Illustrated with hundreds of outstanding endoscopic images and corresponding drawings, this successfully established step-by-step guide to endoscopic sinus and skull base surgery is ideal for all specialists who need to stay current in the field. In this expanded second edition, practitioners will not only find basic and advanced procedures in endoscopic sinus surgery (including key criteria for patient selection), but also four entirely new chapters on anterior skull base surgery that reflect important recent developments. Special features of the second edition: Superbly illustrated, presenting over 1400 endoscopic images, photographs, and drawings Provides a practical management approach that leads to optimal outcomes: Who are the best candidates for specific procedures? When should medical treatment or surgery be used? Why should surgery be undertaken? How are the operative procedures performed? Covers the latest techniques for removal of skull base tumors and repair of skull base defects Includes new chapters on pathophysiology of rhinosinusitis, sense of smell, applied anatomy, the endoscopically assisted bimanual operating technique, transorbital surgery, interdisciplinary teamwork, and more Offers online access to 34 videos of endoscopic surgical procedures and patient interviews, for an excellent review and refresher Describes along with videos the new technique of piriform turbinoplasty that opens up the nasal valve area Provides Information for Patients leaflets that can also be downloaded From diagnosis and preoperative counseling to evidence-based procedures, complication avoidance, and postoperative management, this book covers the gamut of topics clinicians face in everyday practice. All otolaryngologists, neurosurgeons, and maxillofacial surgeons will find it essential when making diagnostic and treatment decisions involving the paranasal sinuses and skull base.

By focusing on how to establish clear indications for surgery and how to improve surgical approaches in endoscopic paranasal sinus surgery, this practical operating manual appeals to the beginner as well as to the practicing surgeon. Techniques covered range from simple procedures to the most advanced applications, including tumor and trauma surgery, and procedures involving the anterior skull base.Based on their clinical and considerable teaching experience, the authors have chosen an approach that responds directly to patients concerns and which is set within a simple framework based on the questions of Who? When? Why? and How?:Who? offers guidelines on patient selection and dealing with patients' expectations,When? discusses optimizing the diagnosis and medical management as well as the timing of surgery,Why? evaluates realistic surgical goals with regard to patients' symptoms and their quality of life,How? describes surgical techniques step-by-step, explains terminology, discusses surgical modifications and alternatives, and offers guidelines for the management of complications.Nearly 1,000 illustrations of exceptional quality and a 3-hour DVD of surgical procedures and interviews with patients supplement the step-by-step instructions and practical tips in the text.

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.

Reviews the role of endoscopic endonasal techniques During the last decade the endoscopic endonasal approach (EEA) to the skull base has become a very powerful method to add to the array of neurosurgical technologies. This volume provides a broad overview of the role of transnasal approaches in a wide spectrum of skull base diseases. It starts with a historical perspective of the evolution from the microscope to the endoscope in endonasal surgery and then explores in depth the principles and techniques of the various methods. Discussed are topics based on anatomical boundaries: pituitary fossa to the suprasellar space to the cavernous sinus, clivus and the anterior cranial fossa. Access to the infratemporal and posterior fossae via both the endoscopic endonasal and the retrosigmoid approaches are reviewed. In addition, the critical topic of reconstruction following 'minimally invasive' skull base surgery and finally the learning curve and complications associated with the applications of these new and exciting approaches are discussed. This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique.

Illustrated with hundreds of outstanding endoscopic images and corresponding drawings, this successfully established step-by-step guide to endoscopic sinus and skull base surgery is ideal for all specialists who need to stay current in the field. In this expanded second edition, practitioners will not only find basic and advanced procedures in endoscopic sinus surgery (including key criteria for patient selection), but also four entirely new chapters on anterior skull base surgery that reflect important recent developments. Special features of the second edition: Superbly illustrated, presenting over 1400 endoscopic images, photographs, and drawings Covers the latest techniques for removal of skull base tumors and repair of skull base defects Includes new chapters on pathophysiology of rhinosinusitis, sense of smell, applied anatomy, the endoscopically assisted bimanual operating technique, transorbital surgery, interdisciplinary teamwork, and more Offers online access to 34 videos of endoscopic surgical procedures and patient interviews, for an excellent review and refresher Provides Information for Patients leaflets that can also be downloaded From diagnosis and preoperative counseling to evidence-based procedures, complication avoidance, and postoperative management, this book covers the gamut of topics clinicians face in everyday practice. All otolaryngologists, neurosurgeons, and maxillofacial surgeons will find it essential when making diagnostic and treatment decisions involving the paranasal sinuses and skull base.

"Today, expanded endonasal approaches (EEA) have revolutionized the surgical treatment paradigm for pediatric central skull base lesions. Specially adapted micro-instruments have been developed to permit passage through the narrow sinonasal pathways in children, enabling access to the entire midline skull base, from the crista galli to the cervico-medullary junction. Pediatric Endoscopic Endonasal Skull Base Surgery is the first textbook focused solely on endoscopic endonasal management of cranial base pathologies in children. The book reflects in-depth expertise from an extraordinary group of international contributors from five continents, who share extensive knowledge on this emerging field. Thirty four chapters are presented in three comprehensive sections. Key Features: 1) Core topics including anatomy, rhinological and anesthetic considerations, patient positioning and OR set-up, instrumentation, and endonasal corridors and approaches; 2) Fifteen chapters detail endoscopic treatment of a full spectrum of pediatric pathologies, such as encephalocele/meningoencephalocele, cysts, and benign and malignant tumors; 3) Discussion of multiple skull closure techniques, managing complications, and neurosurgical and otolaryngological postoperative care; 4) Visually rich, the succinct text is enhanced with 500 high-quality surgical illustrations and intraoperative photographs, as well as procedural videos. This unique reference is essential reading for neurosurgical and otolaryngology residents and fellows, as well as veteran surgeons, nurse-practitioners, and physician-assistants who treat and care for pediatric patients with skull-base conditions"--

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.