Endoscopic Sinus Surgery: Anatomy, Three-Dimensional Reconstruction, and Surgical Technique [With DVD] by Peter-John Wormald

From the Publisher

The second edition of this operative manual provides expanded coverage of the complex anatomy and the current surgical approaches to the paranasal sinuses and skull base. It provides practical, step-by-step instruction on using CT scans to reconstruct three-dimensional images of surgical anatomy, enabling the surgeon to develop detailed surgical plans for each clinical situation.

The accompanying DVD is greatly expanded from the first edition’s CD-ROM, with 30 additional operative videos plus new problem-based exercises. The operative videos enable practitioners to visualize the surgical concepts described and illustrated in the text. Case exercises provide the opportunity to apply knowledge learned to perform three-dimensional reconstructions—a valuable tool for self-assessment.

Highlights of the second edition:
*Extensive presentation of all the anatomical variations and surgical approaches to the sinuses, parasinus regions, and posterior, middle, and anterior cranial fosse
*Straightforward outlines for approaching the frontal sinus and frontal recess, maxillary sinus trephination, dacryocystorhinostomy surgery, cerebrospinal fluid leak closure, orbital and optic nerve decompression, and Vidian neurectomy
*830 diagrams, illustrations, and images demonstrating anatomy and surgical techniques
*Detailed coverage of endoscopic surgical approaches to tumors of the sinuses and in the intracranial cavity
*Discussion of the value and importance of axial CT for determining drainage pathways

Essential for ENT surgeons, otolaryngologists, and residents, the book equips readers with all the information necessary for handling the range ofanatomical variations that may be encountered and selecting the best approach for each.

Doody Review Services

Reviewer:Rakesh K Chandra, MD (Northwestern University Feinberg School of Medicine)
Description:This is an augmented surgical atlas for core techniques in modern functional endoscopic sinus surgery (FESS) . It is more than just a "how to," because it emphasizes building the surgeon's 3-dimensional conceptualization of an anatomically based surgical dissection. The first edition was awarded Best ENT Book of 2005 by the British Medical Association.
Purpose:The unique purpose of this book is to promote application of 2-dimensional endoscopic views to surgery in potentially complex 3-dimensional anatomic spaces. As alluded to in the preface, this is a necessary objective as endoscopic techniques continue to be extended beyond the paranasal sinuses. Systematic approaches are indeed necessary to apply minimally invasive techniques to the infratemporal fossa, parapharyngeal space, and intracranial structures.
Audience:The book would be appropriate for endoscopic surgeons-in-training, as well as accomplished FESS surgeons who seek to broaden their skills to include skull base techniques and to manage conditions beyond chronic rhinosinusitis. The author is one of the world's foremost experts in both of these pursuits.
Features:Initial chapters share critical details regarding the salient features of presurgical planning, such as room set-up and preparing the surgical field. This is followed by chapters organized by anatomic site and surgical technique. Dr. Wormald has an innovative method of using block modeling to build the surgeon's mental 3-D perspective, and this is clearly correlated with real endoscopic anatomyas well as CT in all three axes. The illustrations (in the text and on the DVD) are of remarkable quality, and each concisely relates the point at hand. As acknowledged by the author, the book avoids in-depth discussion of pathophysiology, although that may have been helpful at various junctures to further explain the rationale for the chosen technique.
Assessment:This atlas is the gold standard for the current state of endoscopic sinonasal techniques. Increased attention to endoscopic techniques beyond the paranasal sinuses, as well as additional videos and illustrations, help to maximize the proliferation of minimally invasive techniques so they may be applied to complex clinical scenarios.

Product Details