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Anesthesiology and Otolaryngology pp 279–297Cite as

Neurosurgical Otolaryngology I: Neurotology/Posterior Fossa Surgery

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Abstract

Neurotologic surgery uses the temporal bone as a gateway to the posterior cranial fossa and skull base. Neurotologists collaborate with neurosurgeons to treat a variety of neoplastic, inflammatory, and traumatic disorders of this anatomically complex area, of which acoustic neuroma is the most common. Posterior fossa surgery presents significant perioperative challenges to both the surgeon and anesthesiologist. In addition to containing the medulla, pons and cerebellum, this compartment houses cranial nerve nuclei and centers crucial to respiratory and cardiovascular function. The pathology as well as surgical manipulation can lead to potential hemodynamic instability, compression of vital areas, and damage to important neural pathways. These factors combined with the limited size of the posterior fossa compartment can make this surgery tenuous.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, 1010, One Gustave L. Levy Place, New York, NY, 10029, USA

    Jess W. Brallier

  2. Department of Otolaryngology – Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, 1189, One Gustave L. Levy Place, New York, NY, 10029, USA

    Eric E. Smouha

Authors
  1. Jess W. Brallier
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  2. Eric E. Smouha
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Corresponding author

Correspondence to Jess W. Brallier .

Editor information

Editors and Affiliations

  1. Otolaryngology, and, Structural & Chemical Biology, Department of Anesthesiology,, The Mount Sinai School of Medicine, New York, 10029, New York, USA

    Adam I. Levine

  2. Head and Neck Surgery, Department of Otolaryngology -, The Mount Sinai Medical Center, New York, 10029, New York, USA

    Satish Govindaraj

  3. Department of Anesthesiology, The Mount Sinai School of Medicine, New York, 10029, New York, USA

    Samuel DeMaria, Jr.

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Brallier, J.W., Smouha, E.E. (2013). Neurosurgical Otolaryngology I: Neurotology/Posterior Fossa Surgery. In: Levine, A., Govindaraj, S., DeMaria, Jr., S. (eds) Anesthesiology and Otolaryngology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4184-7_17

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  • DOI: https://doi.org/10.1007/978-1-4614-4184-7_17

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  • Publisher Name: Springer, New York, NY

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