The Frontal Sinus Surgical Approaches and Controversies.

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""This book will be a valuable resource for novice surgeons approaching one of the most challenging anatomical subsites, since it provides a stepwise approach to understanding the anatomical background, the radiological aspects, and the broad spectrum of different surgical approaches to th...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Georgalas, Christos
Otros Autores: Sama, Anshul
Formato: Electrónico eBook
Idioma:Inglés
Publicado: NEW YORK : Thieme Medical Publishers, Incorporated, 2022.
Temas:
Frontal sinus > Surgery.
Frontal sinus.
Otolaryngology.
Frontal Sinus
Frontal Sinus > surgery
Otolaryngology
Skull Base > surgery
Sinus frontal.
Oto-rhino-laryngologie.
Frontal sinus > Surgery
Internet Resources.
Acceso en línea:Texto completo
Tabla de Contenidos:
  • The Frontal Sinus: Surgical Approaches and Controversies
  • MedOne Access Information
  • Tittle Page
  • Copyright
  • Dedication
  • Foreword
  • Foreword
  • Preface
  • Acknowledgments
  • Contributors
  • Contents
  • Videos
  • Section I Anatomy of the Frontal Sinus and Frontal
  • 1 Developmental Bases of the Anatomy of the Frontal Sinus
  • 1.1 Introduction
  • 1.2 Frontal Sinuses and Ethmoid Lateral Masses have Different Evolutionary and Developmental Origins
  • 1.2.1 The Ethmoid Develops from the Olfactory Cartilaginous Capsule
  • 1.2.2 The Frontal Sinuses Pneumatize after Erythropoietic Bone Marrow Conversion into Fatty Marrow
  • 1.3 The Nitric Oxide "Story" of the Paranasal Sinuses Makes them Playa Role in Blood Oxygenation on Demand
  • 1.4 Pneumosinus Dilatans and Arrested Pneumatization Could Bear Witness to Sinus Development
  • 1.4.1 Pneumosinus Dilatans
  • 1.4.2 Arrested Pneumatization
  • 1.5 Conclusion
  • 2 Radiological Anatomy
  • 2.1 Introduction
  • 2.2 Lamina Papyracea
  • 2.3 Uncinate Process
  • 2.4 Floor of Olfactory Recess
  • 2.5 Agger Nasi Air Cell
  • 2.6 Accessory Air Cells
  • 2.7 Anterior Ethmoidal Artery
  • 2.8 Bulla Ethmoidalis
  • 2.9 Middle Turbinate
  • 2.10 Conclusion
  • 3 Applied Surgical Anatomy
  • 3.1 General Considerations
  • 3.2 Applied Anatomy for Endonasal Approaches
  • 3.3 Applied Anatomy for External Approaches
  • 3.3.1 Coronal Approach
  • 3.3.2 Transpalpebral Approach
  • 3.4 Blood Supply
  • 3.5 Innervation
  • 3.6 Anatomical Variations and Surgical Considerations
  • 3.7 Conclusions
  • Section II Endoscopic Surgical Approaches to Frontal Sinus Disease
  • 4 Draf Frontal Sinusotomy I and IIa
  • 4.1 Indications
  • 4.2 Surgical Steps
  • 4.3 Tips and Tricks
  • 4.4 Case Examples
  • 4.5 Complications Management
  • 4.6 Conclusion
  • 5 Draf Frontal Sinusotomy IIb
  • 5.1 Indications
  • 5.2 Anatomy
  • 5.3 Surgical Steps.
  • 5.3.1 Lateral Approach
  • 5.3.2 Median Approach
  • 5.4 Tips and Tricks
  • 5.5 Complications
  • 6 Extended Draf IIb and Other Modifications of the Lothrop Procedure
  • 6.1 Introduction
  • 6.2 Indications
  • 6.3 Surgical Steps
  • 6.3.1 Overview of Standard Draf IIb
  • 6.4 Modifications of the Standard Draf IIb Procedure
  • 6.4.1 Modified Hemi-Lothrop Procedure (Eloy IIC)
  • 6.4.2 Modified Mini-Lothrop Procedure (Eloy IID)
  • 6.4.3 Modified Subtotal-Lothrop Procedure (Eloy IIE)
  • 6.4.4 Modified Central-Lothrop Procedure (Eloy IIF)
  • 6.5 Tips and Tricks
  • 6.6 Case Examples
  • 6.6.1 Example 1
  • 6.6.2 Example 2
  • 6.6.3 Example 3
  • 6.7 Complications
  • 6.7.1 Recurrence and Chronic Scarring
  • 6.7.2 Cerebrospinal Fluid Leak
  • 6.7.3 Orbital Injury
  • 6.7.4 Anterior Ethmoid Artery Injury
  • 7 The Frontal Sinus Rescue Procedure
  • 7.1 Indications
  • 7.2 Surgical Steps
  • 7.2.1 Step 1
  • 7.2.2 Step 2
  • 7.2.3 Step 3
  • 7.2.4 Step 4
  • 7.3 Reverse Frontal Rescue Procedure
  • 7.4 Complications
  • 7.5 Tips and Tricks
  • 7.6 Conclusion
  • 8 Draf III (Endoscopic Modified Lothrop)- Inside-Out and Outside-In Approaches
  • 8.1 Indications
  • 8.1.1 Relative Contraindications
  • 8.2 Surgical Steps
  • 8.3 Lateral-to-Medial/Inside-Out Technique
  • 8.4 Outside-In/Medial-to-Lateral Technique
  • 8.5 Tips and Tricks
  • 8.6 Case Examples
  • 8.6.1 A Case of Allergic Fungal Rhinosinusitis with Fronto-orbital Mucocele
  • 8.6.2 A Case of Chronic Frontal Sinusitis with a High Posterior Frontal (Type 3) Cell
  • 8.6.3 A Case of Chronic Frontal Sinusitis-Riedel's Procedure Reversal
  • 8.7 Postoperative Management
  • 8.8 Complications and their Management
  • 8.8.1 Skull Base Injury and Cerebrospinal Fluid Leak
  • 8.8.2 Hemorrhage
  • 8.8.3 Orbital Injury
  • 8.8.4 Skin Injury
  • 8.8.5 Stenosis of the Frontal Sinus Neo-ostium
  • 9 Transseptal Approach
  • 9.1 Background and CT Review.
  • 9.2 Indications and Contraindications
  • 9.3 Advantages
  • 9.4 Disadvantages
  • 9.5 Surgical Steps
  • 9.6 Tips and Tricks
  • 9.6.1 Case Example
  • 9.7 Complications
  • 10 Endoscopic Endonasal Orbital Transposition for Lateral Frontal Sinus Lesions
  • 10.1 Indications
  • 10.2 Surgical Steps
  • 10.3 Tips and Tricks
  • 10.4 Case Example
  • 10.5 Complications
  • 11 The Role of Frontal Sinus in Anterior Skull Base Surgery and the Transcribriform Approach
  • 11.1 Indications
  • 11.2 Surgical Steps
  • 11.3 Tips and Tricks
  • 11.4 Complications
  • 12 Extended Endonasal Anterior Skull Base Approaches
  • 12.1 Indications
  • 12.2 Surgical Steps
  • 12.2.1 Principles
  • 12.2.2 Operative Setup
  • 12.2.3 Surgical Technique
  • 12.2.4 Reconstruction
  • 12.2.5 Postoperative Considerations
  • 12.3 Tips and Tricks
  • 12.4 Case Examples
  • 12.4.1 Esthesioneuroblastoma (Transcribriform Approach)
  • 12.4.2 Tuberculum Sellae Meningioma: Endoscopic Transtuberculum/Transplanum Approach
  • 12.5 Complications and Management
  • 12.5.1 Vascular Complications
  • 12.5.2 Cranial Nerve Injury
  • 12.5.3 Cerebrospinal Fluid Fistulas
  • 12.5.4 Postoperative Infection
  • 12.5.5 Other Complications
  • 13 Revision Endoscopic Frontal Sinus Surgery
  • 13.1 Introduction
  • 13.2 Indications
  • 13.2.1 Ongoing Mucosal Disease
  • 13.2.2 Incomplete Dissection
  • 13.2.3 Lateralization of the Middle Turbinate
  • 13.2.4 Scarring and Synechiae
  • 13.2.5 Neo-Osteogenesis
  • 13.3 Patient Selection
  • 13.4 Preoperative Planning
  • 13.4.1 Analyzing the Computed Tomography Imaging
  • 13.4.2 Computer-Assisted Navigation during Surgery
  • 13.4.3 Endoscopes and Equipment
  • 13.5 Choice of Procedure
  • 13.6 Surgical Steps
  • 13.6.1 The Axillary Flap Technique
  • 13.6.2 Frontal Sinus Mini-Trephine
  • 13.7 Specific Scenarios.
  • 13.7.1 Retained Cells in the Frontal Recess or Extending into the Frontal Sinus (Draf I or International Classification of Extent of Endoscopic Frontal Sinus Surgery Grades 1-3)
  • 13.7.2 A Narrow Frontal Ostium and/or Extensive Supra Agger/Bulla Frontal Cells, or Ongoing Significant Burden of Disease (CRSwNP, Aspirin-Sensitive Asthma, Allergic Fungal Disease [Draf III/EFSS 6])
  • 13.8 Tips and Tricks
  • 13.9 Case Example
  • 13.10 Complications: Management
  • 13.10.1 Scarring and Restenosis
  • 13.10.2 Anterior Ethmoid Artery
  • 13.10.3 Orbital Injury
  • 13.10.4 Cerebrospinal Fluid Leak
  • 14 Complications of Frontal Sinus Surgery
  • 14.1 Introduction
  • 14.2 Epidemiology and Etiology
  • 14.3 Specific Complications of Endoscopic Approaches to the Frontal Sinus
  • 14.3.1 Failure to Accomplish the Specific Aim of the Procedure
  • 14.3.2 Pain
  • 14.3.3 Bleeding
  • 14.3.4 Infection
  • 14.3.5 Scar/Stenosis
  • 14.3.6 Mucocele Formation
  • 14.3.7 Anterior Skull Base Injury/Cerebrospinal Fluid Leak
  • 14.3.8 Orbital Injury
  • 14.4 Prevention of Complications
  • 14.4.1 Preoperative Planning
  • 14.4.2 Perioperative Technique
  • 14.4.3 Postoperative Care
  • 15 Delivery of Topical Therapy to the Frontal Sinus
  • 15.1 Introduction
  • 15.2 Basic Science Research on Topical Distribution to the Sinuses
  • 15.3 Clinical Research on Topical Distribution to the Sinuses
  • 15.3.1 Tips and Tricks
  • 15.4 Conclusion
  • 16 Postoperative Management: Dressings and Toilet
  • 16.1 Natural History of Sinus Ostia after Surgery
  • 16.2 Intranasal Packing
  • 16.2.1 Nonabsorbable Packs
  • 16.2.2 Absorbable Packings
  • 16.3 To Pack or Not to Pack
  • 16.4 Inert Stents
  • 16.5 Drug-Eluting Stents
  • 16.6 Postoperative Care
  • 16.6.1 Saline Irrigations
  • 16.6.2 Endoscopic Debridement
  • 16.6.3 Topical Treatments
  • 16.7 Conclusion
  • 17 Office-Based Frontal Sinus Procedures.
  • 17.1 Indications
  • 17.1.1 Anatomic Considerations
  • 17.1.2 Patient Selection
  • 17.1.3 Frontal Sinusitis
  • 17.1.4 Frontal Mucoceles
  • 17.1.5 Nasal Polyps
  • 17.2 Surgical Steps/Anesthesia
  • 17.3 Postoperative Management and Procedures
  • 17.3.1 Nasal Irrigations and Topical Therapies
  • 17.4 Tips and Tricks
  • 17.4.1 Case Examples
  • 17.5 Controversies
  • 17.5.1 Balloon Catheter Dilation
  • 17.6 Emerging Technologies
  • 17.7 Conclusion
  • Section III Open Surgical Approaches to Frontal Sinus Disease
  • 18 Mini- and Maxi-Trephines
  • 18.1 Indications
  • 18.2 Surgical Steps
  • 18.3 Tips and Tricks
  • 18.4 Case Example
  • 18.5 Complications
  • 19 Osteoplastic Flap Approach with and without Obliteration
  • 19.1 Indications
  • 19.2 Surgical Steps
  • 19.2.1 Osteoplastic Flap without Obliteration
  • 19.2.2 Osteoplastic Flap with Obliteration
  • 19.3 Tips and Tricks
  • 19.4 Complications: Management
  • 19.5 Conclusion
  • 20 Riedel's Procedure and Cranialization of the Frontal Sinus
  • 20.1 Riedel's Procedure
  • 20.1.1 Historic Perspective
  • 20.1.2 Indications
  • 20.1.3 Technique
  • 20.2 Cranialization of the FrontalSinus
  • 20.2.1 Historic Perspective
  • 20.2.2 Indications
  • 20.2.3 Technique
  • Section IV Management of Specific Frontal Sinus Conditions
  • 21 Frontal Sinus Barosinusitis
  • 21.1 Epidemiology and Etiology
  • 21.2 Clinical Presentation and Investigations
  • 21.3 Management
  • 21.4 Case Example (Courtesy of Christos Georgalas)
  • 22 Frontal Sinus in Patients with Cystic Fibrosis
  • 22.1 Epidemiology and Etiology
  • 22.2 Clinical Presentation and Investigations
  • 22.2.1 Radiographic Abnormalities in Cystic Fibrosis and the Frontal Sinus
  • 22.3 Management
  • 22.3.1 Medical Therapy
  • 22.3.2 Nasal Saline Irrigations
  • 22.3.3 Corticosteroids
  • 22.3.4 Topical Antibiotics
  • 22.3.5 Oral Antibiotics
  • 22.3.6 Dornase Alfa.

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