Livio Presutti – författare

This unique, richly illustrated atlas offers a “how-to” reference guide to the most common and innovative endoscopic surgical procedures for the middle and inner ear, based on an ex vivo ovine model. Moreover, it compares this model to the same approaches in humans, underlying the essential surgical tips and tricks. 

The transcanal endoscopic approach for the management of middle and inner ear pathologies is being increasingly used, but in some countries the lack of human specimens makes adequate training in this field difficult: in response, the book introduces a novel method performed on the animal model, which allows trainees to improve their skills, while reducing the cost of surgical training. It provides a full description of specimen preparation, and comparative anatomical and radiological analyses of the human and ovine models, guides readers through the main otologic operative techniques (e.g. canalplasty, miringoplasty and ossiculoplasty) step by step, and illustrates the best approach to the internal auditory canal.

Written by prominent experts in the field, this atlas serves as a unique reference resource for residents and young surgeons wishing to acquire first-hand the skills needed for endoscopic procedures and to improve their learning curves.

Endoscopic Ear Surgery: Principles, Indications, and Techniques

Increasingly used as an adjunctive tool in the diagnosis and management of ear disease, middle ear endoscopy has the potential to decrease patient morbidity, prevent disease recurrence, and reduce costs. Its capacity to uncover "hidden" anatomy within the small dimensions of the ear has made it essential for functional surgery, allowing surgeons to preserve key anatomic structures such as the cochlea and facial nerve.

Now for the first time, the physicians who pioneered this groundbreaking minimally invasive technique review its indications, advantages, disadvantages, and surgical approaches:

From the unique anatomy and pathophysiology of the middle ear through diagnosis, surgical indications, procedures, and instrumentation, this book is indispensable for all otolaryngologists and neurotologists. It offers a full picture of the field today, as well as exploring the future possibilities of ear endoscopes alone or in combination with operative microscopes for the most effective treatment of middle ear pathologies.

The quintessential state-of-the-art atlas on endoscopic approaches to the lateral skull base

The endoscope has become a highly effective tool in the arsenal of ear and skull base surgeons. Endoscopic Lateral Skull Base Surgery: Principles, Anatomy, Approaches by endoscopic surgery masters Daniele Marchioni and Livio Presutti, reflects their development of innovative transcanalar approaches to the lateral cranial base using the external auditory canal as a surgical corridor. This unique atlas is designed to teach and clarify current and emerging endoscopic-assisted surgery approaches to the lateral skull base.

The common goal of these cutting-edge procedures is to access and treat tumors located in the lateral cranial base via the most minimally-invasive endoscopic approach possible, thereby bypassing delicate cranial nerves, dural, cerebral, and vascular structures. Throughout 14 chapters, an impressive group of skull base surgeons share firsthand insights and expertise in areas vital to endoscopic skull base surgery.

Key Features

This remarkable book provides the most comprehensive and elucidating information written to date on endoscopic approaches to the lateral skull base, making it essential reading for novice and expert surgeons alike.

This superbly illustrated atlas provides step-by-step descriptions of surgical procedures to the airways based on use of the sheep as an animal model, which has been demonstrated scientifically to be comparable to the human. The procedures covered – tracheotomy, laryngotracheoplasty, slide tracheoplasty, tracheal reconstruction, partial cricotracheal reconstruction, and main endoscopic techniques – are relevant to a range of frequent surgical indications, such as stenosis, laryngotracheomalacia, and tracheal tumor. The book is the first to describe such surgery on the basis of this animal model and includes a full description of preparation of the model. The practical guidance provided will equip surgical trainees with the knowledge required before embarking on these procedures in humans, but will also be highly relevant to more experienced surgeons wishing to upgrade their skills. The book is the outcome of a successful collaboration between the Head and Neck Surgery Departments of the University Hospital of Modena and the Bambino Gesù Hospital in Rome.