Atlas of Endoscopic Sinus and Skull Base Surgery

Description

Gain a clear understanding of the entire spectrum of today’s rhinology and anterior skull base surgery with Atlas of Endoscopic Sinus and Skull Base Surgery, 2nd Edition. This thoroughly updated title increases your knowledge and skill regarding both basic or advanced procedures, taking you step by step through endoscopic approaches to chronic sinus disease, nasal polyps, pituitary tumors, cerebrospinal fluid leaks, sinonasal tumors, and more. All-new videos provide real-time guidance for procedures such as endoscopic anterior craniofacial resection, endoscopic approach and removal of orbital tumors, sphenoidotomy, and many more. Cover......Page 1 ATLAS of Endoscopic Sinus and Skull Base Surgery......Page 2 Copyright......Page 3 Dedication......Page 4 Contributors......Page 5 Preface......Page 9 Video Contents......Page 10 Radiographic Considerations4,12......Page 12 Pearls and Potential Pitfalls......Page 13 Step 3: Swinging Door/Doorstop Techniques......Page 14 Step 4: Closure of the Septal Pocket and Incision......Page 15 Step 3: Replacement of Flaps......Page 17 REFERENCES......Page 18 Preoperative Considerations......Page 21 Step 1......Page 22 Inferior Turbinate Soft Tissue Reduction......Page 23 Step 5......Page 24 Step 5......Page 25 Step 2......Page 26 Postoperative Considerations......Page 27 Anatomy......Page 30 Anatomy of the Sphenopalatine Artery......Page 31 Instrumentation (Fig. 3.4A and Fig. 3.4B)......Page 32 Step 4 (Fig. 3.9)......Page 33 Conclusions......Page 35 Endoscopic and Open Anterior/Posterior Ethmoid Artery Ligation......Page 37 Instrumentation......Page 38 Potential Pitfalls......Page 39 Step 5. Ligate the PEA in the Same Fashion (Fig. 4.7)......Page 40 Step 5: Continue the Dissection Posteriorly Until the AEA and PEA Are Identified......Page 42 Special Considerations......Page 43 Orbital Hematoma......Page 44 Pearls......Page 46 Step 1: Incise the Mucosa, Drawing the Flaps......Page 47 Step 2: Remove the Posterior Nasal Septum......Page 48 Final Considerations......Page 49 Preoperative Considerations......Page 53 Pearls......Page 57 Step 2: Outfracture the Inferior Turbinate to Better Visualize the Middle Meatus......Page 58 Step 6: Enlarge the Antrostomy by Removing the Posterior Fontanelle (Fig. 6.13)......Page 59 Postoperative Considerations......Page 61 Special Considerations......Page 62 Basal Lamellae......Page 63 Radiographic Considerations......Page 65 Instrumentation (Fig. 7.7)......Page 66 Potential Pitfalls......Page 67 Step 5......Page 68 Postoperative Considerations......Page 69 Preoperative Considerations......Page 71 Pearls and Potential Pitfalls......Page 72 Step 2......Page 73 Special Considerations—Onodi Cell......Page 75 INTRODUCTION......Page 78 Anatomy......Page 80 Frontal Recess Cell......Page 81 Instrumentation......Page 83 Pearls......Page 86 Potential Pitfalls......Page 87 Step 3: Removing the Posterior Wall of the Agger Nasi Cell......Page 88 Step 7: Performing the Finishing Touches......Page 89 Step 8: Placing a Frontal Sinus Stent (Optional)......Page 91 Frontal Sinus......Page 93 Preoperative Considerations......Page 94 Radiologic Considerations......Page 96 Step 2: Localization of the Anterior Ethmoid Arteries......Page 97 Step 6: Further Bone Removal......Page 98 Complications......Page 99 Postoperative Management......Page 100 Frontal Sinus Rescue Procedure......Page 101 Anatomy......Page 102 Preoperative Considerations......Page 103 Step 3: Exposing the Nasofrontal Beak and Defining the Posterior Limit of Dissection (the First Olfactory Neuron)......Page 104 Step 4: Creation of the Septal Window......Page 105 Step 5: Drilling to Define the Lateral Limits......Page 106 Step 6: Drilling Away the Nasofrontal Beak......Page 107 Pearls and Pitfalls......Page 108 Postoperative Care......Page 109 Pearls......Page 111 Step 6......Page 112 Postoperative Medical Therapy......Page 113 Special Considerations......Page 114 Preoperative Considerations......Page 116 Pearls and Potential Pitfalls......Page 117 Step 8......Page 119 Balloon Hybrid Procedure......Page 121 Special Considerations......Page 123 Radiographic Considerations......Page 124 Step 1: Debulk Polyps in the Nasal Cavity With a Microdébrider......Page 125 Step 6: Enlarge the Sphenoidotomy......Page 126 Postoperative Considerations......Page 128 Radiographic Considerations......Page 133 Step 4: Create a Nasal Floor Mucosal Flap......Page 135 Step 9: Make the Posterior Cut of the Medial Maxillary Wall......Page 136 Postoperative Considerations......Page 137 Special Considerations......Page 141 Anatomy......Page 144 Preoperative Radiographic Considerations......Page 145 Step 2: Harvest a Short Pedicled Nasoseptal Flap (Figs. 16.4 and 16.5)......Page 146 Step 1: Raise a Single Pedicled Nasoseptal Flap......Page 147 Step 5: Remove the Sphenoid Intersinus Septum (Fig. 16.9)......Page 148 Step 6: Repeat Aforementioned Steps on Contralateral Side If Necessary......Page 149 Postoperative Considerations......Page 151 Instrumentation......Page 153 Step 2: Raise the Mucosal Flap......Page 154 Step 6: Marsupialize the Lacrimal Sac......Page 155 Postoperative Considerations......Page 156 Revision Surgery......Page 157 Preoperative Considerations......Page 160 Surgical Procedure......Page 162 Step 4: Downfracture of the Orbital Floor......Page 163 Step 5: Incision of the Periorbita (Fig. 18.5)......Page 165 Outcomes......Page 166 Conclusions......Page 167 Indications and Contraindications for Optic Nerve Decompression......Page 169 Radiographic Considerations......Page 170 Instrumentation (FIG. 19.8)......Page 171 Step 5: Remove Bone Overlying the Intracanalicular Segment of the Nerve......Page 174 Step 6: Consider the Need to Incise the Optic Sheath......Page 175 Postoperative Considerations......Page 176 Preoperative Considerations......Page 177 Instrumentation......Page 179 Step 1: Perform a Complete Ethmoidectomy, Maxillary Antrostomy, and Sphenoidectomy......Page 180 Postoperative Considerations......Page 181 Preoperative Considerations......Page 184 Potential Pitfalls......Page 185 Step 3: Identify the Hasner Valve......Page 187 Step 4: Perform a Subtotal Inferior Turbinectomy......Page 188 Step 7: Adjunctive Approaches: Inferior Meatal Window, Septal Window, Canine Fossa Puncture, Anterior Maxillotomy, and the Denke.........Page 189 Step 9: Ethmoid Involvement......Page 192 Postoperative Considerations......Page 193 Step 1: Mucosal Cuts......Page 195 Step 3: Bony Cuts to the Maxilla......Page 196 “Cross-Court”/Transseptal Approaches......Page 198 Complications......Page 199 Conclusions......Page 202 Pearls and Potential Pitfalls......Page 204 Step 4: Apply Bone Wax......Page 205 Postoperative Considerations......Page 206 Anatomy......Page 209 Preoperative Considerations......Page 210 Radiographic Considerations......Page 211 Step 1: Wide Maxillary Antrostomy and Sphenoidotomy......Page 212 Step 2: Elevation of Mucosa of the Posterior Wall of the Maxillary Sinus and Drilling......Page 213 Step 7: Removal of the Disease Process in the PPS......Page 214 Introduction......Page 215 Anatomy......Page 216 Pearls and Potential Pitfalls......Page 217 Step 2: Expose the Sphenopalatine and/or Maxillary Artery......Page 219 Step 5: Dissect the Intranasal Portions of the Tumor From the Surrounding Tissues......Page 220 Postoperative Considerations......Page 221 Conclusion......Page 223 Anatomy......Page 226 Radiographic Considerations......Page 227 Pearls and Potential Pitfalls......Page 228 Step 7......Page 229 Step 11......Page 232 Postoperative Considerations......Page 233 Special Considerations......Page 235 Anatomy......Page 237 Radiographic Considerations......Page 238 Surgical Procedure......Page 239 Special Considerations......Page 245 Anatomy......Page 248 Clinical Diagnosis......Page 249 Magnetic Resonance Imaging......Page 250 Pearls......Page 251 Step 5......Page 252 Step 8......Page 253 Antibiotics......Page 254 Special Considerations......Page 255 Anatomy5......Page 259 Radiographic Considerations......Page 260 Surgical Procedure......Page 261 Step 3: Posterior Septectomy......Page 262 Step 6: Neurosurgical Resection of the Tumor......Page 264 Step 8: Application of Absorbable Packing......Page 265 Special Considerations......Page 268 Anatomy......Page 270 Preoperative Considerations......Page 271 Radiographic Considerations......Page 272 Pearls......Page 274 Step 3: Nasoseptal Flap Elevation......Page 275 Step 5: Completion of the Sphenoidotomy and Removal of the Sphenoid Keel......Page 276 Step 7: Removal of the Sella Wall......Page 277 Transplanum Approach......Page 278 Postoperative Considerations......Page 282 Clival Chordomas: Background......Page 285 Anatomic Considerations and Relationships for the Clivus......Page 286 Preoperative Considerations for Endoscopic Transclival Work......Page 287 Pearls and Potential Pitfalls......Page 289 Step 1: Complete the Preoperative Setup......Page 291 Step 3: Harvest a Nasoseptal Flap (Optional)......Page 292 Step 6: Perform a Posterior Septectomy......Page 293 Step 8: Identify the Vertical Component of Both Internal Carotid Arteries......Page 295 Step 10: Drill the Clivus Bone Until the Lesion Is Resected or the Clival Dura Is Exposed......Page 296 Step 11: Incise the Dura to Expose the Posterior Fossa for Intracranial Lesions (Optional)......Page 297 Postoperative Considerations......Page 298 Special Considerations......Page 299 INTRODUCTION......Page 302 Anatomy......Page 303 Preoperative Considerations......Page 304 Radiographic Considerations......Page 305 Pearls and Potential Pitfalls......Page 306 Step 1: Defining the Flap......Page 308 Step 2: Raising the Flap......Page 309 Step 4: Reconstruction of Dural Defect......Page 310 Step 5: Positioning of Intranasal Flap......Page 311 Middle Turbinate Flap......Page 312 Free Grafts......Page 313 Postoperative Considerations......Page 314 Anatomy......Page 318 Radiographic Considerations......Page 319 Step 1: Incision......Page 320 Step 3: Drilling of the Trephination......Page 321 Conclusion......Page 322 Preoperative Considerations......Page 327 Pearls and Pitfalls......Page 328 Surgical Procedure......Page 329 Postoperative Considerations......Page 332 B......Page 336 C......Page 337 E......Page 338 F......Page 340 J......Page 341 M......Page 342 O......Page 343 P......Page 344 S......Page 345 W......Page 347