Endoscopic Surgery of the Orbit PDF
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Endoscopic Surgery of the Orbit Endoscopic Surgery of the Orbit Raj Sindwani, MD, FACS, FRCS(C) Vice Chairman and SectionHead Rhinology, Sinus & Skull Base Surgeryj Head and NeckInstitute Co-Director jMinimally Invasive Cranial Base & Pituitary SurgeryProgram Rosa Ella Burkhardt Brain Tumor &Neuro-Oncology Center Vice Chair of Enterprise Surgical OperationsjCleveland Clinic Cleveland, Ohio Elsevier 3251RiverportLane St.Louis,Missouri63043 ENDOSCOPICSURGERYOFTHEORBIT ISBN:978-0-323-61329-3 Copyright©2021,ElsevierInc.Allrightsreserved. SinusandNasalInstituteofFloridaFoundationretainscopyrightfortheoriginal figures/imagesappearinginDr.Lanza’schapter(Chapter29). Nopartofthispublicationmaybereproducedortransmittedinanyformorbyanymeans,electronicor mechanical,includingphotocopying,recording,oranyinformationstorageandretrievalsystem,without permissioninwritingfromthepublisher.Detailsonhowtoseekpermission,furtherinformationaboutthe Publisher’spermissionspoliciesandourarrangementswithorganizationssuchastheCopyrightClearance CenterandtheCopyrightLicensingAgency,canbefoundatourwebsite:www.elsevier.com/permissions. ThisbookandtheindividualcontributionscontainedinitareprotectedundercopyrightbythePublisher(other thanasmaybenotedherein). Notices Practitionersandresearchersmustalwaysrelyontheirownexperienceandknowledgeinevaluatingand usinganyinformation,methods,compoundsorexperimentsdescribedherein.Becauseofrapidadvancesin themedicalsciences,inparticular,independentverificationofdiagnosesanddrugdosagesshouldbemade. Tothefullestextentofthelaw,noresponsibilityisassumedbyElsevier,authors,editorsorcontributorsfor anyinjuryand/ordamagetopersonsorpropertyasamatterofproductsliability,negligenceorotherwise,or fromanyuseoroperationofanymethods,products,instructions,orideascontainedinthematerialherein. LibraryofCongressControlNumber:2020933845 ContentStrategist:JessicaL.McCool ContentDevelopmentManager:MeghanB.Andress PublishingServicesManager:ShereenJameel SeniorProjectManager:UmaraniNatarajan DesignDirection:BridgetHoette PrintedinChina Lastdigitistheprintnumber:9 8 7 6 5 4 3 2 1 This book is dedicated to my daughters, Sienna and Sasha, whose mere presence makes me want to be a better person and make our world a better place. Girls, always remember that your place in the world is wherever and whatever you want it to be. The fact that this book now exists in physical form is a testament to the love, support, and countless sacrifices of several people in my life—most notably my parents and my wife, Sangeeta—who, first, convinced me that I really could do anything that I put my mind to, and then, second, provided me the runway to do it. Raj Sindwani, MD, FACS, FRCS(C) Preface This textbook is as unique as the evolving field of endoscopic otolaryngology and ophthalmology. Beyond even this core dyad, orbital surgery. More than any other sphere, contemporary however, the complex nature of endoscopic orbital surgery approachestotheorbitandskullbasearetheepitomeofmultidis- requires a cohesive, multidisciplinary team consisting of otolar- ciplinary care and the “team of teams” approach to problem- yngologists, ophthalmologists, neurosurgeons, endocrinologists, solving.Theseapproachestakeexquisiteadvantageoftheanatomic medical and radiation oncologists, and radiologists and patholo- realitythatthesinonasaltractislargelyanair-filledcolumnofbony gists. In addition to providing expertise and perspectives from cells that can readily be removed without consequence. At their thesevariousspecialties,EndoscopicSurgeryoftheOrbit(1stedition) core,theadvantagesofendoscopicapproachestotheorbitclosely also highlights the two-surgeon, multihanded surgical techniques paralleltheadvantagesthatwenowroutinelyleverageduringendo- that have ushered in a new era in managing complex pathologies scopicskullbasetechniques—namely,direct-lineaccesstopathol- involvingtheorbitandskullbase. ogyinhard-to-reachareasoftheheadthatweareabletomanage Infused with the knowledge and wisdom of global thought throughthenosewithminimalretractiononsensitiveneurovascu- leaders,itwasmymissiontoprovideacomprehensiveresourcethat lar structures. could serve as an authoritative text to practitioners performing With concurrent improvement in office examination tech- endoscopic orbital procedures and caring for these patients. I am niquesandimagingtechnology,clinicianswithaninterestindisor- immensely grateful to my distinguished colleagues and friends dersaffectingtheorbitareoftenabletoachieveincreasedprecision for their contributions to this important project; your time and inpreoperativediagnosisandoffertheirpatientsmorerefined,and dedication are very much appreciated. insomecaseslessinvasive,treatmentoptions.Minimallyinvasive It is my sincere hope that readers find this work informative, orbitaltechniquesofferthepromiseofamorestreamlinedapproach thought-provoking, entertaining, and inspiring. to comprehensive patient care, improved patient satisfaction and Raj Sindwani,MD, FACS, FRCS(C) experience,andsuperioroutcomes. The modern era of endoscopic surgery of the orbit has wit- nessed an unparalleled partnership between the specialties of vi Biography Raj Sindwani, MD, FACS, EnterpriseSurgicalOperations.Inthisrole,heandhisteamcham- FRCS(C) pion procedural and surgical safety and quality while working to Dr. Sindwani is vice chair- address access, efficiency, and service-line development across man and head of the Section the Cleveland Clinic health system. He also serves as president- of Rhinology, Sinus & Skull electofthemedicalstaffandisamemberoftheClevelandClinic Base Surgery of the Head & Boardof Governors. NeckInstituteattheCleveland Dr. Sindwani is presently the editor-in-chief of the American Clinic.Heisalsoco-directorof JournalofRhinology&Allergyandpasteditor-in-chiefoftheYear the Minimally Invasive Cranial Book ofOtolaryngology.Heservesonseveralhigh-impacteditorial Base and Pituitary Program of andscientificadvisoryboardsandhastrainedmanyfellowsandres- the Rose Ella Burkhardt Brain idents.Heisanestablishedauthorityonthemedicalandsurgical Tumor and Neuro-Oncology management of conditions affecting the sinuses, orbit, and skull Center. He has held several base and has pioneered endoscopic surgical approaches to these important leadership roles at regions.Hehaspublishedextensivelyinthefieldandhaslectured the Cleveland Clinic and is atmanyinstitutions,instructionalcourses,andscientificsymposia currently vice chairman of aroundtheworld. vii Video Contents 13-1 EndoscopicDacryocystorhinostomy 33-1 Endoscopic Repair ofaMedialOrbitalWall Facture JessicaW.Grayson With the“Milan Technique” MarcoMolteni 21-1 OpticNerve Decompression NicoleI.Farber 33-2 Endoscopic Medial Orbital WallReconstruction After 29-1 Endoscopic-Assisted OrbitalExenteration RemovalofanOrbitalMassViaaTransnasalApproach DonaldCharlesLanza MarcoMolteni 30-1 RightOrbital Subperiosteal AbscessDrainage RonMitchell xv Contributors Omar H.Ahmed, MD Benjamin S. Bleier, MD Fellow,Rhinology and Cranial Base Surgery Associate Professor Departmentof Otolaryngology Directorof EndoscopicSkull Base Surgery University of Pittsburgh Medical Center Co-Director Center forThyroid Eye Pittsburgh, PA, United States Disease and Orbital Surgery Department of Otolaryngology – Head and NeckSurgery Massachusetts Eye and Ear Infirmary Shaheryar F.Ansari,MD Harvard Medical School Fellow,PacificNeuroscience Institute Boston, MA, United States John Wayne Cancer Institute Providence’sSaint John’sHealth Center Santa Monica, CA, United States Kofi Boahene,MD Professor Department of Otolaryngology – Head and Neck Surgery Leopold Arko IV, MD JohnsHopkins Minimally Invasive EndoscopicSkull Baltimore, MD, United States BaseFellow Departmentof Neurological Surgery HamidBorghei-Ravazi,MD Weill Cornell MedicalCollege New York PresbyterianHospital Assistant Professor New York,NY,United States Department of Neurosurgery Cleveland Clinic Florida Weston, FL,United States Catherine Banks, MD, FRACS Fellow/ClinicalInstructor inRhinology andSkull ZacharyJ.Cappello, MD BaseSurgery Otolaryngologist Departmentof Otolaryngology Charlotte Eye, Ear, Nose,and Throat Associates Massachusetts Eye and Ear Infirmary Charlotte, NC, United States Harvard MedicalSchool Boston, MA, United States Anais L.Carniciu, MD Department of Ophthalmology GarniBarkhoudarian, MD,PhD University Hospitals Cleveland MedicalCenter Associate Professor Case Western Reserve University School of Medicine Departmentof Neuroscience and Neurosurgery Cleveland, OH, United States John Wayne Cancer Institute Santa Monica, CA, United States Ricardo L.Carrau, MD Professor Federico Biglioli, MD Departments of Otolaryngology –Head and Professor and Chair Neck Surgery MaxillofacialSurgery Unit Neurological Surgery, and Communication Sciences Santi PaoloeCarlo Hospital, Università degli and Disorders Studi diMilano The Ohio StateUniversity Milan, Italy Columbus, OH, United States xvi
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