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Elements of the epidural approach to the parasellar space and adjacent regions in the central skull base

  • Vinko V. Dolenc

Abstract

The patient is placed supine for surgery, with the head rotated 30–35 degrees toward the side opposite the lesion and stabilized in the three-point Mayfield fixation device. The neck is neither extended nor flexed, but the head positioned so that the superior orbital rim and malar eminence are uppermost. During the course of surgery, the long axis of the operating table is tilted from its initial position to the Trendelenburg or reverse Trendelenburg position of the patient (Fig. 2.1), and/or rotated right or left as necessary to expose the central skull base to best advantage (Fig. 2.2), and the position of the operating microscope is shifted accordingly in the opposite direction (Figs. 2.1 and 2.2).

Keywords

Middle Cranial Fossa Optic Canal Middle Meningeal Artery Petrous Apex Diamond Burr 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Wien 2003

Authors and Affiliations

  • Vinko V. Dolenc
    • 1
  1. 1.Department of NeurosurgeryUniversity Medical Centre LjubljanaSlovenia

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