Download Atlas of Endoscopic Sinus and Skull Base Surgery by James N. Palmer MD, Alexander G. Chiu MD PDF

By James N. Palmer MD, Alexander G. Chiu MD

Enhance your surgical results with Atlas of Endoscopic Sinus and cranium Base surgical procedure by means of James N. Palmer, MD and Alexander G. Chiu, MD. excellent for each otolaryngologist who plays uncomplicated or complicated rhinologic techniques, this fantastically illustrated atlas takes you step-by-step via endoscopic sinus and cranium base surgical procedures as though the bankruptcy authors have been correct there with you within the working room.

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Extra resources for Atlas of Endoscopic Sinus and Skull Base Surgery

Sample text

As illustrated in the drawing, once the lacrimal sac is identified, the anterior ethmoid artery, posterior ethmoid artery, and optic nerve typically follow the “24/12/6” rule from the anterior lacrimal crest. , nerve. Step 6: Ligate the Vessels with Endoscopic Clip Appliers or Bipolar Cautery 6 12 n  ake great care to close the deep layers in perfect T apposition to minimize scarring. Transcaruncular Approach n Another open approach to AEA and PEA ligation is similar to a Lynch incision. However, the incision is made across the caruncle and is taken down to the subperiosteal/bony plane.

No other packing is used. S, Septum. S A B POSTOPERATIVE CONSIDERATIONS n n n n  he patient is admitted to the hospital overnight, T where hemoglobin level is checked and the patient is monitored for bleeding. Antibiotics are prescribed to cover the duration of the nasal packing, and a fresh dressing is applied to the skin graft donor site. The trumpets and nasal Silastic stents are removed on postoperative day 14. Following their removal, the patient is instructed to resume using saline nasal sprays four times daily.

This is reliably and safely achieved by identifying the roof of the sphenoid sinus. Dissect between ethmoid septations that extend from the skull base. – Move the debrider or malleable suction curette in and out between the septations rather than across bony septations from posterior to anterior. – This will clear disease and/or debulk tumor without transecting the AEA or PEA, which might be present in the septation. The AEA is usually found one cell posterior to the frontal ostium on the skull base.

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