16 Perforator Injury During Open Skull Base Surgery
Nicholas T. Gamboa and William T. Couldwell Summary The basal perforators comprise small direct arterial branches of the main cerebral vessels and supply the paramedian regions of the brainstem,…
14 Posterior Fossa During Open Skull Base Surgery
David L. Penn, Marte Van Keulen, and Nicholas C. Bambakidis Summary In any skull base operation where the operative corridor can be small, deep, and poorly lit, any major…
13 Dealing with Vascular Injury During Middle Fossa Surgery
Rami O. Almefty, Michael Mooney, and Ossama Al-Mefty Summary Vascular injury is one of the most feared complications of skull base surgery with potentially devastating ischemic or hemorrhagic consequences….
12 Vascular Challenges in Anterior Skull Base Open Surgery
Vinayak Narayan and Anil Nanda Summary A variety of standard microsurgical approaches and techniques have been developed over decades to deal with anterior skull base pathologies. The most feared…
11 Dealing with Major Vascular Injuries During Endonasal Posterior Fossa Surgery
Pierre-Olivier Champagne, Thibault Passeri, Eduard Voormolen, Anne-Laure Bernat, Rosaria Abbritti, and Sébastien Froelich Summary Dealing with major vascular injury during endoscopic endonasal posterior fossa surgery can be fearsome and…
7 Skull Base Approaches for Aneurysm
Rokuya Tanikawa and Kosumo Noda Summary Skull base approaches can be used to augment all standard cranial approaches to aneurysms. Anterior petrosectomy and posterior petrosectomy with mastoidectomy, condylar fossa,…
10 Dealing with Major Intraoperative Vascular Injury
Sean P. Polster, Paul A. Gardner, and Juan C. Fernandez-Miranda Summary Prevention and management of complications is a cornerstone of surgery. As endoscopic endonasal surgery gains popularity and is…
8 Endoscopic Endonasal Aneurysm Treatment
Aneek Patel, Hussam Abou-Al-Shaar, Michael M. McDowell, Georgios A. Zenonos, Eric W. Wang, Carl H. Snyderman, and Paul A. Gardner Summary This chapter reviews the current application of endoscopic…
9 Dealing with Major Intraoperative Vascular Injury During Endonasal Approaches to the Anterior Skull Base
Vincent Dodson, Neil Majmundar, Gurkirat Kohli, Wayne D. Hsueh, Jean Anderson Eloy, and James K. Liu Summary Development of advanced endoscopic endonasal approaches have equipped skull base surgeons with…
6 Alternatives to Standard Bypass Techniques for Skull Base Tumors (Including Direct IMax Bypass)
Kevin Kwan, Julia R. Schneider, Ivo Peto, and Amir R. Dehdashti Summary The intimate involvement of major cerebral vessels by skull base tumors is often a barrier to gross…
