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Superb multimedia resource provides clinical insights on endoscopic sinonasal dissection techniques
This remarkable manual encompasses the author's 30 years of experience and unique perspectives teaching endoscopic sinonasal surgery to residents and fellows. It also reflects a wealth of surgical pearls from rhinology and endoscopic skull base surgery experts on how to safely navigate through the nose, sinuses, orbit, and skull base.
Following a stepwise approach designed to mirror a resident's progression in the cadaver lab, this user-friendly manual includes the most pertinent information on instrumentation, anteroposterior approaches, and postero-anterior approaches. Starting with the philosophy and history of sinus surgery, the reader is introduced to basic anatomical and surgical concepts - progressing to complete sphenoethmoidectomy and frontal sinusotomy. Subsequent chapters delineate advanced dissection techniques including dacryocystorhinostomy, orbital decompression, anterior skull base resection, infratemporal fossa approach, nasopharyngectomy, and skull base repair techniques utilizing grafts and local/regional flaps. Complementary external approaches to the frontal and maxillary sinuses are also illustrated.
Key Features
This visually-rich manual is ideal for residents in otolaryngology-head and neck surgery, as well as rhinology and endoscopic skull base fellows. It will also benefit otolaryngologists, ophthalmologists, and neurosurgeons who wish to brush up on specific endoscopic dissection techniques relative to their individual practice needs.
Section I Introduction to Endoscopic Sinonasal Surgical Landmarks 1. Introduction to Endoscopic Sinonasal Surgery2. Anteroposterior versus Posteroanterior Approaches through the Paranasal Sinuses3. The Use of Anatomical Landmarks: A Stepwise Approach to the Paranasal Sinuses Section II Basic Endoscopic Sinonasal Surgical Anatomy and Techniques 4. Instrumentation and Operating Room Setup5. Sinonasal and Skull Base CT Anatomy6. Magnetic Resonance Sinonasal and Skull Base Anatomy7. Endoscopic Intranasal Examination8. Inferior Turbinoplasty and Submucous Resection of the Inferior Turbinate9. Septoplasty10. Middle Turbinoplasty11. Uncinectomy and Middle Meatal Antrostomy12. Anterior Ethmoidectomy13. Posterior Ethmoidectomy14. Sphenoid Sinusotomy15. Retrograde Dissection Along the Skull Base for Advanced Sinonasal Disease16. Frontal Sinusotomy Section III Advanced Endoscopic Sinonasal, Orbital, and Skull Base Surgical Anatomy and Techniques 17. Olfactory Anatomy18. Nasolacrimal System and Dacryocystorhinostomy19. Orbital Decompression20. Optic Nerve Decompression21. Anterior and Posterior Ethmoid Arteries22. Extended Maxillary Sinusotomies23. Extended Frontal Sinusotomy and the Modified Lothrop Procedure24. Extended Sphenoid Sinusotomy25. Sphenopalatine Foramen, Pterygopalatine Fossa, and Vidian Canal26. Transpterygoid Approaches to the Infratemporal Fossa and Meckel's Cave27. Approach to the Sella Turcica and Suprasellar Region28. Lateral Sphenoid Sinus Wall, Internal Carotid Artery, and Adjacent Neurovascular Structures29. Anterior Skull Base Resection30. Approaches to the Clivus, Petrous Apex, Craniocervical Junction, and Odontoid Decompression31. Approach to the Nasopharynx and the Parapharyngeal Space32. Orbital Dissection33. Nasoseptal and Inferior Turbinate Vascularized Flaps34. Endoscopic Skull Base Reconstruction35. Common Adjunctive External Skin Incisions for Approaches to the Frontal Maxillary Sinuses36. External Approach to the Superior, Lateral, and Inferior Orbital Walls and Adjacent Paranasal Sinuses37. Endoscopic Sinus Surgery Considerations in the Pediatric Population
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