Endoscopic Sinonasal Dissection Guide demonstrates the most relevant techniques that enable residents to safely navigate the complex anatomy of the nose and paranasal sinuses. Organized in a stepwise approach and designed to mirror a residents progression in the lab, this succinct and user-friendly manual includes the most pertinent information on instrumentation, anteroposterior and postero-anterior approaches, and basic and advanced dissection techniques. Each chapter presents sagittal and endoscopic images accompanied by radiologic correlations with key anatomical landmarks highlighted throughout. Features 122 detailed surgical illustrations with easy-to-read labels guide the reader through basic and advanced endoscopic procedures Includes online access to videos that demonstrate dissection techniques, as well as a typical complex surgical case with nasal polyps A convenient spiral binding facilitates easy use in the lab A special section elucidates critical landmarks for performing advanced transnasal endoscopic procedures of the skull base and cervical spine This highly visual text is ideal for residents in otolaryngology-head and neck surgery and skull base surgery who are working in an endoscopic cadaver laboratory, as well as specialists who need to refresh their 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 Videos available online. Exquisitely detailed full-color diagrams sequentially illustrate the appearance of the surgical cavity before and after resection, reinforcing the stepwise progression. Key concepts expertly elucidated through extensive illustrations, endoscopic views, and CT/MRI scans. Easy-to-follow anatomical landmarks pinpoint safe surgical sinus entry zones, respective of paranasal sinuses and mucociliary pathways. Minimally invasive approaches to restore sinus ventilation and normal nasal functioning, as well as orbital and skull base procedures and approaches described in depth. 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.

Winner of the prestigious First Prize in ENT in 2005 from the British Medical Association (first edition)The second edition of this operative manual provides expanded coverage of the complex anatomy and the current surgical approaches to the paranasal sinuses and skull base. It provides practical, step-by-step instruction on using CT scans to reconstruct three-dimensional images of surgical anatomy, enabling the surgeon to develop detailed surgical plans for each clinical situation. The accompanying DVD is greatly expanded from the first edition's CD-ROM, with 30 additional operative videos plus new problem-based exercises. The operative videos enable practitioners to visualize the surgical concepts described and illustrated in the text. Case exercises provide the opportunity to apply knowledge learned to perform three-dimensional reconstructions--a valuable tool for self-assessment.Highlights of the second edition: Extensive presentation of all the anatomical variations and surgical approaches to the sinuses, parasinus regions, and posterior, middle, and anterior cranial fosse Straightforward outlines for approaching the frontal sinus and frontal recess, maxillary sinus trephination, dacryocystorhinostomy surgery, cerebrospinal fluid leak closure, orbital and optic nerve decompression, and Vidian neurectomy 830 diagrams, illustrations, and images demonstrating anatomy and surgical techniques Detailed coverage of endoscopic surgical approaches to tumors of the sinuses and in the intracranial cavity Discussion of the value and importance of axial CT for determining drainage pathways Essential for ENT surgeons, otolaryngologists, and residents, the book equips readers with all the information necessary for handling the range of anatomical variations that may be encountered and selecting the best approach for each.

The quintessential guide to endoscopic skull base reconstruction from multidisciplinary experts Due to close collaboration between otorhinolaryngologists and neurosurgeons, endoscopic endonasal brain surgery has become part of the surgical armamentarium for successful treatment of various cranial base pathologies. Today, it is considered the gold standard surgical technique for many types of skull base tumors. Techniques and Key Points for Endoscopic Cranial Base Reconstruction by pioneering otorhinolaryngologist Carlos D. Pinheiro-Neto and neurosurgeon Maria Peris-Celda, co-editor of Thieme's acclaimed Rhoton's Atlas of Head, Neck, and Brain, encompasses the most important endoscopic cranial base reconstruction techniques performed in the last two decades. The book features contributions from an impressive group of additional experts in this field. Comprised of 26 reader-friendly chapters divided into seven sections, the book starts with discussion of general principles of endoscopic cranial base reconstruction. Sections II through VI provide step-by-step descriptions of reconstructive approaches utilizing diverse flaps including nasoseptal, intranasal, extranasal, and free grafts, followed by free flaps. The final section details management of seven challenging cases that enrich practical clinical experience, from free flap reconstruction to recalcitrant cerebrospinal fluid leak. Key Highlights Decision-making rationales and pearls regarding selection of the most efficacious reconstructive techniques. Consistently formatted chapters feature a succinct review of anatomical concepts integral to each procedure, detailed descriptions for each surgical step, and alternative options. High-quality and meticulous anatomical dissections performed at the editors' anatomy laboratory and beautiful illustrations depict the flow of operations essential to understanding surgical nuances. Nineteen narrated videos visually demonstrate techniques and consolidate learning. This must-have, comprehensive resource will help skull base surgeons master the latest techniques, avoid complications, and achieve improved outcomes for their patients.

Become familiar with the key anatomic "corridors" in the skull base, the sinonasal tract, and adjacent areas to guide and greatly expand your endoscopic surgical competence. Highlighting the most recent experience from seven top leaders and innovators in the field, this seminal new work presents detailed topographic anatomy of the skull base and adjacent areas in a way not previously seen before. The result is a multidisciplinary atlas merging anatomy, otolaryngology, neurosurgery, and radiology, so as to facilitate creation of a mental "virtual reconstruction" of the complete approach and operative situs. The result is a greatly extended range of surgical possibilities into previously uncharted territory using endoscopic technology. Key Features: Provides the basis for cultivating a firm and confident understanding of the 3D anatomy of this intricately complex region Emphasizes the ability of the endoscopic surgeon to integrate CT and MRI findings into the surgical planning process A logical and modular organization of the contents intends to make for easy correlation with the surgical literature Brilliant step-by-step presentation of dissections using cadavers, helping readers to fully understand all the anatomical nuances Numerous previously unpublished approaches covered here for the first time in a book, step by step Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas is an indispensable resource for fellows and specialists in neurosurgery and ENT surgery wishing to widen their competence in endoscopic skull base surgery.

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions.

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 Videos available online. Exquisitely detailed full-color diagrams sequentially illustrate the appearance of the surgical cavity before and after resection, reinforcing the stepwise progression. Key concepts expertly elucidated through extensive illustrations, endoscopic views, and CT/MRI scans. Easy-to-follow anatomical landmarks pinpoint safe surgical sinus entry zones, respective of paranasal sinuses and mucociliary pathways. Minimally invasive approaches to restore sinus ventilation and normal nasal functioning, as well as orbital and skull base procedures and approaches described in depth. 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.