Dissection in the anatomical laboratory is a mandatory component of training for neurosurgeons. Acquisition of highly technical skills is a long and arduous task, requiring knowledge of complex surgical anatomy and basic steps for single surgical approaches. Unlike dense textbooks, Operative Cranial Neurosurgical Anatomy by Filippo Gagliardi, Cristian Gragnaniello, Pietro Mortini, and Anthony Caputy provides readers with a user-friendly tutorial on cranial approaches, clearly delineated through concise written instructions and serial images.

Essential procedural aspects are discussed in 53 chapters, starting with sections on pre-surgical training and planning, patient positioning, and basic techniques. Subsequent sections detail cranial approaches; transpetrosal approaches; endonasal, transoral, and transmaxillary procedures; vascular procedures; and ventricular shunts procedures. Surgical technique fundamentals and basic variants, including surgical anatomy and landmarks, are highlighted in 500 figures and illustrations.

Key Features

• Summaries, graphics, and schematic drawings provide immediate access to salient information to utilize during surgical dissections and for surgical preparation
• A wide spectrum of cranial procedures covered in 23 chapters – from the precaruncular approach to the medial orbit and central skull base – to surgical anatomy of the petrous bone
• Diverse endonasal procedures including sublabial, transphenoidal, modified lothrop, odontoidectomy, and endoscopic endonasal transmaxillary
• Vascular procedures such as middle cerebral artery bypass and internal maxillary artery bypass

This reader-friendly handbook is a must-have resource for every neurosurgical resident and an excellent refresher for all neurosurgeons. It will help residents and fellows optimize the time and quality of practical training in the cadaver lab, learn fundamental surgical techniques in cranial neurosurgery, and thoroughly prepare for cranial neurosurgical cases.

Contents

۱ Training Models in Neurosurgery
۲ Assessment of Surgical Exposure
۳ Anatomical Landmarks and Cranial Anthropometry
۴ Presurgical Planning By Images
۵ Patient Positioning
۶ Fundamentals of Cranial Neurosurgery
۷ Skin Incisions, Head and Neck Soft-Tissue Dissection
۸ Techniques of Temporal Muscle Dissection
۹ Intraoperative Imaging
۱۰ Precaruncular Approach to the Medial Orbit and Central Skull Base
۱۱ Supraorbital Approach
۱۲ Trans-Ciliar Approach
۱۳ Lateral Orbitotomy
۱۴ Frontal and Bifrontal Approach
۱۵ Frontotemporal and Pterional Approach
۱۶ Mini-Pterional Approach
۱۷ Combined Orbito-Zygomatic Approaches
۱۸ Midline Interhemispheric Approach
۱۹ Temporal Approach and Variants
۲۰ Intradural Subtemporal Approach
۲۱ Extradural Subtemporal Transzygomatic Approach
۲۲ Occipital Approach
۲۳ Supracerebellar Infratentorial Approach
۲۴ Endoscopic Approach to Pineal Region
۲۵ Midline Suboccipital Approach
۲۶ Retrosigmoid Approach
۲۷ Endoscopic Retrosigmoid Approach
۲۸ Far Lateral Approach and Principles of Vertebral Artery Mobilization
۲۹ Trans-Frontal-Sinus Subcranial Approach
۳۰ Transbasal and Extended Subfrontal Bilateral Approach
۳۱ Trauma Flap and Osteo-Dural Decompression Techniques
۳۲ Surgical Anatomy of the Petrous Bone
۳۳ Anterior Petrosectomy
۳۴ Presigmoid Retrolabyrinthine Approach
۳۵ Translabyrinthine and Transcochlear Transpetrosal Approach
۳۶ Nasal Surgical Anatomy
۳۷ Microscopic Endonasal and Sublabial Approach
۳۸ Endoscopic Endonasal Transphenoidal Approach
۳۹ Expanded Endoscopic Endonasal Approach
۴۰ Endoscopic Endonasal Modified Lothrop Approach to Anterior Cranial Fossa
۴۱ Endoscopic Endonasal Odontoidectomy
۴۲ Endoscopic Transoral Approach
۴۳ Transmaxillary Approaches
۴۴ Transmaxillary Transpterygoid Approach
۴۵ Endoscopic Endonasal Transclival Approach with Transcondylar Extension
۴۶ Endoscopic Endonasal Transmaxillary Approach to the Vidian Canal and Meckel’s Cave
۴۷ Superficial Temporal Artery – Middle Cerebral Artery Bypass
۴۸ High Flow Bypass (Common Carotid Artery – Middle Cerebral Artery)
۴۹ Middle Cerebral Artery – Internal Maxillary Artery Bypass
۵۰ Anthropometry for Ventricular Puncture
۵۱ Ventricular-Peritoneal Shunt
۵۲ Endoscopic Septostomy
۵۳ Endoscopic Third Ventriculostomy and Biopsy of Pineal Region