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Operative Cranial Neurosurgical Anatomy


Format: Hardback
ISBN: 9781626232167
Publication Date: December 2018

One-of-kind textbook provides comprehensive tutorial on cranial anatomy with step-by-step text and visuals

Dissection in the anatomical laboratory is a mandatory component of training for neurosurgeons. Acquisition of highly technical skills is a long and arduous task, requiring knowledge of complex surgical anatomy and basic steps for single surgical approaches. Unlike dense textbooks, Operative Cranial Neurosurgical Anatomy by Filippo Gagliardi, Cristian Gragnaniello, Pietro Mortini, and Anthony Caputy provides readers with a user-friendly tutorial on cranial approaches, clearly delineated through concise written instructions and serial images.

Essential procedural aspects are discussed in 53 chapters, starting with sections on pre-surgical training and planning, patient positioning, and basic techniques. Subsequent sections detail cranial approaches; transpetrosal approaches; endonasal, transoral, and transmaxillary procedures; vascular procedures; and ventricular shunts procedures. Surgical technique fundamentals and basic variants, including surgical anatomy and landmarks, are highlighted in 500 figures and illustrations.

Key Features

  • Summaries, graphics, and schematic drawings provide immediate access to salient information to utilize during surgical dissections and for surgical preparation
  • A wide spectrum of cranial procedures covered in 23 chapters – from the precaruncular approach to the medial orbit and central skull base – to surgical anatomy of the petrous bone
  • Diverse endonasal procedures including sublabial, transphenoidal, modified lothrop, odontoidectomy, and endoscopic endonasal transmaxillary
  • Vascular procedures such as middle cerebral artery bypass and internal maxillary artery bypass

This reader-friendly handbook is a must-have resource for every neurosurgical resident and an excellent refresher for all neurosurgeons. It will help residents and fellows optimize the time and quality of practical training in the cadaver lab, learn fundamental surgical techniques in cranial neurosurgery, and thoroughly prepare for cranial neurosurgical cases.

This book includes complimentary access to a digital copy on

Part I Presurgical Training

1 Training Models in Neurosurgery

2 Assessment of Surgical Exposure

Part II Planning, Patient Positioning, and Basic Techniques

3 Anatomical Landmarks and Cranial Anthropometry

4 Presurgical Planning By Images

5 Patient Positioning

6 Fundamentals of Cranial Neurosurgery

7 Skin Incisions, Head and Neck Soft-Tissue Dissection

8 Techniques of Temporal Muscle Dissection

9 Intraoperative Imaging

Part III Cranial Approaches

10 Precaruncular Approach to the Medial Orbit and Central Skull Base

11 Supraorbital Approach

12 Trans-Ciliar Approach

13 Lateral Orbitotomy

14 Frontal and Bifrontal Approach

15 Frontotemporal and Pterional Approach

16 Mini-Pterional Approach

17 Combined Orbito-Zygomatic Approaches

18 Midline Interhemispheric Approach

19 Temporal Approach and Variants

20 Intradural Subtemporal Approach

21 Extradural Subtemporal Transzygomatic Approach

22 Occipital Approach

23 Supracerebellar Infratentorial Approach

24 Endoscopic Approach to Pineal Region

25 Midline Suboccipital Approach

26 Retrosigmoid Approach

27 Endoscopic Retrosigmoid Approach

28 Far Lateral Approach and Principles of Vertebral Artery Mobilization

29 Trans-Frontal-Sinus Subcranial Approach

30 Transbasal and Extended Subfrontal Bilateral Approach

31 Trauma Flap and Osteo-Dural Decompression Techniques

32 Surgical Anatomy of the Petrous Bone

Part IV Transpetrosal Approaches

33 Anterior Petrosectomy

34 Presigmoid Retrolabyrinthine Approach

35 Translabyrinthine and Transcochlear Transpetrosal Approach

Part V Endonasal, Transoral, and Transmaxillary Procedures

36 Nasal Surgical Anatomy

37 Microscopic Endonasal and Sublabial Approach

38 Endoscopic Endonasal Transphenoidal Approach

39 Expanded Endoscopic Endonasal Approach

40 Endoscopic Endonasal Modified Lothrop Approach to Anterior Cranial Fossa

41 Endoscopic Endonasal Odontoidectomy

42 Endoscopic Transoral Approach

43 Transmaxillary Approaches

44 Transmaxillary Transpterygoid Approach

45 Endoscopic Endonasal Transclival Approach with Transcondylar Extension

46 Endoscopic Endonasal Transmaxillary Approach to the Vidian Canal And Meckel's Cave

Part VI Vascular Procedures

47 Superficial Temporal Artery & Middle Cerebral Artery Bypass

48 High Flow Bypass (Common Carotid Artery & Middle Cerebral Artery)

49 Middle Cerebral Artery & Internal Maxillary Artery Bypass

Part VII Ventricular Shunts Procedures

50 Anthropometry for Ventricular Puncture

51 Ventricular-Peritoneal Shunt

52 Endoscopic Septostomy

53 Endoscopic Third Ventriculostomy and Biopsy of Pineal Region

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