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Outstanding endoscopic skull base surgical resource presents cutting-edge approaches from multidisciplinary global experts


Transnasal endoscopic skull base and brain surgery have undergone major technical advances in recent years. The accumulation of experience and exciting technological innovations - including high-definition cameras, more ergonomic and precise surgical instruments, as well as new hemostatic agents - have enabled safer and more efficacious treatment of lesions affecting highly complex and delicate regions. This fully revised and updated second edition of Transnasal Endoscopic Skull Base and Brain Surgery: Surgical Anatomy and its Applications builds on the acclaimed first edition, focusing on the correlation between endoscopic skull base anatomy and state-of-the-art clinical applications. Among these are the transplanum/transtuberculum, transcribrifom, transclival, and craniocervical junction surgical approaches.


Renowned skull base surgeon Aldo Stamm and leading worldwide experts have compiled a comprehensive multidisciplinary textbook with 72 chapters in 14 sections, didactically organized by regions and diseases. Detailed descriptions of sinonasal, orbital, cranial base, and intracranial anatomy, imaging modalities, and in-depth surgical navigation techniques form the foundation of this remarkable book. The content reflects significant knowledge and diverse perspectives from masters in neurosurgery, otorhinolaryngology, head and neck surgery, neuroendocrinology, intensive care, neuro-anesthesiology, and other disciplines.


Key Highlights



Chapter summaries and highlights facilitate understanding and retention of complex concepts
More than 700 beautiful anatomical, operative, and dissection illustrations and photographs enhance understanding of impacted areas
20 accompanying videos provide guidance on endoscopic transnasal approaches in patients with diverse skull base diseases
Pearls, pitfalls, and nuances throughout this book provide invaluable insights on achieving optimal outcomes


Neurosurgeons, otolaryngologists-head and neck surgeons, and others will greatly benefit from the step-by-step endoscopic procedural guidance and tips in this quintessential skull base surgical reference.


This book includes complimentary access to a digital copy on https://medone.thieme.com.

Transnasal Endoscopic Skull Base and Brain Surgery: Surgical Anatomy and its Applications

Part I. Principles of Transnasal Endoscopic Skull Base and Brain Surgery



1. Anatomy and Osteology of the Skull Base



2. Anatomy of the Nose, Paranasal Sinuses, and Skull Base



3. Imaging in Endoscopic Paranasal Sinus and Skull Base Surgery: Three-Dimensional Reconstruction



4. Preoperative Assessment of Patients with Skull Base Disease: The Role of Nasal Endoscopy



5. Transnasal Surgical Approaches to Skull Base Lesions



6. Anesthesia for Transnasal Endoscopic Skull Base and Brain Surgery



7. The Endoscopically Assisted Bimanual Operating Technique



8. How to Improve Endoscopic Surgical Field Quality: Tips and Pearls



9. Endoscopic Transnasal Approaches to the Skull Base and Brain: Classification and its Applications



10. Postoperative Care Following Transnasal Endoscopic Skull Base and Brain Surgery



11. Technical Advances in Endoscopic Surgery for the Skull Base and Brain



Part II. Management of the Paranasal Sinuses in Transnasal Endoscopic Skull Base and Brain Surgery



12. Approaches to the Maxillary Sinus/Medial Maxillectomy: Surgical Anatomy



13. Approaches to the Ethmoid Sinus



14. Management of the Frontal Sinus



15. Management of the Sphenoid Sinus



Part III. Transnasal Endoscopic Approach to the Orbit and Optic Nerve



16. Anatomy of the Orbit and Related Structures



17. Endoscopic Surgical Anatomy of the Orbit and Optic Nerve



18. Transnasal Endoscopic Orbit and Optic Nerve Decompressions



19. Transnasal Endoscopic Approach to Orbital and Periorbital Diseases



20. Transorbital Neuroendoscopic Surgery of the Skull Base and Brain



Part IV. Transnasal Endoscopic Transcribriform Approach



21. Transcribriform Approach: Surgical Anatomy (Step-by-Step)



22. Transnasal Endoscopic Craniectomy for Esthesioneuroblastomas



23. Endoscopic Endonasal Approach for Olfactory Groove Meningiomas



24. Skull Base Meningiomas: Transnasal Endoscopic versus Open Transcranial Approaches



Part V. Transnasal Endoscopic Transplanum/Transtuberculum Approach



25. Endonasal Endoscopic Transplanum/Transtuberculum Approach: Surgical Anatomy (Step by Step) and Technical Nuances



26. Transnasal Endoscopic Craniectomy for Craniopharyngiomas



27. Endonasal Endoscopic Transplanum/Transtuberculum Approach to Tuberculum Sella and Planum Sphenoidale Meningiomas



28. Transnasal Endoscopic Transplanum/Transtuberculum Approach in Pituitary Adenomas



29. Pituitary Stalk Lesions



30. The Eyebrow Approach



Part VI. Transnasal Endoscopic Sellar and Parasellar Approaches



31. A Brief Historical Background and Evolution of Pituitary Surgery



32. Microsurgical and Endoscopic Anatomy of the Sellar and Parasellar Regions



33. Endoscopic Surgical Anatomy of the Cavernous Sinus



34. Sellar and Parasellar Lesions



35. Surgical Indications for Pituitary Tumors



36. The Dos and DonaEURO (TM)ts of Pituitary Surgery



37. Endoscopic Approaches to the Pituitary Gland



38. Hydroscopy: Application to Pituitary Surgery



39. Transnasal Endoscopic Approaches to the Cavernous Sinus



40. Transsellar/Transdorsum Approach to the Interpeduncular Cistern: Pituitary Transposition



Part VII. Transnasal Endoscopic Transclival Surgery



41. Endoscopic Anatomy of the Clivus and Posterior Fossa and its Surgical Applications



42. Endoscopic Transnasal Craniectomy to the Clivus and Posterior Fossa



Part VIII. Transnasal Endoscopic Transmaxillary/Transpterygoid/Infratemporal Fossa Approaches



43. Anatomy of the Pterygopalatine, Temporal, and Infratemporal Fossae



44. Pterygopalatine Fossa and Infratemporal Fossa Surgery: Endoscopic Anatomy



45. Transnasal Endoscopic Transethmoid-Pterygoid-Sphenoid Approach



46. Transnasal Endoscopic Surgery for Juvenile Nasopharyngeal Angiofibromas



47. Endoscopic Targeted Approach to Juvenile Nasopharyngeal Angiofibromas Based Upon a New Classification System



48. Transmaxillary Endoscopic Approach to Contralateral Parasellar Lesions



Part IX. Transnasal Endoscopic Approach to the Petrous Apex and Meckel's Cave



49. Petrous Apex: Surgical Anatomy and Approaches



50. Meckel's Cave: Anterior Endoscopic Approaches and Surgical Anatomy



51. Transnasal Endoscopic Suprapetrous Approach to the Meckel's Cave and Temporal Fossa



52. Endoscopic Dissection of the Petrocavernous Carotid Artery: The Key for Petroclival Surgery



Part X. Transnasal Endoscopic Surgery for Sinus and Skull Base Malignancies



53. General Concepts in Sinus and Skull Base Malignancies



54. Transnasal Endoscopic Surgery for Malignancies of the Sinus and Skull Base



55. Combined Cranioendoscopic Approaches to Sinus and Skull Base Malignancies



56. External versus Endoscopic Approaches for Skull Base Malignancies



57. Endoscopic Transnasal Nasopharyngectomy: Anatomy and its Surgical Applications



58. Transnasal Endoscopic Treatment of Pterygopalatine Fossa and Infratemporal Fossa Malignancies



Part XI. Transnasal Endoscopic Craniocervical Junction Surgery



59. Microscopic and Endoscopic Anatomy of the Craniocervical Junction



60. The Craniovertebral Junction: Transnasal Endoscopic Approach



Part XII. Transnasal Endoscopic Skull Base and Brain Surgery in Children



61. Transnasal Endoscopic Surgery of the Skull Base and Brain in Children: Anatomical Particularities



62. Transnasal Endoscopic Approach to the Skull Base and Brain in Children



Part XIII. Ventral Skull Base Cerebrospinal Fluid Leaks and Meningo/Encephaloceles



63. Transnasal Endoscopic Management of Ventral Skull Base Cerebrospinal Fluid Leaks and Meningoencephaloceles



64. Managing Sphenoid Lateral Recess Cerebrospinal Fluid Leaks



Part XIV. Complications in Transnasal Endoscopic Skull Base and Brain Surgery



65. Nasal and Paranasal Sinuses Complications after Transnasal Endoscopic Skull Base and Brain Surgery



66. Skull Base Reconstruction: An Overview



67. Management of Skull Base Defects with Vascularized Flaps



68. External Procedures for Repairing Skull Base Defects after Transnasal Endoscopic Surgery



69. Management of Internal Carotid Artery Injury During Transnasal Endoscopic Skull Base Surgery



70. Dealing with Small Arteries and Perforators in Transnasal Endoscopic Surgery



71. Endocrine Complications Following Transnasal Endoscopic Skull Base and Brain Surgery



72. Successful Management of Endoscopic Skull Base Complications