The UTMB Neurosurgery Skull Base Laboratory is tailored for honing microneurosurgery skills and research projects. The laboratory contains Mayfield head holders, portable microscopes, laptop and monitors for recording. Laboratory loupes 3.5x magnification and LED light sources are available for those who prefer to work without microscopic assistance. Suction/irrigation and surgical trays are available in each station.
Several cadaver heads with latex injection are available to perform dissections.
This laboratory is located on the 6th floor of John Sealy Annex, and each resident has 24/7 access with a key.
Figure 1 (Above) Current laboratory overview. Dural repair simulator in left station and cadaveric specimen dissection projected to flat screens from right side station.
Figure 2 (Right) Example of an exercise performed in our microsurgical lab station by our residents and medical students. Right frontotemporal flap with interfascial dissection technique for facial nerve preservation as described by Yasargil and superficial temporal artery isolation for future bypass exercise (Top right).
Performing the frontotemporal craniotomy orbitozygomatic extension (Bottom right).
Identification of structures following apperture of the sylvian fissure both from medial to lateral and lateral to medial and anterior intradural clinoidectomy. OC: Optic chiasm; A1: Anterior cerebral artery, A1 segment - note the superior variation of the recurrent artery of Heubner (Heu) arising from A2; ICA: Internal carotid artery apex; CN III: Oculomotor nerve; SCA: Superior cerebellar artery; PCA: Posterior cerebral artery; BA: Basilar artery.
Figure 4 (Right) Storage for surgical instrumentation and sawbones is in the same laboratory space for easy localization and use.