State-of-the-art approaches and insightful discussions on challenging topics in skull base surgeryAdvances in endoscopic, microsurgical, radiosurgical, and pharmacotherapeutic strategies have revolutionized the treatment of skull base pathologies. Controversies in Skull Base Surgery, edited by Andrew Little and Michael Mooney and authored by esteemed multidisciplinary contributors, focuses on management strategies and treatment options for a wide range of tumors affecting the skull base, while addressing the most urgent and challenging questions facing skull base surgeons today.
Throughout nine sections and 46 chapters, experts describe the treatment of neoplasms such as vestibular schwannoma, meningioma, pituitary adenoma, craniopharyngioma, chordoma, cranial nerve schwannoma, sinonasal malignancies, and others. In many chapters, authors provide instructional case studies and suggestions for future studies to help clarify areas of controversy. This textbook is unique in that it tackles problems typically minimized or ignored by other texts that impact a patient's quality of life and recovery.
Key Highlights- Reader-friendly tables feature concise summaries, author pearls, and levels of available evidence
- Pearls and insights on hotly debated issues such as the role of radiosurgery, surgery vs. medical management, radical resection vs. subtotal resection, and proton-beam vs. photon therapy for various pathologic conditions
- Controversies not frequently discussed in depth, including the use of lumbar drains, postoperative antibiotics, and cerebral revascularization in skull base surgery; multidisciplinary collaboration in endoscopic endonasal surgery; skull base reconstruction techniques; and the future of robotics in skull base surgery
This stellar resource will benefit all residents and advanced practice providers who evaluate and treat patients with skull base pathologies, including neurosurgeons, otolaryngologists, and radiation and medical oncologists.
This book includes complimentary access to a digital copy
Table of ContentsPart I Vestibular Schwannoma
- 1< Controversies in the Natural History of Acoustic Neuromas
- 2 Controversies in Radiosurgery for Acoustic Neuromas: Single-Session Therapy versus Hypofractionated Therapy
- 3 Management of Residual Vestibular Schwannoma After Subtotal Resection: Observation, Repeat Surgery, or Radiosurgery?
- 4 Treatment Strategies for Small Intracanalicular Vestibular Schwannomas in Young Patients with Good Hearing
Part II Meningioma
- 5 Transcranial Approaches Are Preferred for Certain Tuberculum and Olfactory Groove Meningiomas
- 6 Endoscopic Endonasal Surgery Is the Best Treatment for Certain Anterior Fossa Skull Base Meningiomas
- 7 Controversies in the Management of Petroclival Meningiomas
- 8 Does Embolization Have a Role to Play in the Treatment of Skull Base Meningiomas?
- 9 The Role of Radiotherapy for Atypical and Anaplastic Meningiomas
- 10 Emerging Chemotherapy and Targeted Therapy for Aggressive Meningiomas
Part III Pituitary Adenoma
- 11 The Role of Transsphenoidal Surgery Following Nondiagnostic Inferior Petrosal Sinus Sampling in Cushing Syndrome
- 12 Pharmacotherapy Options After Failed Surgery for Cushing Disease
- 13 Primary Medical Therapy for Acromegaly, Ready for Prime Time?
- 14 The Role of Radiosurgery for Pituitary Adenomas
- 15 Exploration of the Cavernous Sinus Is Effective During Transsphenoidal Surgery for Pituitary Adenoma
- 16 Surgery versus Medical Management: First-Line Treatment for Pituitary Apoplexy
- 17 Alternative Treatment Strategies for Atypical and Aggressive Pituitary Adenomas
Part IV Craniopharyngioma
- 18 Controversies in Radical Resection versus Subtotal Resection with Radiation in Craniopharyngioma
- 19 The Role of Open and Endoscopic Approaches to Craniopharyngiomas
- 20 The Molecular Pathogenesis of Craniopharyngioma and Potential Therapeutic Targets
Part V Rathke Cleft Cyst and Other Sellar Lesions
- 21 Resection versus Cyst Fenestration: The Best Treatment for Rathke Cleft Cysts
- 22 Headache in Patients with Rathke Cleft Cysts
- 23 Rathke Cleft Cyst Surgery: Indications, Outcomes, and Complications
- 24 Controversies in the Management of Histiocytosis and Xanthogranulomas
Part VI Other Cranial Tumors
- 25 Surgical Approach Selection for Skull Base Chordoma
- 26 Chordoma Genetics and Tumor Phenotype Profiles
- 27 Surgery versus Radiation versus Observation: What Treatment Is Best for Skull Base Paraganglioma?
- 28 Management of Chondrosarcoma of the Cranial Base
- 29 Natural History and Treatment Strategies for Posterior Fossa Epidermoids
Part VII Cranial Nerve Schwannoma
- 30 Indications for and Outcomes of Radiosurgery in Trigeminal and Jugular Foramen Schwannomas
- 31 Challenges of Applying Endoscopic Techniques for Cranial Nerve Schwannomas
- 32 Management of Cranial Nerve III, IV, and VI Schwannomas
- 33 Treatment of Facial Pain in Patients with Trigeminal Schwannoma
Part VIII Sinonasal Malignancies
- 34 Induction Therapy for Esthesioneuroblastoma
- 35 Surgical Approach for Esthesioneuroblastoma: Controversy in Approach Selection
- 36 What Is the Role of Surgery for Adenoid Cystic Carcinoma?
- 37 Proton versus Photon Therapy for Sinonasal Malignancies: Pros and Cons of Each Method
Part IX Surgical Approaches and Techniques
- 38 Controversies in Skull Base Reconstruction Techniques
- 39 The Role of Lumbar Drains in Skull Base Surgery
- 40 The Role of Postoperative Antibiotics in Endoscopic Endonasal Surgery
- 41 Does Otorhinolaryngology Collaboration Improve Outcomes in Endonasal Skull Base Surgery?
- 42 Controversies in Outcome Measures of Skull Base Surgery
- 43 To Bypass or Not? The Role of Revascularization in Skull Base Surgery
- 44 Transcranial versus Endoscopic Repair of Lateral Sphenoid Recess Encephaloceles
- 45 Cranioplasty Techniques
- 46 The Future of Robotics in Skull Base Surgery
