Endoscopic sinus surgery: anatomy, three-dimensional reconstruction, and surgical technique

261 Pages·2008·22.3 MB·English

by  Peter-John Wormald

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Endoscopic Sinus Surgery
Anatomy, Three-Dimensional Reconstruction,
and Surgical Technique
Second Edition

Endoscopic Sinus Surgery
Anatomy, Three-Dimensional Reconstruction,
and Surgical Technique
Second Edition
Peter-John Wormald, M.D., F.R.A.C.S., F.C.S.(S.A.), F.R.C.S. (Ed.), M.B.Ch.B.
Professor and Chairman
Department of Otolaryngology
University of Adelaide
Adelaide, Australia
Thieme
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Library of Congress Cataloging-in-Publication Data
Wormald, P. J.
Endoscopic sinus surgery / Peter-John Wormald. — 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-58890-603-8 (Americas) — ISBN 978-3-13-139422-4 (Rest of World)
1. Paranasal sinuses—Endoscopic surgery. I. Title.
[DNLM: 1. Paranasal Sinuses—surgery. 2. Endoscopy—methods. 3. Paranasal Sinus Diseases—surgery. 4. Paranasal Sinuses—anatomy &
histology. 5. Video-Assisted Surgery. WV 340 W928e 2007]
RF421.W67 2007
617.5’230597—dc22
2007022759
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Contents
DMVeDd iCao Cnetnetnetrs I .n .f .o .r .m . .a .ti .o .n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
1 Setup and Ergonomics of Endoscopic Sinus Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
2 The Surgical Field in Endoscopic Sinus Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
3 Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
4 Powered Inferior Turbinoplasty and Endoscopic Septoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
5 Uncinectomy and Middle Meatal Antrostomy Including Canine Fossa Puncture . . . . . . . . . . . . . .27
6 Anatomy of the Frontal Recess and Frontal Sinus with
Three-Dimensional Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
7 Surgical Approach to the Frontal Sinus and Frontal Recess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
8 Surgery of the Bulla Ethmoidalis, Middle Turbinate, and Posterior Ethmoids
and Sphenoidotomy, Including Three-Dimensional Reconstruction of the
Posterior Ethmoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
9 Extended Approaches to the Frontal Sinus:
The Modified Endoscopic Lothrop Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115
10 Sphenopalatine Artery Ligation and Vidian Neurectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133
11 Powered Endoscopic Dacryocystorhinostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143
12 Cerebrospinal Fluid Leak Closure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154
13 Endoscopic Resection of Pituitary Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166
14 Endoscopic Orbital Decompression for Exophthalmos,
Acute Orbital Hemorrhage, and Orbital Subperiosteal Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174
15 Endoscopic Optic Nerve Decompression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180
16 Endoscopic Resection of Tumors Involving the Maxillary Sinus,
Pterygopalatine Fossa, and Infratemporal Fossa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186
Contents
17 Endoscopic Resection of the Eustachian Tube and Postnasal Space . . . . . . . . . . . . . . . . . . . . . . . .210
18 Endoscopic Resection of Clival and Posterior Cranial Fossa Tumors . . . . . . . . . . . . . . . . . . . . . . . .217
19 Endoscopic Resection of Anterior Cranial Fossa Tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .239
viii
DMVeDd iCao Cnetenntetsr Information

Basic Skullbase
Inferior Turbinoplasty Nasal Encephalocele
Septoplasty Anterior Cranial Fossa Meningioma (1)
Middle Meatal Antrostomy (1) Anterior Cranial Fossa Meningioma (2)
Middle Meatal Antrostomy (2) Cerebrospinal Fluid Leak Repair (1)
Concha Bullosa Cerebrospinal Fluid Leak Repair (2)
Agger Nasi Cell Access Hypophysectomy (1)
Posterior Ethmoidectomy (1) Hypophysectomy (2)
Posterior Ethmoidectomy (2) Clivus Chordoma (1)
Posterior Ethmoidectomy (3) Clivus Chordoma (2)
Canine Fossa Puncture (1) Chondrosarcoma
Canine Fossa Puncture (2) Eustachian Tube Tumor
Frontal Adjunct
Mini-Trephine Placement Dacryocystorhinostomy (example 1)
T1 cell (example 1) Dacryocystorhinostomy (example 2)
T1 cell (example 2) Revision Dacryocystorhinostomy
T1 cell (example 3) Orbital Abscess
T1 cell (example 4) Orbital Decompression (1)
T3 cell (example 1) Orbital Decompression (2)
T3 cell (example 2) Optic Nerve Decompression
T3 cell (example 3) Juvenile Nasopharyngeal Angiofi broma
Intersinus Septal Cell Infratemporal Fossa Tumor
Modifi ed Lothrop (1) Sphenopalatine Artery Ligation
Modifi ed Lothrop (2) Vidian Neurectomy
ix