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Offering up-to-date, multidisciplinary coverage of this nuanced and
evolving field, Cerebrospinal Fluid Rhinorrhea provides a
comprehensive overview of the evaluation and diagnosis, as well as
the medical and surgical management options, for all causes of
cerebrospinal fluid (CSF) rhinorrhea. It covers all aspects of CSF
leaks, synthesizing current knowledge on pathophysiology,
diagnosis, perioperative care, and operative techniques for this
complex group of patients. Leading experts in otolaryngology and
neurosurgery, as well as ophthalmology, neurology, and radiology,
provide detailed coverage of the distinctions between management of
patients with differing etiologies of CSF rhinorrhea, including
spontaneous, traumatic/iatrogenic, and tumor-related. Focuses
exclusively on the comprehensive evaluation, and management of
patients presenting with CSF leaks from the anterior cranial base,
offering a reliable, one-stop resource for experienced clinicians
as well as those in training. Covers the full breadth of
cerebrospinal fluid rhinorrhea, with expert discussion of
spontaneous CSF leaks, including evolving management techniques for
patients with idiopathic intracranial hypertension; traumatic CSF
leaks, including advanced management of complex anterior cranial
base trauma; and up-to-date techniques for intraoperative skull
base reconstruction after tumor resection. Includes tips and pearls
on surgical approaches and postoperative management strategies for
this complex and varied patient population. Features abundant
high-definition images of anatomy, radiographic imaging, and
intraoperative techniques, as well as videos that highlight
intraoperative techniques in patients with spontaneous, traumatic,
and tumor-related CSF leaks. Provides a detailed review of the
different laboratory, examination (endoscopic nasal, as well as
ophthalmologic) and imaging studies used to evaluate patients with
CSF leaks. Discusses the evaluation and growing medical and
procedural management options for patients with idiopathic
intracranial hypertension. Offers state-of-the-art reconstruction
options for CSF leaks and complex skull base defects, ranging from
the nasoseptal flap and beyond. Addresses the controversial role of
lumbar drains in CSF leak management, as will new and upcoming
technological advances in operating room instrumentation. An eBook
version is included with purchase. The eBook allows you to access
all of the text, figures and references, with the ability to
search, customize your content, make notes and highlights, and have
content read aloud.
Endoscopic orbital procedures are at the forefront of today's
multidisciplinary patient care and team approach to
problem-solving. Endoscopic Surgery of the Orbit offers
state-of-the-art, expert guidance on minimally invasive orbit
techniques that promise a more streamlined approach to
comprehensive patient care, improved patient satisfaction, and
superior outcomes. This unique resource reflects the contemporary,
unparalleled partnership between otolaryngology, neurosurgery, and
ophthalmology that often also includes a cohesive team of
clinicians from many other specialties. Provides expert
perspectives from thought leaders in various specialties, including
otolaryngologists, ophthalmologists, neurosurgeons,
endocrinologists, medical and radiation oncologists, radiologists,
and pathologists. Details the two-surgeon, multi-handed surgical
techniques that have revolutionized the management of complex
pathologies involving the orbit and skull base. Covers the full
breadth of endoscopic orbital procedures-from advanced intraconal
tumor removal and intracranial techniques involving the optic nerve
and optic chiasm to more routine endoscopic procedures such as
orbital decompressions, E-DCR, fracture repair, and subperiosteal
abscess drainage. Reviews key topics such as neuromonitoring in
orbital and skull base surgery, endoscopic surgery of the
intraconal space for tumor resection, Transorbital NeuroEnodscopic
Surgery (TONES), and reconstruction of the orbit. Includes tips and
pearls on safe and effective procedures as well as novel approaches
and innovations in the equipment used to perform these popular
procedures. Provides superb visual reinforcement with more than 400
high-definition images of anatomy, imaging, and surgical
techniques, as well as procedural videos. Enhanced eBook version
included with purchase. Your enhanced eBook allows you to access
all of the text, figures, and references from the book on a variety
of devices.
This issue of Otolaryngologic Clinics, guest edited by Dr. Raj
Sindwani, is devoted to Technological Advances in Sinus and Skull
Base Surgery. Articles in this outstanding issue include: Evolution
in Visualization for Sinus and Skull Base Surgery; Organism
(Microbiome) Analysis Techniques and Implications for CRS; Topical
drug therapies for CRS; Absorbable Biomaterials and Nasal Packing;
Stents and Drug-Eluting Stents in Rhinology; Evolving Functionality
and Applications of Microdebrider Technology; Innovation in Balloon
Catheter Technology; Emerging Roles of Coblation in Rhinology and
Skull Base Surgery; Application of Ultrasonic Aspirators in
Rhinology and Skull Base Surgery; Next Tier Surgical Navigation
Systems in Sinus and Skull Base Surgery; Robotics in Sinus and
Skull Base Surgery; Emerging Role of 3-D Printing in Rhinology;
Advances in Endoscopic Skull Base Reconstruction: An Evolution of
Materials and Methods; and Integrated Full Solution Imaging and
Intelligent Informatics.
The Year Book of Otolaryngology-Head and Neck Surgery brings you
abstracts of the articles that reported the year's breakthrough
developments in otolaryngology, head and neck surgery, carefully
selected from more than 500 journals worldwide. Expert commentaries
evaluate the clinical importance of each article and discuss its
application to your practice. There's no faster or easier way to
stay informed! Topics in the Year Book include advances in head and
neck surgery, trauma and reconstructive surgery, and facial plastic
and reconstructive surgery.
This issue on endoscopic cranial base and pituitary surgery is led
by experts in the field of Otolaryngology and Neurosurgery.
Otolaryngologists/Head and Neck surgeons Dr. Raj Sindwani and Dr.
Troy Woodard join with Neurosurgeon Dr. Pablo Recinos to present a
comprehensive clinical approach. Topics include: Building an
endoscopic skull base program (room setup and key equipment / IGS);
Skull Base Anatomy (corridors, intra and extradural); Imaging in
skull base surgery - CT, MRI, CT cisternogram, intraop CT; Sellar
lesions / pathology; Principles of endoscopic pituitary surgery ;
Reconstruction of skull base defects - free graft, pedicle, TPF,
alloderm; Lumbar drain utility (role of intrathecal fluorescein);
Hemostasis in Skull Base Surgery (control of smaller vessels,
maneuvers to minimize bleeding - warm irrigations, HOB up,
embolization); Management of ICA Injury (intraop options, late
complications); Meningioma; Esthesioneuroblastoma; Cordoma;
Sinonasal Malignancies of Skull Base; Craniopharyngioma; Endonasal
approaches to the craniocervical junction; Medical complications of
Pituitary/skull base surgery - (ie. SIADH, DI, Hypopit); Post-op
management of skull base patient (postop Abx, imaging,
debridements, topical irrigations, more...). Articles cover
surgical procedure, surgical complications, and surgical anatomy as
relevant to the clinical discussion.
The Year Book of Otolaryngology-Head and Neck Surgery brings you
abstracts of the articles that reported the year's breakthrough
developments in otolaryngology, carefully selected from more than
500 journals worldwide. Expert commentaries evaluate the clinical
importance of each article and discuss its application to your
practice. There's no faster or easier way to stay informed! Topics
in the Year Book include allergy and immunology; head and neck
surgery and tumors; laryngology; otology; pediatric otolaryngology;
rhinology and skull base surgery; and thyroid and parathyroid.
The Year Book of Otolaryngology-Head and Neck Surgery brings you
abstracts of the articles that reported the year's breakthrough
developments in otolaryngology, carefully selected from more than
500 journals worldwide. Expert commentaries evaluate the clinical
importance of each article and discuss its application to your
practice. There's no faster or easier way to stay informed Topics
in the Year Book include allergy and immunology; head and neck
surgery and tumors; laryngology; otology; pediatric otolaryngology;
rhinology and skull base surgery; and thyroid and parathyroid.
Endoscopic sinus surgery has quickly become one of the most
commonly performed operations in otolaryngology, with over 400,000
cases performed annually. The narrow confines of the sinonasal
tract and the complex relationships with adjacent vital structures,
demands a high degree of technical precision and provides little
room for surgical error. The potential for disorientation during
surgery is heightened when surgical landmarks are obscured because
of bleeding, extensive disease or previous surgery, and when
operating with angled-view endoscopes. Due to the proximity of the
orbit and skull base, complications from sinus surgery can be
catastrophic. Negative outcomes following endoscopic sinus surgery
continue to be a leading cause of malpractice suits against
otolaryngologists. It is therefore not surprising, that the
introduction and continued proliferation of technological
innovations has been met with such robust enthusiasm by the
Rhinology community. The application of surgical navigation
technology to sinonasal and skull base procedures, as an example,
has ushered in a new era of surgical approaches to inflammatory as
well as non-inflammatory conditions of this region. The endosopic
approaches to the nearby orbit and skull base have expanded in
part, due to technological advances; but these novel techniques
have themselves also fostered the development of unique
instrumentation. This issue of The Clinics appraises new
technological developments in endoscopic sinus and skull base
surgery and also critically examines recent updates to existing
instrumentation. Each of the structured articles within is written
by leading experts with extensive experience with the technology.
The authors provide a description of the technology and how it
works, and analyze the current role of the technology; including an
evidence-based review of its impact on clinical outcomes, where
appropriate.
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