Surgery of the Skull Base

1. Front Matter

   Pages I-XIV

   PDF

2. Introduction

   1. Introduction

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 1-1

3. Surgical Anatomy of the Skull Base (SA)

   1. Front Matter

      Pages 3-3

      PDF

   2. Anatomy of Malformations of the Anterior Skull Base

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 4-6

   3. Anatomy of the Skin and Scalp in the Frontobasal Approach

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 7-10

   4. Frontal Squama and Frontal Sinus

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 11-11

   5. Dura Mater of the Anterior Cranial Fossa

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 12-12

   6. Floor of the Anterior Cranial Fossa

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 13-15

   7. Anatomy of Optic Nerve Decompression

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 16-18

   8. Anatomy of the Orbit and Adjacent Skull Base

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 19-23

   9. Anatomy of the Cavernous Sinus

      • Madjid Samii, Wolfgang Draf, Johannes Lang

      Pages 24-26

   10. Anatomy of the Sellar Region

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 27-35

   11. Anatomy of the Temporal Fossa

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 36-37

   12. Anatomy of the Infratemporal Fossa and Infratemporal Plane

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 38-40

   13. Anatomy of the Temporomandibular Joint

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 41-42

   14. Anatomy of the Pterygoid Process and Pterygoid Fossa

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 43-44

   15. Anatomy of the Pterygopalatine Fossa

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 45-46

   16. Middle Skull Base and Its Openings Viewed from Below

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 47-47

   17. Anatomy of the Auditory Tube

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 48-48

   18. Anatomy of the Masticatory Space and Peripharyngeal Space

       • Madjid Samii, Wolfgang Draf, Johannes Lang

       Pages 48-56

The region of the skull base was long considered a surgical barrier because of its complex anatomy. With few exceptions, the region immediately beyond the dura or bony skull base constituted a "no man's land" for the surgeon working from the other direction. A major reason for this was the high morbidity associated with operative procedures in that area using traditional dissection techniques. This situation changed with the advent of the operating microscope. Used initially by ear, nose and throat specialists for resective and reconstructive surgery of the petrous bone and parana sal sinuses, the operating microscope was later introduced in other areas, and neurosurgeons began using it in the mid-1960s. With technical equality thus established, the groundwork was laid for taking a new, systematic, and interdisciplinary approach to surgical problems of the skull base. Intensive and systematic cooperation between ear, nose and throat surgeons and neurologic surgeons had its origins in the departments of the University of Mainz bindly supported by our chairmen Prof. Dr. Dr. hc Kurt Schiirmann (Department of Neurosurgery) and Prof. Dr. W. Kley (Depart­ ment of Ear, Nose and Throat Diseases, Head and Neck Surgery). The experience gained from this cooperation was taught in workshops held in Hannover from 1979 to 1986, acquiring a broader interdisciplinary base through the participation of specialists from the fields of anatomy, patholo­ gy, neuroradiology, ophthalmology, and maxillofacial surgery.

• Tumor
• anatomy
• bone
• neurosurgery
• sinus
• skin
• skull base
• surgery
• trauma

• Medizinische Hochschule Hannover, Krankenhaus Nordstadt der, Hannover 1, Germany

  Madjid Samii

• Städtische Kliniken Fulda, Fulda, Germany

  Wolfgang Draf

• Vorstand des Anatomischen Instituts der Universität, Würzburg, Germany

  Johannes Lang

Policies and ethics