Otolaryngology: a surgical notebook by Keat Jin Lee, Elizabeth H. Toh

By Keat Jin Lee, Elizabeth H. Toh

This instruction manual offers a finished evaluate of the elemental techniques and middle ideas for simple and complicated otolaryngologic tactics. It makes use of an ...

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provides a entire review of the elemental options and center options for easy and complicated otolaryngologic systems. This booklet publications the reader during the ideas for such Read more...

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Hurley DB, Javer AR, Kuhn FA, Citardi MJ. The endoscopic management of chronic frontal sinusitis associated with frontal sinus posterior table erosion. Am J Rhinol 2000;14:113–120 8. Olson G, Citardi MJ. Image-guided functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 2000;123:188–194 9. Bolger WE, Kuhn FA, Kennedy DW. Middle turbinate stabilization after functional endoscopic sinus surgery: the controlled synechiae technique. Laryngoscope 1999;109:1852–1853 10. Maccabee MS, Trune DR, Hwang PH.

The nose is endoscopically cleansed and the antrum aspirated at 1 week. qxp 3/5/07 12:12 PM Page 38 5 Transnasal and Transethmoidal Approaches to the Sella Turcica K. J. Lee and Nilesh R. Vasan The transseptal transsphenoidal approach to the pituitary is the most common method used by otolaryngologists for access to the pituitary gland. The procedure requires a two-team approach, with the otolaryngologist providing access for the neurosurgeon to remove lesions within the sella turcica. ◆ Preoperative Evaluation Imaging ◆ ◆ Magnetic resonance imaging (MRI) to assess the lesion within the sella and brain Computed tomography (CT) scan to determine the anatomy within the nasal cavity, paranasal sinuses, and skull base.

Other pathogenic factors include the presence of foreign bodies (dental implants, sinus lift grafting materials), systemic disease (diabetes, autoimmune disorders, immunodeficiency states), and radiotherapy. The high failure rate of closure of oro-antral fistulas is due to the presence of uncorrected chronic sinus disease. CT scanning of the paranasal sinuses delineates the extent of sinus pathology and serves as a guide to adjunctive endoscopic surgery following medical therapy. Patients with fistulas that persist after systemic antibiotic therapy and antral irrigations almost invariably have chronic sinusitis.

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