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New Book: Craniopharyngiomas: Comprehensive Diagnosis, Treatment and Outcome

Craniopharyngiomas: Comprehensive Diagnosis, Treatment and Outcome

Craniopharyngiomas: Comprehensive Diagnosis, Treatment and Outcome

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Authors:
James J. Evans

Tyler J.Kenning

It is a comprehensive guide to the science, diagnosis and treatment of craniopharyngiomas, that grow near the pituitary gland. Even though these tumors are generally benign, due to the location, prognosis was often bleak. This reference provides a resource for specialists requiring a comprehensive overview of this tumor, outlining new diagnostic, imaging and surgical techniques, including endoscopic endonasal cranial base surgery.

With a better prognosis, patients require multidisciplinary management from neurology, otolaryngology, radiation oncology, endocrinology, and neuropathology.

  • The only comprehensive guide to the science, diagnosis and treatment of craniopharyngiomas
  • Includes multidisciplinary management from neurology, otolaryngology, radiation oncology, endocrinology, and neuropathology
  • Detailed coverage of the impacts of new diagnostic, imaging and neurosurgical techniques including endoscopic endonasal cranial base surgery

Product Details

  • Published on: 2015-01-22
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.25″ h x .0″ w x 7.52″ l, .0 pounds
  • Binding: Hardcover
  • 612 pages

About the Author

Assistant Professor of Neurosurgery, Albany Medical Center. Dr. Kenning is fellowship trained in surgery of pathology of the cranial base and specifically endoscopic endonasal surgery, Dr. Kenning heads the cranial base surgery program at a major academic center in Albany, NY. He has authored many peer-reviewed papers in neurosurgical and neuro-oncological journals as well as contributed several book chapters.

Professor, Department of Neurological Surgery and Otolaryngology, Director, Cranial Base and Pituitary Surgery, Co-Director, Jefferson Center for Minimally Invasive Cranial Base Surgery, Thomas Jefferson University Hospital. Dr. Evans is a fellowship-trained cranial base surgeon, board-certified, and has been in practice for over ten years. He has held numerous prominent positions in national societies, is well-known in the field of cranial base surgery, and is an innovator in the field of endoscopic endonasal surgery. He is well-published and co-authored Clinical Manual of Trigeminal Neuralgia (CRC Press, 2007).

Today. Perspectives in Skull Base Surgery Microscopic and Endoscopic Hands-on Course 15th International workshop

Perspectives in Skull Base Surgery Microscopic and Endoscopic Hands-on Course 15th International workshop

November 3 — November 4

Naples, Italy

More Information

Program
Evolving role of the endoscope in skull base surgery
(P. Castelnuovo)
9.20 am Endoscopic anatomy of the midline skull base
(F. Esposito)
9.30 am Computer-based planning of the endoscopic endonasal skull base approaches
(M. De Notaris)
9.40 am The endoscopic endonasal transsphenoidal approach to the sella & its variations
(P. Cappabianca)
10.00 am The endoscopic endonasal approach to the midline anterior cranial base
(L.M. Cavallo)

10.35 am Step by step Hands-on
Endonasal approaches

2.00 am Keynote lecture:
Surgical approaches for craniopharyngiomas
(J. Steno)
2.20 pm Supraorbital approach (microscopic & endoscopic techniques)
(A. Delitala)
2.35 pm Pterional approach & variations
(O. de Divitiis)
2.50 pm Transcallosal approach
(R. Delfini)
3.05 pm Subfrontal approaches
(F. Angileri)

3.35 pm Step by step Hands-on
Transcranial approaches

8.30 am Keynote lecture:
Third ventricle microsurgery
(F. Tomasello)
8.50 am Endoscopic management of intraventricular lesions
(M. Gangemi)
9.05 am Endoscopic endonasal approach to cavernous sinus
(G. Frank, D. Mazzatenta)
9.20 am Endoscopic endonasal approach to Meckel’s cave
(E. Jeanneau)
9.35 am The endoscopic endonasal approach to the clivus
(D. Solari)
9.50 am Endoscopic endonasal cranial base reconstruction techniques
(D. Locatelli)
10.05 am Endoscopic resection of intraparenchimal brain tumors
(S. Cudlip)

10.35 am Step by step Hands-on
Endonasal approaches
1.00 am Lunch
2.00 am Keynote lecture:
Microscopic & endoscopic retrosigmoid approach
(M. Tatagiba)
2.20 pm Patient positioning in skull base surgery
(D. Grujicic)
2.35 pm Subtemporal approach & anterior petrosectomy
(G. Catapano)
2.50 pm Posterior approach to foramen magnum
(F. Maiuri)
3.05 pm Postero-lateral and antero-lateral approach to the foramen magnum
(S. Froelich)
3.20 pm Reconstruction techniques in skull base surgery
(P. De Marinis, P. Caiazzo)
3.35 am Step by step Hands-on
Transcranial approaches

Case of the Month Unilateral Hearing Loss

Unilateral Hearing Loss

History & Examination
30 y/o previously healthy female presents with a 1 year history of progressive left-sided hearing loss and tinnitus.

Her past medical history and surgical history are unremarkable.

Physical examination reveals difficulty with tandem gait and nystagmus, but no dysmetria.

A limited post-contrast study of the IAC and an audiogram are obtained.

Diagnostic Studies
Word recognition scores in the right ear is 100% at 55 dB and 84% at 75 dB

PTA
22 dB (air) and 18 dB (bone) –right
42 dB (air) and 32 dB (bone) – left

Summary -moderate to severe sensorineural hearing loss for the left ear

T1-Weighted with contrast

T2-BFFE

Audiogram

 

Go to the Test

Transoral robotic-assisted skull base surgery to approach the sella turcica: cadaveric study.

Transoral robotic surgery (TORS) offers new possibilities that have not been experimented in the field of minimally invasive skull base neurosurgery.

A transoral robotic approach already has been utilized for laryngopharyngeal lesions by many head and neck surgeons.

Despite the vast number of successful applications already reported using this technique, there exists one case report and cadaveric study demonstrating the feasibility of using a robotic surgical system in the craniovertebral junction 1) 2).

Chauvet et al. propose to evaluate the feasibility of transoral approach to the sella turcica with the da Vinci robot system on cadavers, and performed four robot-assisted dissections on human fresh cadavers in order to reach the pituitary fossa by the oral cavity. Cavum mucosa dissection was performed by the head and neck surgeon at the console and then the sphenoid was drilled by the neurosurgeon at the bedside, with intraoperative fluoroscopy and a “double surgeon” control. Mucosa closure was attempted with robotic arms.

They succeeded in performing a sellar opening in all cadavers with a minimally invasive approach, as the hard palate was never drilled. The video endoscope offered a large view inside the sphenoidal sinus, as observed in transnasal endoscopy, but with 3D visualization. The camera arm could be inserted into the sphenoidal sinus, and instrument arms in the pituitary fossa. Operative time to reach the pituitary fossa was approximately 60 min in all procedures: 20 min of initial setup, 10 min of mucosal dissection, and 30 min of sphenoid surgery. New anatomical landmarks were defined. Advantages and pitfalls of such an unpublished technique were discussed. This is the first cadaveric study reported da Vinci robotic transoral approach to the sella turcica with a minimally invasive procedure. This innovative technique may modify the usual pituitary adenoma removal as the sella is approached infero-superiorly 3).

1) Lee JY, Lega B, Bhowmick D, Newman JG, O’Malley BW, Jr, Weinstein GS, et al. Da vinci robot-assisted transoral odontoidectomy for basilar invagination. ORL J Otorhinolaryngol Relat Spec. 2010;72:91–95.
2) Lee JY, O’Malley BW, Newman JG, Weinstein GS, Lega B, Diaz J, et al. Transoral robotic surgery of craniocervical junction and atlantoaxial spine : a cadaveric study. J Neurosurg Spine. 2010;12:13–18
3) Chauvet D, Missistrano A, Hivelin M, Carpentier A, Cornu P, Hans S. Transoral robotic-assisted skull base surgery to approach the sella turcica: cadaveric study. Neurosurg Rev. 2014 Oct;37(4):609-17. doi: 10.1007/s10143-014-0553-7. Epub 2014 May 22. PubMed PMID: 24848406.