This video guide increases the surgeon's understanding of all types of surgical approaches for vestibular schwannoma surgery: retrosigmoid, translabyrinthine, middle cranial fossa and combined approaches. 2D and 3D videos are included to increase the readers’ understanding of these complex surgical techniques. These are accompanied by step-by-step narrated cadaveric dissection videos showing the crucial steps of each approach. This book is a learning tool and video reference for those training to perform the procedure and enhances the readers understanding of neuroanatomy. A detailed review of all surgical options and their risks, along with tips, tenets and pitfalls is included. The authors provide an unbiased discussion of all options with balanced comparison between surgical approaches and algorithms for patient selection.
He got sucker-punched, blindsided with something that only happens to other people. Actor David Shannon had a brain tumor. It was called an Acoustic Neuroma. In late 2007, he had surgery to have it removed. All should have gone well. It didn't. Gradually over the next two years, Shannon made one disturbing discovery after another that left his acting career and his former life in ruin. Hell in the Head is his story. With a knack for story-telling, Shannon takes us along on his medical misadventure with irreverent wit. As he weaves his way through his newly found post-surgery world, he shares heart-rending losses and his dashed hopes for recovery as well as stories of achievement and inspiration. From learning the bitter truth to running a half marathon to meeting Crookedsmile and others facing the same ordeal, Shannon tells the good and the ugly with the same wry humor that will have you laughing and crying at the same time. In the end, after a three-year-ride on a rollercoaster of emotional chaos, he presents an advocacy for improved care and counseling for Acoustic Neuroma patients. Hell in the Head is a story of wit and inspiration for all readers and a must read for Acoustic Neuroma patients and "posties."
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. This is a highly informative presented book providing surgeon interested in acoustic neuroma with necessary information on modern technologies available for improving the results of patients.
Acoustic neuroma, or vestibular schwannoma, is a benign tumor originating from the vestibulocochlear nerve located deep within the skull. Despite its benign nature, an acoustic neuroma can cause significant disruption to an affected patient's life including slowly worsening degrees of imbalance, hearing loss, and tinnitus. Thanks to significant advancements in medicine, acoustic neuroma patients are now afforded a variety of treatment options that include everything from monitoring the growth of the tumor to surgical removal. A Patient's Guide to Acoustic Neuroma is designed to serve as a comprehensive, practical reference guide for individuals affected by acoustic neuroma. In this book you will find a detailed overview of the inner-ear structures affected by acoustic neuroma as well as a summary of the latest research into the suspected causes and relevant symptoms of acoustic neuroma. In addition, the tools used in diagnosis of acoustic neuroma are outlined, along with details about the various treatment options available for patients and the resulting influence on a patient's quality of life. This book is designed to educate and empower those who are affected by acoustic neuroma. To do this, over 150 citations highlight the most recent research in the field while also recognizing the broad extent of research into acoustic neuroma that has been acquired over the past century. In doing so, patients can be armed with the most relevant information that can then be used to have informed and productive discussions with their medical provider.
Acoustic neuroma outcomes have been greatly improved by advances in microsurgical techniques, and recently by the long-term application of radiosurgery, which has proven to be an appropriate, verifiable, and extremely clinically relevant treatment strategy. This volume brings together the latest opinions of outstanding physicians and surgeons who treat patients with acoustic neuromas, commonly known as vestibular neuromas. Since the days of Cushing, when partial tumor removal seemed the best method for saving a patient's life, the management of this relatively rare tumor has sparked enormous clinical interest. The book outlines the various stages in the evolution of vestibular schwannoma surgery and presents the full spectrum of current therapeutic possibilities. The novel concept of combining microsurgical with radiosurgical skills should eliminate problems such as facial palsy and hearing loss which were previously associated with the therapeutic management of these tumors. The excellent research findings published here by leading experts in the field will help neurosurgeons, otologists and radiation oncologists to understand the enormous strides made during the last two decades in vestibular schwannoma surgery and radiosurgery.
Authored by pioneers in the field, Acoustic Neurinoma Microsurgery -- now in a fully updated second edition -- provides step-by-step descriptions of the most common surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications.Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more.Features: New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2 In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up 1,034 high-quality images -- including more than 900 full-color intraoperative photographs -- precisely display each step of the different procedures Multiple cases in each chapter prepare the reader for clinical situations Reflecting the latest technical advancements in acoustic neurinoma microsurgery, this visual guide will develop the surgical skills of every otolaryngologist and neurosurgeon that performs this delicate and complicated form of surgery.Dr. Sanna is part of The Gruppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.
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.
Hardbound. This book is a detailed description of the approach to patients with acoustic neuromas, including diagnosis and the choice of conservative care, radiation or surgical treatment. While there is considerable emphasis on quality of life as well as the philosophy and results underlying all forms of intervention, the main thrust is the surgical anatomy and technique.The volume is based on the surgical techniques for total microsurgical removal of 600 acoustic neuromas. Multiple stereoscopic photographic pairs in color were taken through the microscope of each of the 600 cases, and 130 stereo pairs have been included to illustrate the various operative approaches and the anatomic variations, each with a rather detailed description. There are also 30 black and white non-stereo photographs of instruments, positioning and operating room arrangements, as well as 30 X-ray copies. The book is excellent documentation for the future, a highly value
