11 Neoplasia and Tumorlike Lesions Indications • Diagnostic biopsy and postoperative control • Mucopyoceles, retention cysts • Expansive polyposis • Granulomas • Osteoma • Fibroma, neuroma, adenoma • Juvenile angiofi broma • Inverted papilloma • Squamous-cell carcinoma and adenocarcinoma…
8 Failures and Repeat Surgery Indications • Planned or involuntary two-stage operations • Persistent or new disturbance of nasal respiration • Persistent or recurrent sinusitis • Olfactory disturbance • Postoperative complications • Surgical errors • Inadequate aftercare…
3 Preoperative and Postoperative Diagnosis The old wisdom that a surgeon’s excellence is based more on his skill in diagnosing and indicating than on his manual dexterity is particularly valid…
4 Instrumentarium During recent decades, with the growing popularity of endoscopic sinus surgery, a great variety of useful instrumentshave been designed. Special sets are offered by different companies, labeled with…
7 Complications of Sinusitis Indications • Perifocal inflammation of facial soft tissues • Chemosis, nasolacrimal stenosis • Orbital abscess or phlegmon, optic nerve neuritis • Mucopyocele • Osteitis, osteomyelitis • Meningitis, brain abscess • Focal spread Principles…
10 Malformations Indications • Thornwaldt cyst and other cysts • Choanal atresia • Dysplasia of the nasal septum and conchae • Osler disease • Spontaneous dural fistula • Meningoencephalocele Principles From a surgical point of view,…
5 Anesthesia and Patient Positioning Torsten Birkholz, Martin Marsch Introduction Endonasal surgery poses several specific complications in terms of anesthetic management and operative positioning. Adequate analgesia and control of blood…
13 Historical Overview Current endoscopic surgery of the nasal sinuses derives its stimulus from two sources: intranasal surgery extending back to the nineteenth century, and sinuscopy, which was originally used…
