Revision Sinus Surgery

In "Revision Sinus Surgery" the world’s most prominent rhinologists illustrate their experience in diagnosing and managing recurrent sinus disease and skull base lesions. Starting with preoperative planning and medical management, these challenging cases are well-illustrated with the relevant surgical techniques. This invaluable resource is designed to prevent complications and improve the outcomes of revision sinus surgeries. Both practicing and in-training otolaryngologists can use this comprehensive volume as an all-in-one source for the evaluation and management of recurrent sinus disease and skull base pathology.

This book contains a complete overview of all surgical techniques, describes all current indications of the techniques, and considers all relevant clinical aspects. The practitioner has a quick and complete overview of the current state of the art in the field. Main Topics Include: Endonasal sinus surgery – basic principles and approaches Technique of endoscopic endonasal surgery Results of endonasal sinus surgery for chronic sinusitis Results in defined patient groups Extended spectrum of endoscopic endonasal surgery Complications, side-effects and sequelae Postoperative care following endoscopic surgery Technical innovations; Summary and prospects

This book contains a complete overview of all surgical techniques, describes all current indications of the techniques, and considers all relevant clinical aspects. The practitioner has a quick and complete overview of the current state of the art in the field.Main Topics:Endonasal sinus surgery - basic principles and approaches; Technique of endoscopic endonasal surgery; Results of endonasal sinus surgery for chronic sinusitis; Results in defined patient groups; Extended spectrum of endoscopic endonasal surgery; Complications, side-effects and sequelae; Postoperative care following endoscopic surgery; Technical innovations; Summary and prospects

Objectives: Endoscopic sinus surgery (ESS) is performed for patients with chronic rhiosinusitis (CRS) that have failed maximal medical therapy. This study seeks to determine the prevalence of revision surgery and factors predicting the need for revision after ESS using a large statewide surgery database. Study design: Large retrospective cohort study using the State Ambulatory Surgery Database for the state of CA between 2005-2011. Methods: We identified over 61,000 patients with CRS who underwent ESS, determined by CPT code. We identified which patients underwent a repeat surgery, and performed multivariate modeling to determine which factors (nasal polyps, age, gender, insurance, hospital setting, ethnicity) predicted the need for revision. Adjusted odds ratios (AOR) and 95% confidence intervals are presented. Results: Of 61,339 patients who underwent ESS, 4,078 (6.65%) returned for revision ESS during the time period investigated. In a multivariate logistic regression model, positive predictors of revision were a diagnosis of nasal polyps (AOR 1.20, 95% CI 1.11-1.29, p

Functional Endoscopic Sinus Surgery - ECAB - E-Book

Revision Rhinoplasty is an essential reference for addressing the manifold problems arising from unsuccessful rhinoplasty. In this book, internationally recognized experts provide their recommendations and describe techniques that will help the reader plan and perform a successful secondary rhinoplasty. The book opens by reviewing fundamental concepts of revision rhinoplasty, with thorough discussion of anatomy and functional considerations, as well as strategies for assessing the psychological characteristics of patients, such as the patients motivations and expectations for surgery, appearance concerns, and psychiatric status and history. Chapters then focus on managing specific problems in different subsites of the nose, providing important information on the evaluation of the patient, indications, contraindications, surgical techniques, and postoperative care. Features: A separate chapter on each clinical problem to help the reader rapidly locate topics of interest Expert guidance on how to manage critical steps and complications Insights into the philosophy and personal experiences of leading surgeons in a unique section titled, Personal Philosophies of Revision Rhinoplasty Nearly 700 clinical and intra-operative images clearly demonstrating key concepts This book is an essential reference for facial plastic surgeons, plastic surgeons, otolaryngologists, and rhinologists seeking to master the complexities of revision rhinoplasty.

This state-of-the-art text addresses surgery of the frontal sinus, and the challenges that come along with it. It provides a comprehensive overview of the anatomy of the frontal sinus and a systematic method of approaching and executing sinus surgery, as well as tools, tips, and strategies in optimizing success. Additional chapters include the management of acute and chronic frontal sinus inflammation, trauma of the frontal sinus, tumors in the frontal sinus, and pediatric frontal surgery. Perioperative care and management of complications are also discussed. Chapters are richly illustrated with fi gures and surgical videos, replete with practical pearls and tips. Frontal Sinus Surgery: A Systematic Approach will be an invaluable resource for general otolaryngologists and rhinologists interested in the frontal sinus.

Winner of the prestigious First Prize in ENT in 2005 from the British Medical Association (first edition)The second edition of this operative manual provides expanded coverage of the complex anatomy and the current surgical approaches to the paranasal sinuses and skull base. It provides practical, step-by-step instruction on using CT scans to reconstruct three-dimensional images of surgical anatomy, enabling the surgeon to develop detailed surgical plans for each clinical situation. The accompanying DVD is greatly expanded from the first edition's CD-ROM, with 30 additional operative videos plus new problem-based exercises. The operative videos enable practitioners to visualize the surgical concepts described and illustrated in the text. Case exercises provide the opportunity to apply knowledge learned to perform three-dimensional reconstructions--a valuable tool for self-assessment.Highlights of the second edition: Extensive presentation of all the anatomical variations and surgical approaches to the sinuses, parasinus regions, and posterior, middle, and anterior cranial fosse Straightforward outlines for approaching the frontal sinus and frontal recess, maxillary sinus trephination, dacryocystorhinostomy surgery, cerebrospinal fluid leak closure, orbital and optic nerve decompression, and Vidian neurectomy 830 diagrams, illustrations, and images demonstrating anatomy and surgical techniques Detailed coverage of endoscopic surgical approaches to tumors of the sinuses and in the intracranial cavity Discussion of the value and importance of axial CT for determining drainage pathways Essential for ENT surgeons, otolaryngologists, and residents, the book equips readers with all the information necessary for handling the range of anatomical variations that may be encountered and selecting the best approach for each.