By James N. Palmer MD, Alexander G. Chiu MD
Increase your surgical results with Atlas of Endoscopic Sinus and cranium Base surgical procedure through James N. Palmer, MD and Alexander G. Chiu, MD. excellent for each otolaryngologist who plays easy or complicated rhinologic strategies, this superbly illustrated atlas takes you step-by-step via endoscopic sinus and cranium base surgical procedures as though the bankruptcy authors have been correct there with you within the working room.
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Additional info for Atlas of Endoscopic Sinus and Skull Base Surgery
Com. REFERENCES 1. Berger G, Ophir D, Pitaro K, et al. Histopathological changes after coblation inferior turbinate reduction. Arch Otolaryngol Head Neck Surg. 2008;134(8):819-823. 2. Cavaliere M, Mottola G, Iemma M. Monopolar and bipolar radiofrequency thermal ablation of inferior turbinates: 20-month followup. Otolaryngol Head Neck Surg. 2007;137(2):256-263. 3. Passàli D, Passàli FM, Damiani V, et al. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol.
Figure 5-5. Endoscopic view of the left anterior ethmoid artery. After the artery is identified, the drill is used to remove its bony covering. Frontal sinus Anterior ethmoidal a. Ophthalmic a. Septum (cut) Orbit Sphenoid sinus Maxillary sinus Posterior ethmoidal a. Choanae Figure 5-4. Artist’s depiction of required exposure of the skull base in endoscopic view. A complete sphenoethmoidectomy and bilateral frontal sinusotomy has been performed. Often a Draf 3 (frontal sinus) drill-out procedure is added.
Subtotal resection of both inferior turbinates will often allow better draping of the skin graft over the floor of the nasal cavity when there are a large number of malformations along the floor. Use the microdebrider to shave away the nasal mucosa while keeping the underlying perichondrium intact. Topical epinephrine mixed in thrombin is a quick and effective intraoperative hemostatic agent. Potential Pitfalls n ake sure to tack the skin graft as high up on the M nasal septum as possible.
Atlas of Endoscopic Sinus and Skull Base Surgery by James N. Palmer MD, Alexander G. Chiu MD