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Published in: Neurosurgical Review 3/2011

01-07-2011 | Review

Setting up a microneurosurgical skull base lab: technical and operational considerations

Authors: Asem Salma, Andrew Chow, Mario Ammirati

Published in: Neurosurgical Review | Issue 3/2011

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Abstract

Microneurosurgical cadaveric dissections have become popular due to their usefulness in obtaining a working knowledge of the microneurosurgical anatomy in a controlled environment. This same controlled environment is also conducive to experiment with new surgical approaches. These factors have increased the number of microneurosurgical anatomic laboratories. Despite the increase in microneurosurgical laboratories, there is very little literature regarding the logistics of starting and maintaining a new neurosurgical laboratory. The aim of this paper is to provide a general road map and basic guidelines in starting and running a microneurosurgical dissection laboratory. The information in this paper is based on a review of the literature and on the experience we gained in organizing and managing the Dardinger Microneurosurgical Skull Base Laboratory at The Ohio State University.
Literature
1.
go back to reference Aboud E, Al-Mefty O, Yasargil MG (2002) New laboratory model for neurosurgical training that simulates live surgery. J Neurosurg 97:1367–1372PubMedCrossRef Aboud E, Al-Mefty O, Yasargil MG (2002) New laboratory model for neurosurgical training that simulates live surgery. J Neurosurg 97:1367–1372PubMedCrossRef
2.
go back to reference Alvernia JE, Fraser K, Lanzino G (2006) The occipital artery: a microanatomical study. Neurosurgery 58:ONS114–122, discussion ONS114-122PubMedCrossRef Alvernia JE, Fraser K, Lanzino G (2006) The occipital artery: a microanatomical study. Neurosurgery 58:ONS114–122, discussion ONS114-122PubMedCrossRef
3.
go back to reference Chan WY, Matteucci P, Southern SJ (2007) Validation of microsurgical models in microsurgery training and competence: a review. Microsurgery 27:494–499PubMedCrossRef Chan WY, Matteucci P, Southern SJ (2007) Validation of microsurgical models in microsurgery training and competence: a review. Microsurgery 27:494–499PubMedCrossRef
4.
go back to reference Cogliano VJ, Grosse Y, Baan RA, Straif K, Secretan MB, El Ghissassi F (2005) Meeting report: summary of IARC monographs on formaldehyde, 2-butoxyethanol, and 1-tert-butoxy-2-propanol. Environ Health Perspect 113:1205–1208PubMedCrossRef Cogliano VJ, Grosse Y, Baan RA, Straif K, Secretan MB, El Ghissassi F (2005) Meeting report: summary of IARC monographs on formaldehyde, 2-butoxyethanol, and 1-tert-butoxy-2-propanol. Environ Health Perspect 113:1205–1208PubMedCrossRef
5.
go back to reference Filipce V, Pillai P, Makiese O, Zarzour H, Pigott M, Ammirati M (2009) Quantitative and qualitative analysis of the working area obtained by endoscope and microscope in various approaches to the anterior communicating artery complex using computed tomography-based frameless stereotaxy: a cadaver study. Neurosurgery 65:1147–1152, discussion 1152–1143PubMedCrossRef Filipce V, Pillai P, Makiese O, Zarzour H, Pigott M, Ammirati M (2009) Quantitative and qualitative analysis of the working area obtained by endoscope and microscope in various approaches to the anterior communicating artery complex using computed tomography-based frameless stereotaxy: a cadaver study. Neurosurgery 65:1147–1152, discussion 1152–1143PubMedCrossRef
6.
go back to reference Fox CH, Johnson FB, Whiting J, Roller PP (1985) Formaldehyde fixation. J Histochem Cytochem 33:845–853PubMedCrossRef Fox CH, Johnson FB, Whiting J, Roller PP (1985) Formaldehyde fixation. J Histochem Cytochem 33:845–853PubMedCrossRef
7.
go back to reference Frolich KW, Andersen LM, Knutsen A, Flood PR (1984) Phenoxyethanol as a nontoxic substitute for formaldehyde in long-term preservation of human anatomical specimens for dissection and demonstration purposes. Anat Rec 208:271–278PubMedCrossRef Frolich KW, Andersen LM, Knutsen A, Flood PR (1984) Phenoxyethanol as a nontoxic substitute for formaldehyde in long-term preservation of human anatomical specimens for dissection and demonstration purposes. Anat Rec 208:271–278PubMedCrossRef
8.
go back to reference Gragnaniello C, Nader R, Doormaal T, Kamel M, Voormolen EH, Lasio G, Aboud E, Regli L, Tulleken CA, Al-Mefty O (2010) Skull base tumor model. J Neurosurg 113:1006–1111 Gragnaniello C, Nader R, Doormaal T, Kamel M, Voormolen EH, Lasio G, Aboud E, Regli L, Tulleken CA, Al-Mefty O (2010) Skull base tumor model. J Neurosurg 113:1006–1111
11.
go back to reference Kaya AH, Sam B, Celik F, Ture U (2006) A quick-solidifying, coloured silicone mixture for injecting into brains for autopsy: technical report. Neurosurg Rev 29:322–326, discusson 326PubMedCrossRef Kaya AH, Sam B, Celik F, Ture U (2006) A quick-solidifying, coloured silicone mixture for injecting into brains for autopsy: technical report. Neurosurg Rev 29:322–326, discusson 326PubMedCrossRef
12.
go back to reference Krishnamurthy S, Powers SK (1995) The use of fabric softener in neurosurgical prosections. Neurosurgery 36:420–423, discussion 423–424PubMedCrossRef Krishnamurthy S, Powers SK (1995) The use of fabric softener in neurosurgical prosections. Neurosurgery 36:420–423, discussion 423–424PubMedCrossRef
13.
go back to reference Krucker T, Lang A, Meyer EP (2006) New polyurethane-based material for vascular corrosion casting with improved physical and imaging characteristics. Microsc Res Tech 69:138–147PubMedCrossRef Krucker T, Lang A, Meyer EP (2006) New polyurethane-based material for vascular corrosion casting with improved physical and imaging characteristics. Microsc Res Tech 69:138–147PubMedCrossRef
14.
go back to reference Macdonald GJ, MacGregor DB (1997) Procedures for embalming cadavers for the dissecting laboratory. Proc Soc Exp Biol Med 215:363–365PubMed Macdonald GJ, MacGregor DB (1997) Procedures for embalming cadavers for the dissecting laboratory. Proc Soc Exp Biol Med 215:363–365PubMed
15.
go back to reference Meyer EP, Beer GM, Lang A, Manestar M, Krucker T, Meier S, Mihic-Probst D, Groscurth P (2007) Polyurethane elastomer: a new material for the visualization of cadaveric blood vessels. Clin Anat 20:448–454PubMedCrossRef Meyer EP, Beer GM, Lang A, Manestar M, Krucker T, Meier S, Mihic-Probst D, Groscurth P (2007) Polyurethane elastomer: a new material for the visualization of cadaveric blood vessels. Clin Anat 20:448–454PubMedCrossRef
16.
go back to reference Nicholson HD, Samalia L, Gould M, Hurst PR, Woodroffe M (2005) A comparison of different embalming fluids on the quality of histological preservation in human cadavers. Eur J Morphol 42:178–184PubMedCrossRef Nicholson HD, Samalia L, Gould M, Hurst PR, Woodroffe M (2005) A comparison of different embalming fluids on the quality of histological preservation in human cadavers. Eur J Morphol 42:178–184PubMedCrossRef
17.
go back to reference Richins CA, Roberts EC, Zeilmann JA (1963) Improved fluids for anatomical embalming and storage. Anat Rec 146:241–243PubMedCrossRef Richins CA, Roberts EC, Zeilmann JA (1963) Improved fluids for anatomical embalming and storage. Anat Rec 146:241–243PubMedCrossRef
19.
go back to reference Sanan A, Abdel Aziz KM, Janjua RM, van Loveren HR, Keller JT (1999) Colored silicone injection for use in neurosurgical dissections: anatomic technical note. Neurosurgery 45:1267–1271, discussion 1271–1264PubMedCrossRef Sanan A, Abdel Aziz KM, Janjua RM, van Loveren HR, Keller JT (1999) Colored silicone injection for use in neurosurgical dissections: anatomic technical note. Neurosurgery 45:1267–1271, discussion 1271–1264PubMedCrossRef
20.
go back to reference Sekhar LN, Estonillo R (1986) Transtemporal approach to the skull base: an anatomical study. Neurosurgery 19:799–808PubMedCrossRef Sekhar LN, Estonillo R (1986) Transtemporal approach to the skull base: an anatomical study. Neurosurgery 19:799–808PubMedCrossRef
21.
go back to reference Tolhurst DE, Hart J (1990) Cadaver preservation and dissection. Eur J Plast Surg 13:75–78 Tolhurst DE, Hart J (1990) Cadaver preservation and dissection. Eur J Plast Surg 13:75–78
22.
go back to reference Tschernezky W (1984) Restoration of the softness and flexibility of cadavers preserved in formalin. Acta Anat Basel 118:159–163PubMedCrossRef Tschernezky W (1984) Restoration of the softness and flexibility of cadavers preserved in formalin. Acta Anat Basel 118:159–163PubMedCrossRef
23.
go back to reference Tubbs RS, Loukas M, Shoja MM, Wellons JC, Cohen-Gadol AA (2009) Feasibility of ventricular expansion postmortem: a novel laboratory model for neurosurgical training that simulates intraventricular endoscopic surgery. J Neurosurg 111:1165–1167PubMedCrossRef Tubbs RS, Loukas M, Shoja MM, Wellons JC, Cohen-Gadol AA (2009) Feasibility of ventricular expansion postmortem: a novel laboratory model for neurosurgical training that simulates intraventricular endoscopic surgery. J Neurosurg 111:1165–1167PubMedCrossRef
24.
go back to reference Wineski LE, English AW (1989) Phenoxyethanol as a nontoxic preservative in the dissection laboratory. Acta Anat Basel 136:155–158PubMedCrossRef Wineski LE, English AW (1989) Phenoxyethanol as a nontoxic preservative in the dissection laboratory. Acta Anat Basel 136:155–158PubMedCrossRef
25.
go back to reference Zhao JC, Chen C, Rosenblatt SS, Meyer JR, Edelman RR, Batjer HH, Ciric IS (2002) Imaging the cerebrovascular tree in the cadaveric head for planning surgical strategy. Neurosurgery 51:1222–1227, discussion 1227–1228PubMedCrossRef Zhao JC, Chen C, Rosenblatt SS, Meyer JR, Edelman RR, Batjer HH, Ciric IS (2002) Imaging the cerebrovascular tree in the cadaveric head for planning surgical strategy. Neurosurgery 51:1222–1227, discussion 1227–1228PubMedCrossRef
Metadata
Title
Setting up a microneurosurgical skull base lab: technical and operational considerations
Authors
Asem Salma
Andrew Chow
Mario Ammirati
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
Neurosurgical Review / Issue 3/2011
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-011-0317-6

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