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

306 Pages·2012·0.21 MB·English

by  Peter-John Wormald

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

Endoscopic Sinus Surgery
Anatomy, Three-Dimensional Reconstruction,
and Surgical Technique
Third Edition
Peter-John Wormald, MD, FRACS, FCS (SA), FRCS (Ed), MB ChB
Professor and Chairman
Department of Otolaryngology
University of Adelaide
Adelaide, South Australia, Australia
Thieme
New York · Stuttgart
Dedicated with love to Fiona, my wife, without whom this
book would not have been possible, and to Nicholas and Sarah,
my children, who provide my inspiration.
Thieme Medical Publishers, Inc.
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Library of Congress Cataloging-in-Publication Data
Endoscopic sinus surgery : anatomy, three-dimensional reconstruction, and surgical technique / edited by
Peter-John Wormald. — 3rd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-60406-687-6
I. Wormald, P. J.
   [DNLM: 1. Paranasal Sinuses—surgery. 2. Natural Orifice Endoscopic Surgery—methods. 3. Paranasal Sinus Diseases—surgery. 
4. Paranasal Sinuses—anatomy & histology. 5. Video-Assisted Surgery. WV 340]
617.5’23—dc23
2012021281
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Contents
Video Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii
Foreword by David Kennedy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xii
1. Setup and Ergonomics of Endoscopic Sinus Surgery .............................................1
2. The Surgical Field in Endoscopic Sinus Surgery .................................................6
3. Imaging in Endoscopic Sinus Surgery .........................................................13
4. Powered Inferior Turbinoplasty and Endoscopic Septoplasty ...................................19
5. Uncinectomy and Middle Meatal Antrostomy Including
Canine Fossa Puncture/Trephine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
6. Anatomy of the Frontal Recess and Frontal Sinus with
Three-Dimensional Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
7. Surgical Approach to the Frontal Sinus and Frontal Recess ......................................81
8. Three-Dimensional Reconstruction and Surgery of the Bulla Ethmoidalis,
Middle Turbinate, Posterior Ethmoids, and Sphenoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
  9.   Extended Approaches to the Frontal Sinus: The Modified Endoscopic 
Lothrop Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
10. Sphenopalatine Artery Ligation and Vidian Neurectomy ...................................... 136
11. Powered Endoscopic Dacryocystorhinostomy ............................................... 148
12. Cerebrospinal Fluid Leak Closure ........................................................... 163
13. Endoscopic Resection of Pituitary Tumors ................................................... 174
14. Endoscopic Orbital Decompression for Exophthalmos, Acute Orbital
Hemorrhage, and Orbital Subperiosteal Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
15. Endoscopic Optic Nerve Decompression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
16. Endoscopic Resection of Tumors Involving the Maxillary Sinus,
Pterygopalatine Fossa, and Infratemporal Fossa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
17. Endoscopic Resection of the Eustachian Tube and Postnasal Space ............................ 225
vi Contents
18. Anatomy of the Sphenoid and Adjacent Structures of
Importance during Skull Base Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
19. Endoscopic Resection of Clival and Posterior Cranial Fossa Tumors ............................ 238
20. Endoscopic Resection of Anterior Cranial Fossa Tumors ...................................... 254
21. Endoscopic Surgery of the Craniocervical Junction ........................................... 272
22. Carotid Artery and Major Vascular Injury during Endoscopic Sinus Surgery .................... 278
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283
Video Contents
Section I . Basic Sinus Surgery 24. Posterior Ethmoidectomy and
Sphenoidotomy
1. Inferior Turbinoplasty
25. Left Posterior Ethmoidectomy and
2. Endoscopic Septoplasty
Sphenoidotomy [1]
3. Uncinectomy and Antrostomy
26. Left Posterior Ethmoid and Sphenoid Dissec-
4. Endoscopic Middle Meatal Antrostomy tion
5. Left Middle Meatal Antrostomy 27. Left Posterior Ethmoidectomy and
Sphenoidotomy [2]
6. Resection of Concha Bullosa
7. Left Concha Bullosa Resection
Section II . Advanced Sinus Surgery
8. Canine Fossa Maxillary Trephination
28.  Endoscopic Modified Lothrop/Draf 3/
9. Maxillary Trephination
Frontal Drillout [1]
10. Single Agger Cell
29.  Endoscopic Modified Lothrop/Draf 3/
11. T1 Cell with Antero-Medial Pathway Frontal Drillout [2]
12. T1 Cell with Medial Drainage 30.  Modified Lothrop/Draf 3/Frontal Drillout for 
Fungal Disease
13. Left Agger Nasi and T1 Fronto-Ethmoid Cell
31. Sphenopalatine Artery Ligation
14. Left Agger Nasi and T1 Frontal Dissection
32. Endoscopic Vidian Neurectomy
15. T3 Cell with Medial Drainage
33. Endoscopic Dacryocystorhinostomy [1]
16. Right T3 Cell with Medial Drainage
34. Endoscopic Dacryocystorhinostomy [2]
17. Intersinus Septal Cell with Mini-Trephination
35. Revision Dacryocystorhinostomy
18. T1 Cell with Medial Drainage Pathway
36. Cerebrospinal Fluid Leak Closure
19. T1 Cell with Posterior Medial Drainage
Pathway 37. Cerebrospinal Fluid Leak Closure with
Fascia Lata
20. Right T3 Cell with Anterior Pathway
38. Meningio-Encephalocele with Resection
21. Left T4 Cell Frontal Recess Dissection
and Repair
22. Frontal Sinus Mini-Trephination
23. Bulla Ethmoidalis and Posterior Ethmoids
viii Video Contents
Section III . Skull Base Surgery Section IV . Transnasal Intracranial Surgery
39. Endoscopic Pituitary Surgery 51. Clival Chordoma: First Case
40. Endoscopic Pituitary Tumor Resection 52. Endoscopic Removal of Clival Chordoma
41. Endoscopic Medial Maxillectomy and Dissec- 53. Clival Chordoma with Carotid Encasement
tion of the Inferotemporal Fossa
54. Anterior Skull Base Meningioma
42. Endoscopic Juvenile Nasopharyngeal
55. Large Olfactory Groove Meningioma
 Angiofibroma Removal with Medial 
Maxillectomy 56. Tuberculum Sella Meningioma
43. Left Frontal Sinus Inverting Papilloma:
Frontal Drillout
44. Chondrosacroma Left Nasal Cavity
45.  Lacrimal Sac Undifferentiated Carcinoma
46. Orbital Decompression
47. Endoscopic Orbital Decompression
48. Endoscopic Drainage of Orbital Abscess
49. Optic Nerve Decompression for Trauma
50. Left Eustachian Tube Resection