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Frontal Sinus Disease: Contemporary Management, An Issue of Otolaryngologic Clinics of North America, E-Book

Frontal Sinus Disease: Contemporary Management, An Issue of Otolaryngologic Clinics of North America, E-Book

Jean Anderson Eloy | Michael Setzen

(2016)

Additional Information

Book Details

Abstract

This issue of Otolaryngologic Clinics, guest edited by Drs. Jean Anderson Eloy and Michael Setzen, is devoted to the Contemporary Management of Frontal Sinusitis. Articles in this outstanding issue include: Overview of Frontal Sinus Management; Evaluation and Decision-Making in Patients with Frontal Sinusitis; Medical Management of Frontal Sinusitis; Surgical Anatomic Consideration in Frontal Sinus Surgery; Instrumentation in Frontal Sinus Surgery; Preventing and Managing Complications in Frontal Sinus Surgery; Frontal Sinus Balloon Dilation; Utility of Image-Guidance in Frontal Sinus Surgery; Standard Endoscopic Approaches in Frontal Sinus Surgery: Technical Pearls and Approach Selection; Modification of the Standard Frontal Sinus Endoscopic Approaches; Outcomes after Frontal Sinus Surgery: An Evidence-Based Review; Management of Frontal Sinus Cerebrospinal Fluid Leaks and Encephaloceles; Management of Frontal Sinus Tumors; and Open Frontal Sinus Surgery.


Table of Contents

Section Title Page Action Price
Front Cover Cover
Frontal Sinus Disease:ContemporaryManagement i
Copyright\r ii
CME Accreditation Page iii
PROGRAM OBJECTIVE iii
LEARNING OBJECTIVES iii
ACCREDITATION iii
DISCLOSURE OF CONFLICTS OF INTEREST iii
UNAPPROVED/OFF-LABEL USE DISCLOSURE iii
TO ENROLL iv
METHOD OF PARTICIPATION iv
CME INQUIRIES/SPECIAL NEEDS iv
Contributors v
EDITORS v
AUTHORS v
Contents ix
Preface: Frontal Sinus Disease: Contemporary Management\r ix
Overview of Frontal Sinus Pathology and Management\r ix
Evaluation and Decision Making in Frontal Sinus Surgery\r ix
Medical Management of Frontal Sinusitis\r ix
Anatomic Considerations in Frontal Sinus Surgery\r ix
Instrumentation in Frontal Sinus Surgery\r x
Preventing and Managing Complications in Frontal Sinus Surgery\r x
Balloon Catheter Dilation of the Frontal Sinus Ostium\r x
Utility of Image-Guidance in Frontal Sinus Surgery\r x
Standard Endoscopic Approaches in Frontal Sinus Surgery: Technical Pearls and Approach Selection\r xi
Endoscopic Approaches to the Frontal Sinus: Modifications of the Existing Techniques and Proposed Classification\r xi
Outcomes After Frontal Sinus Surgery: An Evidence-Based Review\r xi
Management of Frontal Sinus Cerebrospinal Fluid Leaks and Encephaloceles\r xii
Management of Frontal Sinus Tumors\r xii
Open Frontal Sinus Surgery: A Lost Art\r xii
OTOLARYNGOLOGIC CLINICS\rOF NORTH AMERICA\r xiii
FORTHCOMING ISSUES xiii
October 2016 xiii
December 2016 xiii
February 2017 xiii
RECENT ISSUES xiii
June 2016 xiii
April 2016 xiii
February 2016 xiii
Preface:\rFrontal Sinus Disease: Contemporary Management xv
Overview of Frontal Sinus Pathology and Management 899
Key points 899
INTRODUCTION 900
ANATOMY OF THE FRONTAL SINUS 900
OVERVIEW OF FRONTAL SINUS PATHOLOGY AND MANAGEMENT 901
Acute Rhinosinusitis 901
CHRONIC RHINOSINUSITIS 902
Complications of Frontal Sinusitis 902
Fungal Rhinosinusitis 904
Benign Lesions of the Frontal Sinus 905
Malignant Neoplasms of the Frontal Sinus 907
Disorders of Skull Base Integrity—Cerebrospinal Fluid Leak and Encephaloceles 907
OVERVIEW OF FRONTAL SINUS SURGERY 908
SUMMARY 908
REFERENCES 909
Evaluation and Decision Making in Frontal Sinus Surgery 911
Key points 911
INTRODUCTION 911
RELEVANT ANATOMY/PATHOPHYSIOLOGY 912
Anatomy 912
Pathophysiology 913
CLINICAL PRESENTATION/EXAMINATION/DIAGNOSIS 915
THERAPEUTIC PROCEDURES 916
Medical Management of Acute Frontal Sinusitis 916
Medical Management of Chronic Frontal Sinusitis 917
Surgical Management of Frontal Sinusitis 917
Draf Types I–III 919
Transseptal Frontal Sinusotomy 919
Modified Mini-Lothrop/Extended Draf IIb 920
Modified Subtotal-Lothrop 920
Frontal Trephination 920
Frontal Sinus Rescue Procedure 921
External Frontoethmoidectomy 921
Osteoplastic Flap 921
OUTCOMES 921
SUMMARY 923
REFERENCES 923
Medical Management of Frontal Sinusitis 927
Key points 927
INTRODUCTION 927
ACUTE FRONTAL SINUSITIS 928
Microbiology 928
Antibiotic Therapy 928
Adjuvant Therapy 928
Corticosteroids 929
Pediatric Population 929
CHRONIC FRONTAL SINUSITIS 929
Antibiotic Therapy 929
Corticosteroids 930
Antifungals 931
Allergy Testing and Immunotherapy 931
Adjuvants 931
FUNGAL DISEASES OF THE FRONTAL SINUS 931
Allergic Fungal Sinusitis 931
Fungal Ball 932
Invasive Fungal Sinusitis 932
COMPLEMENTARY AND ALTERNATIVE THERAPIES 932
FUTURE DIRECTIONS 932
REFERENCES 933
Anatomic Considerations in Frontal Sinus Surgery 935
Key points 935
SURGICAL PLANNING 936
THE UNCINATE PROCESS 937
AGGER NASI CELLS 937
ANTERIOR ETHMOID ARTERY 939
FRONTAL SINUS CELLS 939
SUPRABULLAR CELLS 939
APPLIED SURGICAL ANATOMY: ENDOSCOPIC FRONTAL SINUSOTOMY 940
SURGICAL ANATOMY AND EXTERNAL APPROACHES 941
IMAGE GUIDANCE IN FRONTAL SINUS SURGERY 941
SUMMARY 941
REFERENCES 942
Instrumentation in Frontal Sinus Surgery 945
Key points 945
INTRODUCTION 945
IMAGE GUIDANCE 946
ANGLED ENDOSCOPES 946
HAND INSTRUMENTATION 946
45° Mushroom Punch 946
Bachert Forceps 947
Through-Cutting Giraffe Forceps 947
Non-Through-Cutting Frontal Giraffe Forceps 947
Frontal Probes and Curettes 947
POWERED INSTRUMENTATION 948
FUTURE DEVELOPMENTS 948
SUMMARY 949
REFERENCES 949
Preventing and Managing Complications in Frontal Sinus Surgery 951
Key points 951
INTRODUCTION 952
PREOPERATIVE EVALUATION 952
Patient Selection and Counseling 952
Preoperative Review of Imaging 953
Hemostasis 953
INTRAOPERATIVE TECHNIQUES AND RELEVANT ANATOMY 954
Endoscopic Endonasal Frontal Sinusotomy: Basic and Advanced Approaches and Potential Complications 954
Frontal Sinus Balloon Catheter Dilation 957
External Approaches to Frontal Sinus Surgery 958
REVIEW OF SPECIFIC COMPLICATIONS 959
Cerebrospinal Fluid Leak 959
Orbital Injury 959
Bleeding and Vascular Injury 960
Mucocele Formation 960
SUMMARY 960
REFERENCES 961
Balloon Catheter Dilation of the Frontal Sinus Ostium 965
Key points 965
INTRODUCTION 965
DEVICES 967
TECHNIQUES 969
SUMMARY 973
REFERENCES 973
Utility of Image-Guidance in Frontal Sinus Surgery 975
Key points 975
BACKGROUND ON IMAGE GUIDANCE IN ENDOSCOPIC SINUS SURGERY 975
UTILITY OF IMAGE GUIDANCE IN ENDOSCOPIC SINUS SURGERY 977
Complications 977
Revision Rate 978
Quality of Life Outcomes 978
Cost and Medicolegal Concerns 978
ENDOSCOPIC USES OF IMAGE GUIDANCE 979
Maximizing the Frontal Sinusotomy 979
Modified Lothrop Procedure 980
EXTERNAL USES OF IMAGE GUIDANCE 982
Limited or Directed External Sinusotomy 982
Defining the Osteoplastic Flap 984
SUMMARY 986
REFERENCES 986
Standard Endoscopic Approaches in Frontal Sinus Surgery 989
Key points 989
INTRODUCTION 989
TREATMENT GOALS AND OUTCOMES 990
Mucociliary Flow 990
Osteoneogenesis 990
PREOPERATIVE PLANNING 990
Anatomy of the Frontal Recess 991
Agger Nasi 992
Intersinus Septal Cell 992
Frontal Ethmoidal Cells 992
Suprabullar Cell 993
Frontal Bulla Cells 993
Frontal Sinus Ostium 993
INDICATIONS FOR FRONTAL SINUSOTOMY 994
PATIENT POSITIONING 994
KEY LANDMARKS 994
FRONTAL SINUS PROCEDURES 995
Draf Type I Frontal Sinusotomy 995
Draf Type II Frontal Sinusotomy 996
Draf IIA 996
ADVANCED FRONTAL SINUS PROCEDURES 997
COMBINED ABOVE AND BELOW TECHNIQUE 1001
Frontal Sinus Trephination 1003
POSTOPERATIVE CARE 1004
LITERATURE REVIEW 1004
SUMMARY 1005
SUPPLEMENTARY DATA 1005
REFERENCES 1005
Endoscopic Approaches to the Frontal Sinus 1007
Key points 1007
INTRODUCTION 1008
DISCUSSION OF TECHNIQUES 1008
Standard Frontal Sinus Approaches 1008
Modified Hemi-Lothrop Procedure (Eloy IIC) 1010
Modified Mini-Lothrop Procedure (Eloy IID) 1012
Modified Subtotal-Lothrop Procedure (Eloy IIE) 1012
Modified Central-Lothrop Procedure (Eloy IIF) 1015
SUMMARY 1016
SUPPLEMENTARY DATA 1017
REFERENCES 1017
Outcomes After Frontal Sinus Surgery 1019
Key points 1019
INTRODUCTION 1019
EVIDENCE SUPPORTING USE OF ENDOSCOPIC SINUS SURGERY FOR CHRONIC RHINOSINUSITIS 1021
Key Points 1022
EVIDENCE SUPPORTING USE OF DRAF IIA FRONTAL SINUSOTOMY 1022
Key Points 1026
EVIDENCE SUPPORTING USE OF DRAF III FRONTAL SINUSOTOMY 1026
Key Points 1030
SUMMARY 1030
REFERENCES 1030
Management of Frontal Sinus Cerebrospinal Fluid Leaks and Encephaloceles 1035
Key points 1035
INTRODUCTION 1035
PREOPERATIVE PLANNING AND OUTCOMES 1036
CAUSES 1037
Traumatic 1037
Neoplasm 1038
Congenital 1038
Spontaneous 1038
FRONTAL SINUS ANATOMY 1038
PATIENT POSITIONING 1039
PROCEDURAL APPROACH 1039
Endoscopic Approach 1039
Extracranial Approach 1041
Intracranial Approach 1045
POTENTIAL COMPLICATIONS AND MANAGEMENT 1046
POSTPROCEDURAL CARE 1046
OUTCOMES 1048
SUMMARY 1048
SUPPLEMENTARY DATA 1049
REFERENCES 1049
Management of Frontal Sinus Tumors 1051
Key points 1051
OVERVIEW 1051
PRIMARY TUMORS 1052
Osteoma 1052
Inverted Papilloma 1052
SECONDARY TUMORS 1054
Squamous Cell Carcinoma 1054
Sinonasal Undifferentiated Carcinoma 1055
Small Cell Neuroendocrine Carcinoma 1055
Esthesioneuroblastoma 1056
Sinonasal Non-Hodgkin Lymphoma 1056
SPECIAL CONSIDERATIONS: PEDIATRIC PATIENTS 1057
PREOPERATIVE PLANNING AND PREPARATION 1057
PROCEDURAL APPROACH 1058
POTENTIAL COMPLICATIONS AND MANAGEMENT 1061
POSTPROCEDURAL CARE AND RECOVERY 1061
OUTCOMES 1061
SUMMARY 1062
REFERENCES 1062
Open Frontal Sinus Surgery 1067
Key points 1067
PREOPERATIVE PLANNING AND PREPARATION 1067
PATIENT POSITIONING 1068
PROCEDURAL APPROACH 1068
EXTERNAL FRONTAL SINUS SURGERY 1069
Index 1091