Blood-Sparing Techniques in Head and Neck Surgery
Given the risks and potential complications of allogenic blood transfusion (ABT), as well as the expanding population of patients for whom ABT may not be an option, it is important…
Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery
Endoscopic sinus approach has become one of the most common surgical techniques for endoscopic sinus and skull base surgery. Anesthetic management has an important impact on the overall patient management,…
Preoperative Assessment of Risk Factors
Hemostasis is essential during endoscopic sinus and skull base surgery. Patients must be adequately assessed for bleeding risk to appropriately consent to surgery. The patient and the surgeon must be…
Hemostasis in Otolaryngology—Head and Neck Surgery
Harshita Pant, BMBS, PhD, Editor Carl H. Snyderman, MD, MBA, Editor The only weapon with which the unconscious patient can immediately retaliate upon the incompetent surgeon is haemorrhage. This issue…
Open Frontal Sinus Surgery
In this article, the historical context and current application of external frontal sinus procedures are discussed. In particular, the frontal trephine, frontoethmoidectomy, and osteoplastic flap are described. Key points •…
Management of Frontal Sinus Tumors
The most common primary tumors of the frontal sinus are osteomas and inverted papillomas, although a variety of other tumors involving this space have been reported. With the advent of…
Standard Endoscopic Approaches in Frontal Sinus Surgery
The mainstay of frontal sinus surgery for chronic rhinosinusitis is to achieve and maintain an adequate frontal outflow tract. Using a stepwise approach and identifying critical endoscopic anatomic landmarks, to…
Management of Frontal Sinus Cerebrospinal Fluid Leaks and Encephaloceles
Encephaloceles and cerebrospinal fluid (CSF) leaks of the frontal sinus may result from congenital, traumatic, spontaneous, or neoplastic causes. Paramount to success is adequate preoperative planning with accurate history, physical…
Outcomes After Frontal Sinus Surgery
Endoscopic sinus surgery is an effective intervention at improving quality of life for patients with medically refractory chronic rhinosinusitis. The evidence supporting frontal sinusotomy is limited to single institution case…
Utility of Image-Guidance in Frontal Sinus Surgery
Key points • Image guidance is a surgical tool that is widely accepted by endoscopic surgeons and used in most frontal sinus surgeries. • The use of image guidance can…
