Atlas of Surgical Approaches to Paranasal Sinuses and the Skull Base PDF
Preview Atlas of Surgical Approaches to Paranasal Sinuses and the Skull Base
Dan M. Fliss Atlas of Ziv Gil Surgical Approaches to Paranasal Sinuses and the Skull Base 123 Atlas of Surgical Approaches to Paranasal Sinuses and the Skull Base Dan M. Fliss (cid:129) Z iv Gil Atlas of Surgical Approaches to Paranasal Sinuses and the Skull Base Dan M. Fliss, MD Ziv Gil , MD, PhD Department of Otolaryngology Head The Head and Neck Center and Neck Surgery and Maxillofacial Surgery Department of Otolaryngology Head The Interdisciplinary Center of Head and Neck Surgery and Neck Surgical Oncology Rambam Healthcare Campus Tel Aviv Sourasky Medical Center Haifa Tel Aviv University Israel Sackler Faculty of Medicine Tel Aviv Israel ISBN 978-3-662-48630-6 ISBN 978-3-662-48632-0 (eBook) DOI 10.1007/978-3-662-48632-0 Library of Congress Control Number: 2015960458 Springer Heidelberg New York Dordrecht London © Springer Berlin Heidelberg 2016 T his work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag GmbH Berlin Heidelberg is part of Springer Science+Business Media (www.springer.com) To my parents, Thea and Dr. Adolf Fliss, for their education, constant support, and love. To my wife, Maayana, for her love, patience, and encouragement. To my beloved children, Neomi, Ehud, Ruth, and Yael, who continue to provide perspective on what is truly important in life. Dan M. Fliss To my wife Abigail, for striding with me throughout my career and for the creation of our garden. Ziv Gil Pref ace T he skull base is one of the most complex anatomical regions in the human body. Being located at the confl uence of the brain and upper aerodigestive tracts, it is also the origin of vari- ous pathological processes of neoplastic, infectious, or congenital origin. In this setting, the base of the skull was one of the last regions to be explored surgically. Throughout the twentieth century, open skull base approaches were rapidly developed, but since they were associated with considerable morbidity and had evident impact on function and cosmesis they created a need for less aggressive techniques. In the past decade, the welcome infusion of new tools and endoscopic technologies has enabled the skull base to become easier and safer to approach surgically. The development of microvascular techniques and the maturation of endonasal sur- gery contributed signifi cantly to the improvement of outcomes and quality of life of patients with skull base neoplasms. The twenty-fi rst century also brought the understanding that patients with skull base neo- plasms should be managed in tertiary centers by a multidisciplinary team that involves sur- geons, clinicians, and paramedical staff members from different fi elds of medicine. As surgeons from diverse disciplines entered the fi eld of skull base surgery, there was a need for a compre- hensive illustrated surgical atlas to serve as a reference tool for the management of these patients. This illustrated atlas is committed to a vision of interdisciplinary education in skull base surgery. It provides a step-by-step description of the various surgical approaches to the skull base. It is meant to be accessible to residents, fellows, and attendings in various disciplines, including otolaryngology, head and neck surgery, neurosurgery, plastic and reconstructive sur- gery, maxillofacial surgery, and oncology. Throughout, the emphasis is on the preoperative workup, surgical technique, and postoperative follow-up. Each approach is explained in a comprehensive manner and accompanied by intraoperative photographs. In this atlas, we have introduced all the major approaches to the anterior, middle, and lateral skull base, including open and minimally invasive approaches. The latest advancements in endoscopic and transoral robotic surgery are also included. Case illustrations are presented and discussed throughout this book. This atlas begins with three chapters on anatomical and radiological reviews, followed by a chapter dedicated to operating room setup. Next, surgical approaches are presented according to the anatomical region: the paranasal sinuses, anterior skull base, lateral skull base, parapharyngeal space, and combined approaches. This book concludes with two chapters dedicated to reconstructive skull base surgery and operative complications. major classical and contemporary references are given at the end of each chapter allowing guidance for those who are interested in further reading. M any of our teachers and colleagues contributed to the development of ideas elaborated on in these chapters. Lee Klein is highly thanked for his dedicated and thorough editorial assistance. Above all, the gathering of this knowledge would not have been possible without the support of our patients, which we were privileged to serve as their physician. vii About the Authors Professor Dan M. Fliss M.D. is the Chairman of the Department of Otolaryngology Head and Neck and Maxillofacial Surgery and the Interdisciplinary Center for Head and Neck Surgical Oncology at Tel-Aviv Soursky Medical Center, affi liated to the Sackler Faculty of Medicine Tel-Aviv University. He is also the Head of the Department of Otolaryngology Head and Neck Surgery at the Sackler Faculty of Medicine, Tel-Aviv University, and on the Scientifi c Staff at the Department of Otolaryngology Head and Neck Surgery, Mount Sinai Hospital, Toronto, and the University of Toronto, Canada. H e is currently the Scientifi c Secretary of the Asian Society of Head and Neck Oncology, Councilor of the International Academy of Oral Oncology (IAOO), a member of the Executive Committee of the International Federation of Head and Neck Oncology Societies (IFHNOS), and an Honorary Member of many International Head and Neck Societies. He is a frequent invited guest speaker at many international academic events among which is the prestigious Eugene N. Myers International Lecture on Head and Neck Cancer. Prof. Fliss serves on the editorial boards of T he Head and Neck Journal and is the editor of the H ead and Neck Section of the Skull Base Journal, The Otolaryngology – Head and Neck Surgery Journal, Oral Oncology, The J ournal of Operative Techniques in Otolaryngology Head and Neck Surgery, the European Journal of Otolaryngology Head and Neck Surgery, and others. P rof. Fliss is the author of 300 articles and book chapters and the editor of three books on Head and Neck and Skull Base Surgery: Atlas of Head and Neck Surgery (J.P. Medical), Tumors of the Skull Base and Paranasal Sinuses (Springer), and P earls and Pitfalls in Head and Neck Surgery (Karger). Professor Ziv Gil, M.D., Ph.D., is a Barbara S. Goodman Endowed Investigator (ICRF) and the Chairman of the Department of Otolaryngology Head and Neck Surgery, and the Head and Neck Center at Rambam Healthcare Campus, Haifa, Israel. Professor Gil is the Director of the Applied Cancer Research Laboratory at the Clinical Research Institute at Rambam and a Senior Member of the Developmental Biology and Cancer Research Program, the Rappaport Faculty of Medicine and Research, The Technion, Israel Institute of Technology. He is also a study section member of the Israel Science Foundation, Israeli Cancer Research Association and the Binational Israel-America Science foundation, and sits at the editorial boards of the Head and Neck Journal , Otolaryngology – Head and Neck Surgery , Skull Base Journal , Operative Techniques in Otolaryngology and more. Dr. Gil is the author of over 160 manu- scripts and book chapters in basic science research and medicine. His previous books include Tumours of the Skull Base and Paranasal Sinuses (Springer) and Atlas of Head & Neck Surgery (Jp Medical). ix
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