canal. The nerve lies in a tiny canal that enters the ampulla of the superior semicircular canal as the superior ampullary nerve (Fig. 18). − The inferior vestibular nerve is detached from the fundus using a hook (Fig.