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This text, edited by two fellowship-trained rhinologists and two fellowship-trained neurotologists, represents an up-to-date comprehensive resource for any clinician or scientist involved in skull base reconstruction. Each chapter is written by a “super specialist” who has a clinical and/or academic focus in skull base pathologies and reconstruction. The first section is dedicated to basic principles, anatomy, physiology, imaging and anesthetic considerations. The second and third sections discuss pathological processes that lead to cerebrospinal fluid leaks and the need for skull base reconstruction within the anterior and lateral skull base, respectively. The fourth and fifth sections focus on anterior and lateral skull base reconstruction, respectively, with attention to reconstruction techniques and strategies for managing each defect type. The sixth section comprehensively reviews postoperative care and management strategies, where there is high variability and limited evidence, and is intended to present multiple perspectives that each carry merit. The final section highlights developments, research and emerging ideas regarding this ever-growing topic.
Previous to this, there had been no book dedicated to this highly important and emerging topic that really challenges even the best of surgeons to this day. The intended audience of Skull Base Reconstruction includes skull base surgeons, otolaryngologists, neurosurgeons, neurologists, ophthalmologists, radiologists, emergency medicine physicians, trauma surgeons, and trainees and students in all of those areas.
Pages i-xiii
Front Matter
Pages 1-1
Pages 3-15
Pages 17-30
CSF Physiology and Intracranial Pressure
Pages 31-51
Pages 53-62
Imaging for Detection of CSF Leaks
Pages 63-81
Conservative and Medical Therapy for Cerebrospinal Fluid Leaks
Pages 83-92
Pages 93-99
Anesthesia Considerations in Skull Base Reconstruction
Pages 101-117
Allografts and Materials in Skull Base Reconstruction
Pages 119-147
Front Matter
Pages 149-149
Traumatic and Iatrogenic CSF Leaks
Pages 151-162
Spontaneous CSF Leaks and Encephaloceles
Pages 163-175
Pages 177-189
Anterior Skull Base Surgical Approaches
Pages 191-208
Front Matter
Pages 209-209
Traumatic and Iatrogenic CSF Leaks
Pages 211-217
Spontaneous CSF Leaks and Encephaloceles
Pages 219-226
Lateral Skull Base Surgical Approaches
Pages 227-236
Front Matter
Pages 237-237
Free Graft Techniques for Skull Base Reconstruction
Pages 239-252
Local Vascularized Pedicled Flaps for Skull Base Reconstruction
Pages 253-263
Extracranial Flaps for Skull Base Reconstruction
Pages 265-279
Free Flap Reconstruction of Anterior Skull Base Defects
Pages 281-291
Reconstruction of Frontal and Ethmoid Defects
Pages 293-306
Reconstruction of Sphenoid Defects: Lateral Recess, Sellar, Tuberculum, and Planum Defects
Pages 307-318
Reconstruction of Clival and Craniocervical Junction Defects
Pages 319-333
Front Matter
Pages 335-335
Management of Cerebrospinal Fluid Leaks During Otologic Surgery
Pages 337-353
General Repair Principles Following Posterior Cranial Base Surgery
Pages 355-371
Reconstruction of the Middle Cranial Fossa Floor
Pages 373-388
Reconstruction of Large Temporal Bone Defects
Pages 389-403
Front Matter
Pages 405-405
Postoperative Management Following Skull Base Reconstruction
Pages 407-413
Management of the Postoperative Leak
Pages 415-433
Other Complications Following Skull Base Reconstruction
Pages 435-447
Outcomes of Anterior Skull Base Reconstruction
Pages 449-456
Outcomes of Lateral Skull Base Reconstruction
Pages 457-473
Medicolegal Issues in Skull Base Reconstruction
Pages 475-482
Front Matter
Pages 483-483
Emerging Developments in Skull Base Reconstruction
Pages 485-494
Pages 495-501
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