The skull base is a meeting point for anatomical regions, surgical specialties, and surgical philosophies. Skull base surgery is a dynamic subspecialty and the last decade has witnessed the application of endoscopic techniques to the ventral skull base using an endonasal corridor. The transition from external approaches to an endonasal corridor has not been without controversy. In this volume, we explore the nascent field of neurorhinology, a term that emphasizes the multidisciplinary collaboration between neurosurgeons and rhinologic head and neck surgeons. Authors have applied evidence-based medicine techniques to critically evaluate the literature and attempt to answer some of the most important clinical questions. This second of two volumes focuses on the more complex lesions seen by Otolaryngologists in neurorhinology and includes a discussion of training in neurorhinology.

Topics include: Diseases of the odontoid and craniovertebral junction with management by endoscopic approaches; Cholesterol granuloma of petrous apex; Carotid artery injury following endonasal surgery; Sinonasal malignancy; Endoscopic nasopharyngectomy and its role in managing locally recurrent nasopharyngeal carcinoma; Skull base chordomas; Proton role in chordoma; Functional Outcomes for endoscopic and open skull base surgery: an evidence-based review; Training in Neurorhinology

The skull base is a meeting point for anatomical regions, surgical specialties, and surgical philosophies. Skull base surgery is a dynamic subspecialty and the last decade has witnessed the application of endoscopic techniques to the ventral skull base using an endonasal corridor. The transition from external approaches to an endonasal corridor has not been without controversy. In this volume, we explore the nascent field of neurorhinology, a term that emphasizes the multidisciplinary collaboration between neurosurgeons and rhinologic head and neck surgeons. Authors have applied evidence-based medicine techniques to critically evaluate the literature and attempt to answer some of the most important clinical questions. This first of two volumes focuses on the more common pathologies seen by Otolaryngologists in neurorhinology.

Topics include: Spontaneous CSF leaks; Traumatic CSF leaks; Osteoma; Fibrous dysplasia of sphenoid and skull base; Orbital apex and orbit; Endoscopic endonasal transphenoidal resection of pituitary adenomas with adjunctive intraoperative magnetic resonance imaging; Craniopharyngioma; Tuberculum meningioma; Olfactory groove meningioma; Endoscopic endonasal surgery for nasal dermoids; Juvenile nasopharyngeal angiofibroma; Hypothalamic/ pituitary morbidity in skull base pathology

Topics include: Cilia dysfunction; Innate immunity; Superantigen; Local & systemic IgE; Biofilm; Fungus; Novel topical therapeutics; Systemic therapies in managing sinonasal inflammation; Application of minimal ESS techniques; Role of maximal ESS techniques; Surgical salvage for the non functioning sinus; Quality of life outcomes of FESS; Extended endoscopic techniques for sino-nasal resections; Endoscopic skull base and trans-nasal craniectomy; Evolving materials and techniques for ESS; Rhinologic surgical training.

BOOK COMES WITH A DVD CONTAINING SURGICAL VIDEOS. Click here to view a sample video on YouTube. The goal of this book is to highlight areas from the broad spectrum of rhinology, beginning with the initial history and physical examination through the diagnostic work up, medical and surgical management and identification of potential pitfalls that may arise in order to minimize treatment failures. The authors of these chapters represent a generation of dedicated rhinologists who build upon the contribution to the field by pioneers in rhinology. They have provided their expertise and insight into common mistakes in order to aid the reader in improving treatment outcomes for their patients. FROM THE PREFACE Since the 1990s, the subspecialty of rhinology has evolved faster than any other area within otolaryngology. Only in recent history, the primary pathophysiology of chronic rhinosinusitis was be believed to be primarily a result of structural obstruction of the osteomeatal complex with subsequent bacterial infection. Treatment algorithms revolved around systemic antibiotics and medical failures were treated with removal of diseased mucosa using non-physiologic surgical approaches.We have now gained a better understanding of the heterogeneous nature of chronic rhinosinusitis and the complex interaction between local and systemic immunity, impaired mucociliary clearance and the potential role for a variety of external insults to include bacteria, fungi, and other noxious stimuli. While surgery still plays a major role in the treatment of inflammatory disease, it is now performed in a physiologic fashion and its role as an adjuvant to aid in the delivery of novel topical therapies is better appreciated. In parallel with technological advancements for use in inflammatory disorders, rhinologists pushed the envelope in the surgical treatment of neoplastic disorders of the skull base and paranasal sinuses. Minimally invasive approaches in collaboration with other specialities, notably ophthalmologists and neurosurgeons, have resulted in the nascent field of neurorhinology, which is still in its infancy and will undoubtedly continue to evolve. In spite of these tremendous advances in rhinology and greatly improved success, doctors are still faced with difficult patients and failures of standard approaches.If we do not learn from our failures, we are destined to repeat them. CONTRIBUTORS Nithin D. Adappa Rakesh K. Chandra Katrina Chaung David Chin John M. DelGaudio Richard Douglas Peter Earls Wytske J. Fokkens Joseph K. Han Richard J. Harvey Thomas S. Higgins Alexandra E. Kejner Randy M. Leung Lefteris Margaritis Ryan Manz Yuresh S. Naidoo James N. Palmer Michael P. Platt Alkis J. Psaltis Jeremy T. Reed Dan Robinson Luke Rudmik Raymond Sachs Rodney J. Schlosser Raj Sindwani Timothy L. Smith Zachary M. Soler Daniel Timperley Eric W. Wang Sarah K. Wise Andrew Wood Peter-John Wormald Bradford A. Woodsworth Adam M. Zanation