By I. Mohsenipour
Universitatsklinik fur Neurochirurgie, Innsbruck, Austria. Atlas for neurosurgeons and citizens of ways time-honored within the authors' neurosurgical practices. Descriptions contain positioning, wound closure, power error, and risks. strange colour illustrations.
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Extra resources for Approaches in Neurosurgery: Central and Peripheral Nervous System
The latter, in the form of lyophilized dura, fascia, or plastics, usually prove adequate. The suitably trimmed material is inserted below the bone margins, or anchored to the bone with fibrin glue. I above 1 Eyeball 2 3 4 5 6 Optic nerve Trochlea with tendon sheath of superior oblique muscle Superior oblique muscle Rectus medialis muscle Rectus inferior muscle 7 Reclus superior muscle 8 Inferior oblique muscle 9 Rectus lateralis muscle 10 Common tendinous ring (Zinn) 24 Fig. 33 The eye, the optic nerve, and the ocular muscle, viewed from Fig.
Its actual situation is identified by black shading 1 Snhcnoidal jugum 2 Left and right optic nerve, optic chiasm, and optic tract 3 Left and right internal caroiid artery 4 Right anterior cerebral artery 5 Anterior communicating artery 6 Left and right middle cerebral artery 7 Right anterior choroidal artery 8 Right posterior communicating artery Fig. G. Yasargil. It is described below in accordance with his directions. Typical Indications for Surgery — Aneurysms of the internal carotid artery and its branches — Aneurysms of the superior portions ofthe basUar artery and its branches — Tumors in the superior, posterior, and lateral orbital regions — Tumors within, above, and behind the seila — Tumors ofthe optic chiasm and adjoining portions of the optic nerve — Tumors above, on the side of,behind,and in front of the optic chiasm — Tumors in the area o f t h e clivus — Tumors anterior to the pons — Scars secondary to inflammations in the chiasm-oplic nerve region ating table.
Approach to the froniotemporal region: positioning and incisions. Yellow: frontal sinus 40 special care has to be taken to avoid injury to the temporal and zygomatic branches of the facial nerve and to the auriculotemporal nerve. Division of branches of the superficial and middle temporal vein and artery can be limited, but is not avoidable; only bipolar coagulation should be used in this area. Dissection of Soft Tissues Once the skin Rap has been retracted laterally or toward the eyebrows, and the transected cutaneous vessel branches have been securely closed by coagulation and clamps as well as Cologne clips, an arcuate incision can be made in the galea aponeurotica to permit closure by suture at the end of the operation.
Approaches in Neurosurgery: Central and Peripheral Nervous System by I. Mohsenipour