Mario Sanna Livres

This highly visual, step-by-step account covers all aspects of middle ear and mastoid microsurgery, drawing from over 30 years of experience and more than 20,000 clinical cases. The second edition presents detailed surgical management strategies for a wide range of otologic disorders, encompassing decision-making, preoperative considerations, and both common and complex surgical techniques. The text is enhanced by superb schematic drawings and intraoperative images, which provide an unparalleled understanding of surgical anatomy and operative steps. Notable updates in this edition include over 1,600 vivid, full-color intraoperative images, many newly captured with digital cameras, illustrating procedures in detailed sequences. An expanded chapter on temporal bone anatomy features dissection images correlated to CT scans, essential for comprehending surgical middle ear anatomy and the 3D relationships of key structures. The chapter on paragangliomas has been updated to offer proven surgical solutions based on a modified classification, while the revised section on subtotal petrosectomy addresses treatments for intractable otorrhea and severe pathologies. Additionally, coverage of advancements in cochlear implant technology for profound sensorineural hearing loss has been updated. This comprehensive resource includes general operating room principles, anesthesia, technical considerations, and guidance on pitfalls, problems, an

"The cholesteatoma, strictly speaking a cyst and not a cancer, nevertheless shows expansive and destructive growth patterns that may give rise to serious symptoms and consequences, including fatality, not unlike those seen for malignant neoplasms. The great challenge of therapy is to eradicate the pathologic growth while preserving hearing and other critical functions of the middle ear and petrous bone, respecting the proximity of vital neural and vascular structures, and the intricate three-dimensional relationships involved. Mario Sanna's Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma is the ultimate illustrated guide to complete management of the cholesteatoma, including assessment of the full expansion and degree of destruction caused by the growths, and short- and long-term follow-up to assess and treat for recurrence. Key Features - Brilliantly illustrated with diagnostic images from otoscopy and radiology, both normal and pathological - Step-by-step description of approaches and techniques for the procedures - Special coverage of petrous bone cholesteatoma, which is less frequent than other forms but more difficult to diagnose and treat, with introduction and description of a new function-sparing procedure, the subtotal petrosectomy"-- Provided by publisher

Temporal bone anatomy is arguably the most complex anatomy in the human body. The proximity of vital neural and vascular structures, the intricate three-dimensional relationships involved, and the manner in which these structures are encased in a labyrinth of bony canals pose a major challenge to the preparation for and performance of surgery. It follows that specialized anatomy teaching courses are indispensable, and these are most effective when executed with the help of dissections on cadaver preparations. Mario Sanna's Temporal Bone is a guide to the dissection courses that the author himself would have sought to have while he was receiving training—as such, creating it has been a „dream come true“ for the author. The manual is designed to complement and reinforce the experiences of course participants, comprehensively covering the normal and surgical anatomy of the temporal bone and all aspects of basic and advanced otologic and neurootologic surgery. Key Features: The surgical anatomy is shown with the help of specially prepared cadaveric dissectionsThe approaches/techniques in these dissections are described step-by-stepFor every approach/technique, the surgical anatomy, indications, surgical steps, and hints and pitfalls are describedThe Temporal Bone effectively transmits Mario Sanna's passionate dedication in otologic teaching and training to excellence. Residents and fellows should definitely find it indispensable.

This guide focuses on diagnosing disorders of the external auditory canal, tympanic membrane, middle ear, temporal bone, and skull base. Despite advancements in diagnostic technologies, otoscopy remains the primary diagnostic tool for otologic diseases. It serves as a user-friendly resource for residents and specialists, featuring diagnostic images from cutting-edge endoscopic otoscopes. Authored by a team of experts with 30 years of experience, it aids readers in mastering otoscopy and interpreting findings. Case examples and treatment suggestions illustrate the clinical implications of various diagnoses. Key features include over 1000 full-color photographs and numerous radiological studies, showcasing a wide range of both common and rare pathologies visible through endo-otoscopy. The book effectively correlates clinical pictures, radiological diagnoses, and intraoperative findings with endo-otoscopic results. Each chapter includes a surgical summary outlining various approaches for optimal treatment planning. A final chapter addresses the assessment of postsurgical findings through otoscopy, helping to differentiate between normal healing and changes that may necessitate further intervention. This resource is poised to be an essential tool for all physicians involved in ear care.

History of auditory implantation -- Surgical anatomy in auditory implantation -- Radiology in auditory implantation -- Instruments and implants -- Cochlear implantation -- Special considerations in pediatric cochlear implantation -- Complications and revision surgery in cochlear implantation -- Auditory brainstem implantation -- Electroacoustic stimulation -- Subtotal petrosectomy in cochlear implantation -- Cochlear implantation in cochlear ossification -- Meningitis and implantation -- Auditory implantation in otosclerosis patients -- Otomastoiditis and cochlear implantation -- Inner ear malformations and implantation -- Neurofibromatosis type 2 and auditory implantation -- Implantation in skull base and temporal bone lesions -- Bone conduction implants -- Active middle ear implants : vibrant soundbridge

Representing the pinnacle of skull base surgery, paraganglioma management requires advanced surgical skills and expertise presented by Dr. Mario Sanna and his team. This comprehensive reference compiles extensive surgical and radiological data from over 20 years at the Gruppo Otologica Clinic in Piacenza, Italy, featuring exquisite intraoperative photographs and schematic diagrams characteristic of Sanna's work. Surgeons specializing in head and neck and skull base procedures will significantly enhance their knowledge and technical proficiency in managing these challenging tumors. Key features include step-by-step descriptions of various paraganglioma procedures, including the infratemporal fossa approach type A, extreme lateral approach, and transcervical approach, along with guidance on complex tympanojugular paragangliomas. The book contains over 1,800 high-quality intraoperative photographs correlated to full-color schematic drawings for an in-depth understanding of techniques. It discusses managing the internal carotid artery during procedures and includes a pathology-oriented structure that guides readers through lesion identification, critical thinking, assessment, and surgical management. Additionally, comprehensive sections cover pathology, physiology, anatomy, epidemiology, and new genetic breakthroughs. Each chapter concludes with tips and pitfalls for various clinical scenarios, demonstrating complex decision-mak

Authored by pioneers in the field, this fully updated second edition provides step-by-step descriptions of various surgical approaches, complemented by clearly labeled, full-color intraoperative photographs. Numerous cases from the authors' experience illustrate the clinical application of these techniques and offer practical solutions for surgical complications. Concise chapters cover surgical anatomy, operating room setup, and detailed explanations of a full range of procedures, including the enlarged translabyrinthine approach with transapical extension, the enlarged middle cranial fossa approach, the transotic approach, and the modified transcochlear approach. New chapters discuss the general features of acoustic neurinomas, functional surgery and intraoperative monitoring of the facial and cochlear nerves, imaging techniques, facial nerve reanimation, and treatment options for patients with neurofibromatosis type 2. In-depth information on patient care aspects, such as selection, preoperative care, and postoperative follow-up, is also included. With over 1000 high-quality images, including more than 900 full-color intraoperative photographs, each step of the procedures is precisely displayed. Multiple cases in each chapter prepare readers for clinical situations. This visual guide reflects the latest advancements in acoustic neurinoma microsurgery, enhancing the surgical skills of otolaryngologists and neurosurgeons per