ABSTRACT

Operative procedures directly on the base of the brain, inner ear, and cranial nerves are inherently delicate undertakings and are further complicated by the difficulty of achieving easy access to this confined space. Featuring extensive diagrams, illustrations, and photographs, this book comprehensively covers all of the principal surgical approaches to the base of the skull. Written by pioneers working at one of the world's leading centers for advanced neurosurgery, it clearly describes the steps by which each of the key anatomical structures at the skull base and inner ear may be accessed in order to perform advanced surgical interventions.

INTRODUCTION. Surgery at the Base of the Skull. ANTERIOR AND MID-LINE APPROACHES. Anterior Craniofacial Resection. Transfacial Approach to the Infratemporal Fossa, Nasopharynx, and Middle Cranial Fossa. Transspheniodal Approach to the Mid-line Cranial Base. Transoral Approach to the Mid-line Skull Base. ANTEROLATERAL APPROACHES. The pterional Approach and Its Extensions. Lateral Transtemporal-Sphenoid Approaches to the Skull Base. LATERAL APPROACHES. Infratemporal Approaches to the Skull Base. Middle Fossa Approach. Infracochlear Approach. POSTEROLATERAL APPROACHES. Translabyrinthine Approach. Transcochlear Extension of the Translabyrinthine Approach. Retrolabyrinthine Approach. Suboccipital (Retrosigmoid) Approach. Far Lateral Approach to the Lower Clivus and Foramen Magnum Region. COMPLICATIONS. Complications in Skull Base Surgery: Avoidance and Management.