Correction of the Pinched Nasal Tip Deformity
The “pinched nasal tip” is a deformity caused primarily by collapse of the lateral crura of the lower lateral cartilages. Such collapse may be congenital due to inherent hypoplasia, weakening,…
OTOLARYNGOLOGY
Alloplasts in Nasal Surgery
Few concepts in rhinoplasty engender as much discussion and conflict as the use of alloplasts in the nose. Clear divisions within the specialty have developed, with some surgeons using alloplastic…
Endoscopic Transplanum and Sellar Approach
Abstract Endoscopic endonasal transplanum and transsellar approaches are frequently utilized to manage pituitary adenomas, craniopharyngiomas, and meningiomas. In addition to the intrinsic panoramic view from the endoscope, wide access using…
Osteoplastic Flaps With and Without Obliteration
Abstract Although minimally invasive endoscopic frontal sinus surgery has become the mainstay of managing both chronic and in many cases neoplastic disease of the frontal sinus, open approaches to the…
Large Skull Base Defect Reconstruction With and Without Pedicled Flaps
Abstract Advances in endoscopic technology and technique have increased the diversity and size of skull base lesions amenable to an endoscopic resection. However, successful reconstruction of the resultant defect is…
Endoscopic Management of Clival Chordomas and Chondrosarcomas
Abstract Successful management of malignant pathology of the clivus and extending into the posterior fossa continues to be a formidable challenge to the skull base surgeon. While legends of surgery…
Endoscopic Resection of Pituitary Tumors
Abstract Endoscopic transsphenoid pituitary surgery is a straightforward form of skull base surgery. The approach and resection utilize a straight pathway through the nose and sphenoid sinuses. Appreciation of sphenoid…
Repair of Cerebrospinal Fluid Leak and Encephalocele of the Cribriform Plate
Abstract Cerebrospinal fluid (CSF) leaks from the nose, and sinuses are infrequent problems that require skilled techniques to manage. Whether iatrogenic or spontaneous, CSF leaks occurring in the cribriform area…
Frontal Sinus Trephination
Abstract Modern trephination of the frontal sinus was first described in 1884 by Ogston and Luc. This technique did not gain popularity due to the high failure rate from persistent…
Pterygopalatine/Pterygomaxillary Space Approaches, Maxillary Artery Ligation, and Approach to Juvenile Nasopharyngeal Angiofibroma
Abstract Approaches to the pterygopalatine/pterygomaxillary space (PPS) provide the surgeon with a vantage point into the pterygopalatine fossa, infratemporal fossa, and lateral recess of the sphenoid sinus. Pathologic processes in…
