Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Sinonasal Surgery
Spencer C Payne, Ameet Singh, Bradford A Woodworth
SECTION 1: BASIC PRINCIPLES
CHAPTER 1:
The History and Evolution of Sinus Surgery
FROM THE BEGINNING
POWERED INSTRUMENTS
NAVIGATION
BALLOON DILATION
SKULL BASE
NEW FRONTIERS
CHAPTER 2:
Physiology of the Nose and Paranasal Sinuses
INTRODUCTION
AIR FLOW DYNAMICS
SINONASAL HOST DEFENSE
OLFACTION
CONCLUSIONS
CHAPTER 3:
Anatomy and Interpretation of Nasal and Sinus Radiology
NASAL FOSSA, SEPTUM, AND TURBINATES
PARANASAL SINUS ANATOMY AND DRAINAGE
Frontal Sinus
Nasofrontal Recess
Ethmoid Sinus
Uncinate Process and Ethmoid Infundibulum
Ethmoid Bone
Ethmoid Roof
Ethmoid Bulla and Semilunar Hiatus
Haller Cell (Infraorbital Ethmoid Cell)
Patterns of Sinus Disease
Agger Nasi Cell
Frontal Sinus Cells
Supraorbital Ethmoid Cell
Maxillary Sinus
Sphenoid Sinus
Sphenoid Pneumatization Patterns
Onodi Cell
Endoscopic Sphenoid Sinus Anatomy
Sphenoid Ostium and Sphenoethmoid Recess
RADIOLOGIC APPROACH
CT Bone
Bone Thickening and Sclerosis
Benign Bony Expansion
Thinning and Remodeling
Erosion
CT Soft Tissues
Density
Fat Density
Fluid Density
Soft Tissue Density
Hyperdensity
Enhancement
Magnetic Resonance Imaging
T2
T1
Contrast-Enhanced MRI
Diffusion-Sensitive Sequences
Complementary Modalities
CONCLUSIONS
CHAPTER 4:
Patient Selection and Evaluation
INTRODUCTION
PATIENT EVALUATION
History and Examination
Radiography
Tissue and Mucous Analysis
Other Diagnostic Testing
INDICATIONS FOR SURGERY
Primary Surgery for CRS
Revision Surgery for CRS
Complications of Rhinosinusitis
Recurrent Acute Rhinosinusitis
Sinonasal and Intracranial Neoplasms
CONCLUSION
CHAPTER 5:
Nasal Endoscopy
INTRODUCTION
SURGICAL TECHNIQUE
CHAPTER 6:
Anesthesia for Endoscopic Surgery
INTRODUCTION
PREOPERATIVE RISK ASSESSMENT
GENERAL ANESTHESIA TECHNIQUES
Type of Airway
Ventilation
Hemodynamic Modulation
Inhalational versus IV Anesthetics
LOCAL ANESTHESIA TECHNIQUES
Local Anesthesia for Endoscopic Surgery
Topical Anesthesia
Injection of Local Anesthesia
ENDONASAL APPROACH TO SKULL BASE SURGERY
PONV AND PAIN CONTROL
CONCLUSIONS
CHAPTER 7:
Endoscopic Instrumentation and Image Guidance
INTRODUCTION
VISUALIZATION
BASIC SINUS INSTRUMENTATION
POWERED INSTRUMENTATION
HEMOSTASIS
IMAGE GUIDANCE SYSTEMS
EQUIPMENT ORGANIZATION
CONCLUSION
CHAPTER 8:
Optimizing Postoperative Care
INTRODUCTION
NASAL PACKING
Nonabsorbable Packing
Absorbable Packing
Drug-Eluting Packing and Stents
MIDDLE TURBINATE STABILIZATION
FRONTAL SINUS STENT
PREOPERATIVE AND POSTOPERATIVE SYSTEMIC STEROIDS
POSTOPERATIVE SYSTEMIC ANTIBIOTICS AND ANTIFUNGALS
TOPICAL THERAPIES
Nasal Saline Irrigations
Topical Nasal Steroid Irrigations and Sprays
POSTOPERATIVE DEBRIDEMENTS
CONCLUSION
SECTION 2: MANAGEMENT OF INFLAMMATORY SINUS DISEASE
CHAPTER 9:
Basic Functional Endoscopic Sinus Surgery
PHILOSOPHY AND APPROACH
O.R. SETUP AND PATIENT POSITIONING
BEFORE THE SURGERY
Nasal Preparation
Effective Nasal Cleaning and Suctioning
Nasal Inspection
FESS BASIC CONCEPT
UNCINECTOMY AND MIDDLE MEATAL ANTROSTOMY
Surgical Steps
ETHMOIDECTOMY
Anterior Ethmoidectomy
Posterior Ethmoidectomy
SPHENOIDOTOMY
After Initial AP Portion of Ethmoidectomy
Isolated Sphenoid Disease; No Ethmoidectomy Completed
FRONTAL SINUS EXPLORATION
NASAL INSPECTION, CLEANING, AND DRESSING PLACEMENT
CONCLUSIONS
CHAPTER 10:
Revision Sinus Surgery
FESS FAILURES: CAUSES
PREOPERATIVE CONSIDERATIONS
SURGICAL LANDMARKS IN REVISION SINUS SURGERY
SURGICAL TECHNIQUES
CHAPTER 11:
Balloon Dilation of the Sinuses
BACKGROUND
Brief History
Safety and Efficacy
Controversy
INDICATIONS
Adult
Pediatric
Selection for the Office Setting
TECHNIQUE
Analgesia for the Office Setting
Sphenoid Sinus
Frontal Sinus
Maxillary Sinus
CONCLUSIONS
CHAPTER 12:
Extended Frontal Techniques
INTRODUCTION
PREOPERATIVE CONSIDERATIONS
THE DRAF IIB PROCEDURE
THE DRAF III PROCEDURE
ADJUNCTIVE PROCEDURES
CHAPTER 13:
Endoscopic Septoplasty
INTRODUCTION
Anatomy
History of the Procedure
ADVANTAGES AND LIMITATIONS OFENDOSCOPIC SEPTOPLASTY
TECHNIQUE
Preoperative Evaluation
Patient Preparation
Incision
Flap Elevation and Septal Resection
Septal Suturing
TECHNIQUE MODIFICATIONS
Isolated Septal Spur
Isolated Deviation of the Bony Septum
Revision Surgery
POSTOPERATIVE CONSIDERATIONS
COMPLICATIONS
OUTCOMES
CONCLUSION
CHAPTER 14:
Surgical Management of the Nasal Turbinates
INTRODUCTION
MIDDLE TURBINATE SURGICAL MANAGEMENT
Concha Bullosa Resection
Middle Turbinate Medialization
Middle Turbinate Flaps
INFERIOR TURBINATE SURGICAL MANAGEMENT
Turbinate Lateralization
Inferior Turbinate Soft Tissue Reduction
Monopolar/Bipolar Electrocautery
Radiofrequency Volumetric Tissue Reduction
Microdebrider Assisted Inferior Turbinoplasty
Inferior Turbinate Bone Resection
Complete Turbinate Resection
POSTOPERATIVE CARE
DISCUSSION
SUMMARY
SECTION 3: ADJUNCTIVE SURGICAL PROCEDURES
CHAPTER 15:
Endoscopic Dacryocystorhinostomy
INTRODUCTION
History of the Procedure
Pathophysiology
Anatomy
TECHNIQUE
Patient Evaluation
Patient Preparation
Surgical Steps
Postoperative Management
Preventing Restenosis
CONCLUSION
CHAPTER 16:
Endoscopic Orbital Surgery
INTRODUCTION
ANATOMY
PATHOLOGY
ENDOSCOPIC ORBITAL DECOMPRESSION
Preoperative Evaluation
Technique
Outcomes
Complications
OPTIC NERVE DECOMPRESSION
Indications
Technique
Outcomes
Complications
Conclusion
ENDOSCOPIC ORBITAL APEX APPROACH
Technique
Outcomes
Complications
Conclusion
SUMMARY
CHAPTER 17:
Endoscopic Medial Maxillectomy
HISTORY
INDICATIONS
ANATOMY
SURGICAL TECHNIQUES
Preoperative Medical Clearance
Imaging
Equipment
Medications
Positioning
Intraoperative Technique
Special Considerations/Adjuvant Approaches
Transseptal Approach
Dacryocystorhinostomy
CHAPTER 18:
Endoscopic Control of Epistaxis
PHILOSOPHY AND APPROACH
PREOPERATIVE CONSIDERATIONS
ENDOSCOPIC LIGATION OF THE SPHENOPALATINE ARTERY
Basic Concept and Anatomic Considerations
Surgical Steps
EXTERNAL LIGATION OF THE ANTERIOR AND POSTERIOR ETHMOID ARTERIES
Basic Concept and Anatomic Considerations
Surgical Steps
POSTOPERATIVE CONSIDERATIONS
CONCLUSIONS
SECTION 4: MANAGEMENT OF NASAL TUMORS
CHAPTER 19:
Surgical Care for Sinus and Nasal Papillomas
INTRODUCTION
CLINICAL MANAGEMENT
STAGING
SURGICAL OUTCOMES
SURGICAL TECHNIQUES
CHAPTER 20:
Benign Osseous Tumors of the Nose and Sinuses
BACKGROUND
Osteomas
Fibrous Dysplasia
SURGICAL REMOVAL
Indications
Contraindications
Surgical Options
Glabellar Rhytid-Modified Frontal Trephination
Patient Example
CONCLUSION
CHAPTER 21:
Endoscopic Management of Paranasal Sinus Malignancies
EPIDEMIOLOGY AND SURVIVAL
HISTOLOGICAL TYPES AND STAGING
Sinonasal Squamous Cell Carcinoma
Sinonasal ACC
Sinonasal Adenocarcinoma
Sinonasal Mucoepidermoid Carcinoma
Melanoma
Olfactory Neuroblastoma
Sinonasal Undifferentiated Carcinoma
Sarcomas
Lymphoid Tumors
Metastatic Tumors
Staging
EVALUATION
History and Physical
Nasal Endoscopy and Biopsy
Computed Tomography
Magnetic Resonance Imaging
Angiography
Positron Emission Tomography
OPEN MANAGEMENT OF PARANASAL MALIGNANCIES
Nonoperative Management (Radiation and Chemotherapy)
ENDOSCOPIC MANAGEMENT OF SINONASAL MALIGNANCIES
Oncological Paradigm for Endoscopic Surgery
Instrumentation for Endoscopic Surgery
Operative Techniques for Tumor Excision
Skull Base Reconstruction
Postoperative Care
Postoperative Surveillance
OUTCOMES FOR ENDOSCOPIC MANAGEMENT OF SINONASAL MALIGNANCIES
CONCLUSION
SECTION 5: ENDOSCOPIC SKULL BASE SURGERY
CHAPTER 22:
Advanced Endoscopic Skull Base Anatomy
INTRODUCTION
LATERAL NASAL WALL
FRONTAL SINUS/RECESS
ETHMOID BONE/FOVEA ETHMOIDALIS
SPHENOID BONE/SPHENOID SINUS
SELLAR/SUPRASELLAR ANATOMY
CLIVAL/BASILAR REGION
VASCULAR ANATOMY SELLAR/SUPRASELLAR REGION
PTERYGOPALATINE FOSSA
CHAPTER 23:
Management of CSF Rhinorrhea
ETIOLOGY
Trauma
Neoplasm
Congenital
Spontaneous
DIAGNOSIS
MANAGEMENT OF CSF LEAKS
Surgical Technique for Repair of CSF Leaks
CHAPTER 24:
Sellar and Parasellar Approaches
BACKGROUND
Sellar Pathology
Preoperative Imaging
Preoperative Lab Evaluation
Surgical Approaches
O.R. SETUP AND PATIENT POSITIONING
PATIENT PREPARATION
Nasal Preparation
Effective Nasal Cleaning and Suctioning
Nasal Inspection
OPERATIVE APPROACH
Nasal Injection
Turbinate Lateralization and Sphenoidotomy
Extension of Sphenoid Opening
Alternate Rescue Flap Technique
Completion of Posterior Septectomy and Sphenoid Clearing
Transgressing the Sella—Optional
Pearls
Conclusion of the Operation
POSTOPERATIVE COURSE
Nasal Care
Complications
CSF Rhinorrhea
Epistaxis
Hyposmia
CONCLUSION
CHAPTER 25:
Endoscopic Endonasal Anterior Cranial Fossa Approaches
INTRODUCTION
EXTRACRANIAL SURGICAL APPROACH
TRANSTUBERCULAR APPROACHES
TRANSPLANAR APPROACHES
TRANSCRIBRIFORM/TRANSETHMOIDAL APPROACHES
TRANSFRONTAL APPROACHES
SKULL BASE RECONSTRUCTION
CONCLUSION
ACKNOWLEDGMENT
CHAPTER 26:
Endoscopic Clival Approaches
INTRODUCTION
INTEGRATION OF THE ENDOSCOPE FOR CLIVAL APPROACHES
Advantages
Disadvantages
SURGICAL ANATOMY
Clival/Basilar Region
Sphenoid Sinus
Posterior Sphenoid Wall
Lateral Sphenoid Wall
THE ENDOSCOPIC APPROACH TO THE CLIVUS
The Operative Team
Perioperative Physical Examination
Preoperative Imaging
Neurophysiologic Monitoring
Lumbar Subarachnoid Drain
Equipment
Operative Approach
Nasal Portion
Resection of Clival Lesions
Reconstruction of Clival Defects
CONCLUSION
CHAPTER 27:
Endoscopic Transodontoid Approach
INTRODUCTION
APPLICATIONS
LIMITATIONS
TECHNIQUE
CONCLUSION
CHAPTER 28:
Endoscopic Approaches to the Pterygopalatine and Infratemporal Fossa
BACKGROUND OF SURGICAL INTERVENTION AT THE ANTERIOR LATERAL SKULL BASE
PERTINENT ANATOMY AND TYPICAL LESIONS
SURGICAL TECHNIQUES
ADDITIONAL CONSIDERATIONS
High Flow Vascular Injury
SKULL BASE DEFECT REPAIR
CHAPTER 29:
Endoscopic Nasopharyngectomy
INTRODUCTION
BRIEF ANATOMY OF THE NASOPHARYNX
STAGING OF NPC
TREATMENT OF NPC
Primary Treatment
Treatment for Recurrence or Residual Tumor
ENDOSCOPIC NASOPHARYNGECTOMY
Approaches
PREOPERATIVE EVALUATION OF NPC
Physical Examination
Imaging
Vascular Assessment
RESULTS OF ENDOSCOPIC NASOPHARYNGECTOMY
ENDOSCOPIC TECHNIQUES
Operative Preparation
Nasal Exposure
Tumor Resection
Reconstruction
Postoperative Care
Complications
ROBOTIC NASOPHARYNGECTOMY
CONCLUSION
CHAPTER 30:
Skull Base Reconstruction
BACKGROUND
NONVASCULARIZED RECONSTRUCTION
Simple Inlay–Onlay Grafting
Technique
“Jam Cap” Alternate Technique
VASCULARIZED RECONSTRUCTION
Nasoseptal Flap
Technique
Rescue Flap Approach Alternative
Donor Site
Inferior Turbinate Flap
Technique
POSTOPERATIVE MANAGEMENT
CONCLUSION
INDEX
TOC
Index
×
Chapter Notes
Save
Clear