Atlas of Endoscopic Endonasal Transphenoidal Surgery

Author: Paolo Cappabianca
Published: October 2001
Publisher: Springer-Verlag New York, LLC
ISBN: 3211835482
Hardcover Book
Number of Pages: 150

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Cappabianca, Paolo; Alfieri, Alessandra; de Divitiis, Enrico; Tschabitscher, Manfred

Table of Contents
Introduction
Equipment specification
I Anatomic preparations 1
I.A Gross anatomy 2
I.A.1 Bone preparations 4
I.A.2 Nose and paranasal sinuses 22
I.B Endoscopic surgical anatomy 25
I.B.1 Nose 29
I.B.2 Sphenoidal sinus 30
I.B.3 Sella turcica region 31
I.B.4 Suprasellar region 33
I.B.5 Parasellar region 43
I.B.6 Retrosellar region 47
II Preoperative Management
II.A Neuroradiological investigations 53
II.A.1 CT 56
II.A.2 MRI 62
II.B Operating theatre 67
II.B.1 Positioning of the patient 70
II.B.2 Equipment 73
III Surgical procedure 79
III.A Surgical steps 80
III.A.1 Endonasal approach to the sphenoidal sinus ostium 83
III.A.2 Enlargement of the sphenoidal sinus ostium 89
III.A.3 Preparation of the sphenoid sinus 91
III.A.4 Opening of the floor of the sella turcica 93
III.A.5 Opening of the dura mater 97
III.A.6 Removal of the lesion 99
III.A.7 Sella turcica reconstruction 101
Appendix Selected clinical cases 103
Case 1 Intra-suprasellar macroadenoma 104
Case 2 Intra-parasellar macroadenoma 109
Case 3 Solid intra-suprasellar craniopharyngeoma 113
Case 4 Cystic intra-suprasellar craniopharyngeoma 117
Case 5 Arachnoid intra-suprasellar cyst 121
Case 6 Intra-suprasellar RATHKE's cleft cyst 125
References 129
Index 132

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