Humans can resist 40 days without eating and 4 days without drinking, but only 4 minutes without breathing: this tells us much about its fundamental importance. Breathed air is slowed down, filtered, warmed and humidified by the nose; many mechanisms are involved in this act, which prevent bronchial tubes and pulmonary alveolus from receiving an excessive and sudden air load. It is well known, on the other hand, that breathing through the mouth causes a lot of problems: inflammatory diseases of the upper airways, sleep apnea syndrome, but also, in some cases, bronchial, pulmonary and even cardiac disorders, that are more easily affecting patients not able to breathe correctly through the nose. For this reason, restoring an efficient nasal function is a very important - and in some cases crucial - issue. This book describes in details an innovative surgical technique called modified inferior turbinoplasty, which offers an excellent solution to the problems associated with the lower turbinate hypertrophy. A turbinate (or nasal concha) is a long, narrow, curled bone shelf that protrudes into the breathing passage of the nose. Most surgical interventions treat only the soft parts of hypertrophic turbinates using laser therapy, radiofrequency treatment, and electrocoagulation, but these procedures often lead to relapse. With this technique, in contrast, all anatomic parts of the turbinate are treated, including bone tissue: the surgeon reduces the inferior nasal concha and the internal nasal tissue, and the mucosa is then remodeled with sutures. The modified inferior turbinoplasty allows the complete avoidance of swabs in the nose, which is fundamental for patients well-being and grant them a quicker recovery. The book will be very useful for othorinolaryngologists, plastic surgeons, endoscopic and maxillofacial surgeons.

Humans can resist 40 days without eating and 4 days without drinking, but only 4 minutes without breathing: this tells us much about its fundamental importance. Breathed air is slowed down, filtered, warmed and humidified by the nose; many mechanisms are involved in this act, which prevent bronchial tubes and pulmonary alveolus from receiving an excessive and sudden air load. It is well known, on the other hand, that breathing through the mouth causes a lot of problems: inflammatory diseases of the upper airways, sleep apnea syndrome, but also, in some cases, bronchial, pulmonary and even cardiac disorders, that are more easily affecting patients not able to breathe correctly through the nose. For this reason, restoring an efficient nasal function is a very important - and in some cases crucial - issue. This book describes in details an innovative surgical technique called modified inferior turbinoplasty, which offers an excellent solution to the problems associated with the lower turbinate hypertrophy. A turbinate (or nasal concha) is a long, narrow, curled bone shelf that protrudes into the breathing passage of the nose. Most surgical interventions treat only the soft parts of hypertrophic turbinates using laser therapy, radiofrequency treatment, and electrocoagulation, but these procedures often lead to relapse. With this technique, in contrast, all anatomic parts of the turbinate are treated, including bone tissue: the surgeon reduces the inferior nasal concha and the internal nasal tissue, and the mucosa is then remodeled with sutures. The modified inferior turbinoplasty allows the complete avoidance of swabs in the nose, which is fundamental for patients well-being and grant them a quicker recovery. The book will be very useful for othorinolaryngologists, plastic surgeons, endoscopic and maxillofacial surgeons.

This book is designed to provide all the information required for a sound understanding of diseases of the nose and paranasal sinuses and the surgical techniques used in their management. After an opening section on basic science, clinical and radiological assessment is explained and individual chapters focus on conditions ranging from infectious diseases, allergic rhinitis, and nasal polyposis to trauma, malignancies, and skin diseases. A wide variety of surgical techniques are then described with the aid of high-quality illustrations, covering nasal airway procedures and surgical approaches to the paranasal sinuses, including diverse endoscopic and image-guided procedures, nasal reconstruction, and endonasal and external rhinoplasty. The book is a collaborative project between the new generation of Turkish specialists and well-known experts from across the world. It will be of value for ENT doctors in all countries, as well as for students and trainees and those working in ENT-related fields such as maxillo-facial surgery, pediatrics, allergology, neurology, infectious diseases, and neurosurgery.

This state-of-the-art text addresses surgery of the frontal sinus, and the challenges that come along with it. It provides a comprehensive overview of the anatomy of the frontal sinus and a systematic method of approaching and executing sinus surgery, as well as tools, tips, and strategies in optimizing success. Additional chapters include the management of acute and chronic frontal sinus inflammation, trauma of the frontal sinus, tumors in the frontal sinus, and pediatric frontal surgery. Perioperative care and management of complications are also discussed. Chapters are richly illustrated with fi gures and surgical videos, replete with practical pearls and tips. Frontal Sinus Surgery: A Systematic Approach will be an invaluable resource for general otolaryngologists and rhinologists interested in the frontal sinus.

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.

Obstructive sleep apnoea is a condition where the walls of the throat relax and narrow during sleep, interrupting normal breathing (NHS Choices). Surgical Management in Snoring and Sleep-Disordered Breathing is an illustrated guide to the diagnosis and treatment of patients who require surgery for obstructive sleep apnoea. Divided into 15 chapters, the book begins with sleep tests and diagnosis, upper airway exploration and guidance on classification and surgical prognosis of a patient with sleep-disordered breathing. Common modalities for exploring the upper airway, as well as techniques currently under development, are discussed in detail. Further chapters cover a range of surgical procedures. The closing chapters cover anaesthesiology, complications of obstructive sleep apnoea surgery, and the future of sleep-disordered breathing and snoring surgery. Surgical Management in Snoring and Sleep-Disordered Breathing is enhanced by 139 full colour images and illustrations, making this up-to-date and forward looking book an ideal resource for postgraduates, otolaryngologists, anaesthesiologists and surgeons. Key Points Illustrated guide to the diagnosis and surgical treatment of obstructive sleep apnoea Covers diagnosis, surgical prognosis, and surgical procedures Also covers anaesthesiology, complications of surgery, and possible future developments 139 full colour images and illustrations

The volume provides a comprehensive, up-to-date and exhaustive review of pediatric rhinosinusitis for clinicians, surgeons, researchers, advanced care providers as well as emergency personnel. It provides information regarding pathophysiology of sinusitis, and how to distinguish between the differential diagnoses of a child with a runny nose. It also utilizes current evidence-based guidelines and consensus statements to clarify this condition to the physician and discusses available medical and surgical treatment. Authored by clinicians with long-time expertise with this disease, Pediatric Rhinosinusitis also reviews definitions, burden of disease, microbiology and pathophysiology of the disease; role of adenoids, allergy and asthma as co-morbid conditions; comprehensive medical management; and the role of topical treatment. It also covers the latest advancements in new treatments such as drug-eluting stents; comprehensive surgical management; and complications of rhinosinusitis. It will be a valuable resource for otolaryngologists, surgeons, residents, medical students and advanced practice providers for years to come.