Paolo Piazza

In this completely revised and enlarged new edition, Professor Sanna and his team provide systematic demonstrations of the major lateral skull base approaches, drawing from 20 years of experience of the eminent Gruppo Otologico located in Piacenza, Italy. Key features: Introductory chapters on the general principles, instrumentation, and special considerations that characterize this type of surgery Discussion of the radiology of skull base lesions as it relates to surgery, with particular emphasis on findings that can influence the choice of surgical approach, alter the course of surgery, or affect the prognosis Actual demonstrations of the anatomy seen during the different surgical approach -- standard anatomy textbooks fail to address this issue For each approach, step-by-step descriptions of the surgical technique and numerous clinical cases representing the most commonly encountered lesions so that the reader receives a comprehensive understanding of how to perform the approach and what to expect during surgery Pearls and Pitfalls at the end of most chapters gathered from the vast number of cases managed throughout the years by the authors and included to help others avoid mistakes Over 1300 superb and instructive illustrations consisting of photographs of live surgery and cadaver dissections, radiologic images, and drawingsThis essential text also covers other must-know, highly advanced topics, including: Combined approaches providing the necessary route to manage certain extensive skull base tumors that represent particular challenges Management strategies for different skull base lesions (e.g., surgical vs. nonsurgical management, the different factors that determine the choice of the surgical approach, cases that are managed conservatively or with radiosurgery) Management of the internal carotid artery in skull base surgery, including the new technique o

Representing the pinnacle of skull base surgery, paraganglioma management requires the advanced surgical skills and expertise that are presented by Dr. Mario Sanna and his team in this comprehensive reference. It incorporates extensive surgical and radiological data compiled over 20 years at the preeminent Gruppo Otologica Clinic in Piacenza, Italy, and features the exquisite intraoperative photographs and schematic diagrams that are a hallmark of the highly regarded Sanna texts. All head and neck and skull base surgeons will find their knowledge, technical proficiency, and ability to manage these challenging tumors vastly increased by this informative resource. Special Features: Step-by-step descriptions of the full range of head and neck paraganglioma procedures, including the infratemporal fossa approach type A, the extreme lateral approach, and the transcervical approach, plus guidance on managing complex tympanojugular paragangliomas More than 1,800 clearly labeled, high-quality intraoperative photographs correlated to full-color schematic drawings for an in-depth understanding of techniques Detailed discussion of managing the internal carotid artery during procedures, including the neuroradiological use of stents Pathology-oriented structure that allows the reader to identify a lesion at a particular stage and then follow the critical thinking, assessment, pre-operative management, and intra-operative course taken by the surgeon Comprehensive sections on pathology, physiology, anatomy, epidemiology, and new genetic breakthroughs that lay the groundwork for the surgical chapters Tips, hints, and pitfalls at the end of each chapter that offer valuable insights for managing different clinical scenarios Demonstrating the complex decision-making process in many actual cases and offering practical advice for handling complications, this book puts the reader into the operating room with the surgeon. It is indispens