CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2022; 41(04): e348-e361
DOI: 10.1055/s-0042-1758221
Original Article

The Learning Curve in Skullbase Surgery Part 2–From the Microsurgical Lab Training to the Operative Room

A Curva de Aprendizado em Cirurgia de Base do Crânio - Do laboratório de microcirurgia à sala cirúrgica
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
3   Department of neurotology, The Center for Neurotology and Acoustic Neuroma (CNNA), Porto Alegre, RS, Brazil
,
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
,
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
,
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
3   Department of neurotology, The Center for Neurotology and Acoustic Neuroma (CNNA), Porto Alegre, RS, Brazil
4   Department of neurotology, Lavinsky Clinic, Porto Alegre, RS, Brazil
,
5   Surgical Innovations Laboratory for Skull Base Microneurosurgery, Department of Neurological Surgery, Weill Cornell Medical College, New York, NY, United States
,
6   Department of Neurosurgery, Universidade de São Paulo, São Paulo, SP, Brazil
,
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
› Author Affiliations

Abstract

In this second part, the authors review and suggest a methodology for studies in skull base surgery and training in microsurgical laboratory, based on their experiences and reflections. Not only are the foundations for the acquisition of microsurgical skills presented, but also what is needed to be an effective skullbase surgeon with good results. The present article reflects in particular the philosophy of professor Evandro de Oliveira and also serves to present to the neurosurgical community a new state-of-the-art laboratory for hands-on courses in Brazil, at the Faculdade Evangélica Mackenzie do Paraná.

Resumo

Nesta segunda parte, os autores revisam e sugerem uma metodologia para o estudo em cirurgia de base de crânio e treinamento em laboratório de microcirurgia baseado em suas experiencias e reflexões. Não apenas os fundamentos para a aquisição de habilidades microcirúrgicas estão presentes, como também, o que é necessário para ser um eficiente cirurgião de base de crânio com bons resultados. Este artigo reflete, em particular, a filosofia do Professor Evandro de Oliveira, além de servir para apresentar a comunidade neurocirúrgica o novo “estado da arte” em laboratórios de cursos “hands-on” no Brasil, na Faculdade Evangélica Mackenzie do Paraná.

Note

Some small parts of the present article were published previously in Portuguese by the senior author in a previous article*, but with a focus on the learning. Following ABNT (Brazilian Association for Technical Standards) and copyright rules (law number 9,610), these parts are identified by quotation marks.


*Isolan GR. A construção do conhecimento pelo jovem neurocirurgião: ética, ciência e a importância do treinamento em laboratório de microcirurgia. J Bras Neurocirurg 20 (3): 314–334


This paper, divided in two parts, is a tribute to Professor Evandro de Oliveira, MD, PhD (1945 - 2021)




Publication History

Received: 29 July 2022

Accepted: 18 August 2022

Article published online:
16 December 2022

© 2022. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Yaşargil MG. Microneurosurgery. Vols I, II, and IVB. Georg Thieme Verlag; Stuttgart: 1996
  • 2 Yaşargil MG. Reflections of a neurosurgeon. Clin Neurosurg 1988; 34: 16-21
  • 3 Yaşargil MG. A legacy of microneurosurgery: memoirs, lessons, and axioms. Neurosurgery 1999; 45 (05) 1025-1092
  • 4 Yaşargil MG, Chandler WF, Jabre AF, Roth P. Neurosurgical horizons. Clin Neurosurg 1988; 34: 22-41
  • 5 Yaşargil MG. From the microsurgical laboratory to the operating theatre. Acta Neurochir (Wien) 2005; 147 (05) 465-468
  • 6 Adams Pérez J, Rassier Isolan G, Pires de Aguiar PH, Antunes AM. Volumetry and analysis of anatomical variants of the anterior portion of the petrous apex outlined by the kawase triangle using computed tomography. J Neurol Surg B Skull Base 2014; 75 (03) 147-151 DOI: 10.1055/s-0033-1356491.
  • 7 Anichini G, Evins AI, Boeris D, Stieg PE, Bernardo A. Three-dimensional endoscope-assisted surgical approach to the foramen magnum and craniovertebral junction: minimizing bone resection with the aid of the endoscope. World Neurosurg 2014; 82 (06) e797-e805 DOI: 10.1016/j.wneu.2014.05.031.
  • 8 Bernardo A. Virtual Reality and Simulation in Neurosurgical Training. World Neurosurg 2017; 106: 1015-1029
  • 9 Bernardo A, Boeris D, Evins AI, Anichini G, Stieg PE. A combined dual-port endoscope-assisted pre- and retrosigmoid approach to the cerebellopontine angle: an extensive anatomo-surgical study. Neurosurg Rev 2014; 37 (04) 597-608 DOI: 10.1007/s10143-014-0552-8.
  • 10 Bernardo A, Evins AI, Mattogno PP, Quiroga M, Zacharia BE. The Orbit as Seen Through Different Surgical Windows: Extensive Anatomosurgical Study. World Neurosurg 2017; 106: 1030-1046
  • 11 Bernardo A, Evins AI, Visca A, Stieg PE. The intracranial facial nerve as seen through different surgical windows: an extensive anatomosurgical study. Neurosurgery 2013; 72(2, Suppl Operative): ons194–ons207, discussion ons207
  • 12 Cavalcanti DD, Morais BA, Figueiredo EG, Spetzler RF, Preul MC. Accessing the Anterior Mesencephalic Zone: Orbitozygomatic Versus Subtemporal Approach. World Neurosurg 2018; 119: e818-e824
  • 13 Cohen MA, Evins AI, Lapadula G, Arko L, Stieg PE, Bernardo A. The rectus capitis lateralis and the condylar triangle: important landmarks in posterior and lateral approaches to the jugular foramen. J Neurosurg 2017; 127 (06) 1398-1406 DOI: 10.3171/2016.9.JNS16723.
  • 14 da Silva SA, Yamaki VN, Solla DJF. et al. Pterional, Pretemporal, and Orbitozygomatic Approaches: Anatomic and Comparative Study. World Neurosurg 2019; 121: e398-e403
  • 15 Fukuda H, Evins AI, Burrell JC, Iwasaki K, Stieg PE, Bernardo A. The Meningo-Orbital Band: Microsurgical Anatomy and Surgical Detachment of the Membranous Structures through a Frontotemporal Craniotomy with Removal of the Anterior Clinoid Process. J Neurol Surg B Skull Base 2014; 75 (02) 125-132
  • 16 Isolan GR, Krayenbühl N, de Oliveira E, Al-Mefty O. Microsurgical Anatomy of the Cavernous Sinus: Measurements of the Triangles in and around It. Skull Base 2007; 17 (06) 357-367
  • 17 Isolan GR, Rowe R, Al-Mefty O. Microanatomy and surgical approaches to the infratemporal fossa: an anaglyphic three-dimensional stereoscopic printing study. Skull Base 2007; 17 (05) 285-302 DOI: 10.1055/s-2007-985193.
  • 18 Krayenbühl N, Isolan GR, Hafez A, Yaşargil MG. The relationship of the fronto-temporal branches of the facial nerve to the fascias of the temporal region: a literature review applied to practical anatomical dissection. Neurosurg Rev 2007; 30 (01) 8-15 , discussion 15 DOI: 10.1007/s10143-006-0053-5.
  • 19 Oliveira LM, Figueiredo EG. Simulation Training Methods in Neurological Surgery. Asian J Neurosurg 2019; 14 (02) 364-370 DOI: 10.4103/ajns.AJNS_269_18.
  • 20 Santos FP, Longo MG, May GG, Isolan GR. Computed Tomography Evaluation of the Correspondence Between the Arcuate Eminence and the Superior Semicircular Canal. World Neurosurg 2018; 111: e261-e266 DOI: 10.1016/j.wneu.2017.12.030.
  • 21 Andersen ML, D'Almeida V, Ko GM. et al. 2004. Princípios Éticos e Práticos do Uso de Animais de Experimentação. UNIFESP; São Paulo:
  • 22 Fish R, Brown MJ, Danneman DJ, Karas AZ. 2008. Anesthesia and analgesia in laboratory animals. Elsevier; San Diego:
  • 23 Isolan GR, Santis-isolan Paola MB, Dobrowolski S, Giotti M. Considerações Técnicas no Treinamento de Anastomoses Microvasculares em Laboratório de Microcirurgia: Technical Considerations. Jbnc 2018; 21 (01) 8-17
  • 24 Serafin D, Georgiade NG. 1986. A laboratory manual of microsurgery. Division of Plastic, Reconstructive Surgery and Maxillofacial Surgery, Duke University Medical Center,. Durham North Carolina:
  • 25 Vaz MAS, Monteiro JM, Tzu WH. et al. Professor Evandro de Oliveira, a guiding light in skull base surgery and vascular neurosurgery. Surg Neurol Int 2022; 13: 229