By Vinko V. Dolenc M.D., Ph.D. (auth.)
The determination of Harvey Cushing to depart normal surgical procedure and focus on the newborn box of vital apprehensive procedure surgical procedure was once looking back a landmark within the heritage of neurosurgery. His centred paintings, and in addition that of his colleague Walter Dandy, originated with the wishes of either pioneers to appreciate surgical anatomy and neurophysiology. the elemental wisdom and surgical techni ques that they supplied turned the normal of excellence for a number of generations of neurosurgeons; loads in order that the final trust was once that the surgical strategies couldn't be greater upon. Twenty-five to thirty years in the past microtechniques began appearing in a couple of surgical learn facilities, they have been then steadily utilized to scientific neurosurgery and feature contributed to a brand new point of figuring out in surgical anatomy and neurophysiology. we're now lucky to have a brand new average of morbidity and mortality within the surgical operation of intrathecal aneurysms, angiomas, and tumors. it's been stated that microneurosurgery used to be attaining its limits, in particular while treating lesions in and round the cavernous sinus and cranium base; these lesions infamous for involvement of the dural and extradural booths, with a bent to infiltrate adjoining nerves and blood vessels. the hazards of uncontrollable hemorrhage from the basal sinuses and post-operative CSF rhinorrhea seemed unsurmountable. The lateral points of the petro-clival area were of curiosity to a couple pioneering ENT surgeons and neurosurgeons however the cavernous sinus in so much respects has remained the ultimate unconquered summit.
Read Online or Download Anatomy and Surgery of the Cavernous Sinus PDF
Similar anatomy books
Major specialists summarize and synthesize the most recent discoveries in regards to the adjustments that happen in tumor cells as they strengthen resistance to anticancer medicines, and recommend new techniques to combating and overcoming it. The authors assessment physiological resistance dependent upon tumor structure, mobile resistance in accordance with drug shipping, epigenetic alterations that neutralize or skip drug cytotoxicity, and genetic alterations that modify drug goal molecules through lowering or getting rid of drug binding and efficacy.
Руководство по лабораторной работе. Может быть использована в сочетании с ADAM Интерактивная Анатомия. Понятные и красочные рисунки и пояснения к ним.
- Grundzüge einer historischen und geographischen Pathologie / Pathological Anatomy of Mediterranean and Tropical Diseases
- Anatomy Recall
- Mammal Anatomy: An Illustrated Guide
Additional info for Anatomy and Surgery of the Cavernous Sinus
The GG is shown lateral to the IVth nerve 25 Parasellar subregion ICA VI ACP IV TA MHT leA (ML) III ON 26 The surgical triangles of the cavernous sinus Fig. 10. The anterior part of the paramedial triangle is shown under higher magnification. Its most important feature is that the IVth nerve and VI run over the IIIrd nerve before they enter the SOF. Deep in the center of this corner, the VIth nerve is seen embedded in "venous blood" Oculomotor trigone The triangular area of the oculomotor trigone, described previously , is located between the folds of the dura running between the ACP and the PCP, and medially with the fold of the dura running from the PCP to the ACP.
18. The inner layer of the lateral wall of the CS lying over Vl and V2 has been removed . In this manner the anterolateral triangle is fully exposed. In the anterior part of the anterolateral triangle the fibrous-dural tissue over the bone is intact. The numerous arterial branches supplying the nerves and surrounding structures, as well as "venous blood" in the CS, are shown 43 Middle cram·a I fossa subregion PR FR \\\\\\ \111 GG ~ IV MM DR OA 44 The surgical triangles of the cavernous sinus Fig.
13. Through the widened Parkinson's triangle good access is gained to the MHT, the ICA and the VIth nerve. A large segment of the ICA running from the lateral loop above the foramen lacerum toward the medial loop adjacent to the PCP can be safely exposed through this triangle 33 Parasellar subregion Vl VI TA IV leA (AL) ICA (ML) III 34 The surgical triangles of the cavernous sinus Fig. 14. Through Parkinson's triangle the medial loop ofthe ICA , the MHT, the ILT and the Vlth nerve are seen. The entire medial loop of the ICA is visualized from both the medial and lateral sides .