Focuses exclusively on the comprehensive evaluation, and management of patients presenting with CSF leaks from the anterior cranial base, offering a reliable, one-stop resource for experienced clinicians as well as those in training
Covers the full breadth of cerebrospinal fluid rhinorrhea, with expert discussion of spontaneous CSF leaks, including evolving management techniques for patients with idiopathic intracranial hypertension; traumatic CSF leaks, including advanced management of complex anterior cranial base trauma; and up-to-date techniques for intraoperative skull base reconstruction after tumor resection
Includes tips and pearls on surgical approaches and postoperative management strategies for this complex and varied patient population
Features abundant high-definition images of anatomy, radiographic imaging, and intraoperative techniques, as well as videos that highlight intraoperative techniques in patients with spontaneous, traumatic, and tumor-related CSF leaks
Provides a detailed review of the different laboratory, examination (endoscopic nasal, as well as ophthalmologic) and imaging studies used to evaluate patients with CSF leaks
Discusses the evaluation and growing medical and procedural management options for patients with idiopathic intracranial hypertension
Offers state-of-the-art reconstruction options for CSF leaks and complex skull base defects, ranging from the nasoseptal flap and beyond
Addresses the controversial role of lumbar drains in CSF leak management, as will new and upcoming technological advances in operating room instrumentation
An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud
PART I Evaluation and Diagnosis of Cerebrospinal Fluid Rhinorrhea 1. Categorizing Cerebrospinal Fluid Leaks: A Framework for Understanding 2. Evaluation of the Patients with Cerebrospinal Fluid Leaks: History and Physical Examination 3. Confirmatory Testing for Cerebrospinal Fluid Rhinorrhea 4. Role of Imaging Studies in the Evaluation and Localization of Cerebrospinal Fluid Leaks
PART II Cerebrospinal Fluid Physiology and Anatomy of the Cranial Base 5. Cerebrospinal Fluid Physiology and Dynamics 6. Surgical Anatomy of the Anterior Cranial Fossa 7. Surgical Anatomy of the Middle Cranial Fossa 8. Surgical Anatomy of the Posterior Cranial Fossa
PART III Traumatic and Iatrogenic Cerebrospinal Fluid Leaks 9. Pathophysiology and Clinical Evaluation of Iatrogenic Cerebrospinal Fluid Rhinorrhea After Sinus Surgery 10. Pathophysiology and Clinical Evaluation of Blunt Force and Penetrating Trauma of the Anterior Cranial Base 11. Imaging of Anterior Skull Base Trauma 12. Surgical Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea 13. Surgical Management of Large Traumatic Anterior Cranial Base Defects via Craniotomy 14. Postoperative Management of Traumatic Cranial Base Defects
PART IV Spontaneous Cerebrospinal Fluid Leaks and Idiopathic Intracranial Hypertension 15. Pathophysiology of Spontaneous Cerebrospinal Fluid Leaks and Their Relationship with Idiopathic Intracranial Hypertension 16. Diagnosis and Medical Management of Idiopathic Intracranial Hypertension 17. Surgical Management of Refractory Idiopathic Intracranial Hypertension 18. Ophthalmologic Evaluation of Idiopathic Intracranial Hypertension 19. Radiologic Findings in Idiopathic Intracranial Hypertension 20. Evaluation and Management of Congenital Skull Base Defects 21. Surgical Management of Spontaneous Cerebrospinal Fluid Leak of the Cribriform Plate 22. Surgical Management of Lateral Sphenoid Recess Meningoencephaloceles and Cerebrospinal Fluid Leaks 23. Surgical Management of Spontaneous Cerebrospinal Fluid Rhinorrhea Arising from Clival Defects 24. Postoperative Management After Cerebrospinal Fluid Leak Repair in Patients with Idiopathic Intracranial Hypertension
PART V Endoscopic Cerebrospinal Fluid Leak Repair and Skull Base Reconstruction and After Tumor Surgery 25. Clinical Evaluation of the Sellar Mass Patient 26. Clinical Evaluation of Patients with Skull Base Malignancies 27. Radiologic Evaluation of Skull Base Masses 28. Decision Making in Endoscopic Skull Base Reconstruction: A Graduated Approach 29.The Nasoseptal Flap: The Workhorse for Skull Base Reconstruction 30. Locoregional Pedicled Flap Options for Skull Base Reconstruction 31. Sellar Reconstruction After Pituitary Adenoma Resection 32. Reconstruction After Transtuberculum and Transplanum Approaches to Suprasellar Pathology 33. Endoscopic Reconstruction of Anterior Cranial Fossa Defects 34. Endoscopic Reconstruction of Middle Cranial Fossa Defects 35. Endoscopic Reconstruction of Posterior Cranial Fossa Defects 36. Transorbital and Transfrontal Approaches to Cerebrospinal Fluid Leak Repair 37. Free Flap Reconstruction of Skull Base Defects 38. Postoperative Management After Reconstruction Following Skull Base Tumor Surgery
PART VI Cerebrospinal Fluid Diversion and Advances in Instrumentation and Biomaterials 39. Role of Cerebrospinal Fluid Diversion in Cerebrospinal Fluid Leak Repairs and Skull Base Surgery 40. Advances in Endoscopic Visualization and Surgical Navigation 41. Powered Instrumentation and Bipolar Technology in Endoscopic Endonasal Skull Base Surgery 42. Evolution of Synthetic Graft Materials and Dural Sealants for Cerebrospinal Fluid Leak Repair
Raj Sindwani, MD, FACS, FRCS(C), Section Head, Rhinology, Sinus and Skull Base Surgery, Quality Improvement Officer (QIO), Head and Neck Institute, Cleveland Clinic , Cleveland, Ohio, USA and Christopher Roxbury, MD, FARS, Assistant Professor and The Director of Endoscopic Skull Base Surgery, Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, Illinois, USA
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