ChapterSource: Carlson M, Link M, Driscoll C et al., ed. Comprehensive Management of Vestibular Schwannoma. 1st Edition. Thieme; 2019. doi:10.1055/b-006-164732Comment: The general principle of GKRS involves application of a stereotactic head frame, which allows for rigid head fixation during treatment, and also allows for the establishment of a coordinate system. Next, a fiducial system attaches to the head frame during imaging, allowing a computer dose-planning system to reference the fiducials with the desired images, creating a stereotactic space.- CockpitComment: A 43-year-old man presented with a history of loud snoring and restless sleep that had worsened in the past few years. His wife endorsed gasping and choking at night. He reported extreme tiredness while driving, but denied motor vehicle accidents. He often needed to nap in the evening after coming home from work, slept 8 hours per night, and typically woke up feeling unrefreshed.
- CockpitComment: Converting a linear scar into a zigzag shape distributes the tensile forces in the region of the scar so that the scar line is optically “broken up.” With scars running perpendicular to the RSTL, part of the newly formed scar is redirected in a parallel fashion. At the same time retracted scars are corrected by resection and undermining.
- CockpitComment: The tympanic membrane is incised in the anteroinferior quadrant for decompression and drainage of effusion, followed if necessary by the insertion of a drainage tube.
E-JournalSource: Jung G. 2019; 35(01): 001 - 002.Comment: A special issue devoted to new tools and proven techniques in rhinoplasty
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