By James N. Palmer MD, Alexander G. Chiu MD
Increase your surgical results with Atlas of Endoscopic Sinus and cranium Base surgical procedure by way of James N. Palmer, MD and Alexander G. Chiu, MD. excellent for each otolaryngologist who plays easy or complicated rhinologic strategies, this fantastically illustrated atlas takes you step-by-step via endoscopic sinus and cranium base surgical procedures as though the bankruptcy authors have been correct there with you within the working room.
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Extra resources for Atlas of Endoscopic Sinus and Skull Base Surgery
Dissection is continued in the subperiosteal plane and extended until the anterior and subsequent posterior ethmoid arteries are identified. Typically the superior oblique muscle will not be identified because the vessels are inferior, and the superior oblique is held in the fascial planes of the orbital contents above the dissection plane. , nerve. Ophthalmic a. Lacrimal a. CHAPTER 5 Endoscopic and Open Anterior/Posterior Ethmoid Artery Ligation 37 Step 5: Continue the Dissection Posteriorly until the AEA and PEA Are Identified n he 24/12/6 rule as described previously is useful to T identify the arteries (Figure 5-10).
Nasal congestion, decreased sense of smell, and fetid crusting are common nasal sequelae of the procedure. n SURGICAL PROCEDURE Step 1 n n n INSTRUMENTATION n n n n n from sliding down the septum in the immediately postoperative period. The graft must be immobilized for at least 10 days. Ensure that packing material is sutured to the nasal septum to prevent displacement down the nasopharynx during the postoperative period. se a dermotome to obtain a split-thickness skin U graft. 28 inches. Once the graft is taken, divided it in two, using a 6-cm × 3-cm graft for each side of the nasal septum.
N expanding orbital hematoma can occur if the A AEA is severed and retracts within the orbit. This requires immediate action: – Endoscopic orbital decompression if it occurs intraoperatively. – Lateral canthotomy and cantholysis if vision is at risk. com. REFERENCES 1. Lannoy-Penisson L, Schultz P, Riehm S, et al. The anterior ethmoidal artery: radio-anatomical comparison and its application in endonasal surgery. Acta Otolaryngol. 2007;127:618-622. 2. Floreani SR, Nair SB, Switajewski MC, et al.
Atlas of Endoscopic Sinus and Skull Base Surgery by James N. Palmer MD, Alexander G. Chiu MD