Operative Techniques in Otolaryngology - Head and Neck Surgery, Volume 19, Issue 3, Pages 161-228 (September 2008), Endoscopic Orbital and Lacrimal Surgery
by: Raj Sindwani, MD, FACS, FRCS
Product Details
pages: Pages 161-228 (September 2008)
Publisher: Copyright © 2008 Elsevier Inc. All rights reserved
ISBN: ISSN (printed): 1043-1810
Format: PDF with 3 level Chapter Bookmarks
Size: 10.3 MB RARed to 9.9 MB
Supplier:
Summary:
ABOUT OPERATIVE TECHNIQUES IN OTOLARYNGOLOGY - HEAD AND NECK SURGERY
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This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
Introduction
During the past decade, the field of otolaryngology has experienced an endoscopic revolution. Improved facility with endoscopes, empowered by technological advances in surgical navigation and operative equipment, has extended our ability to endoscopically manage disorders affecting structures beyond the paranasal sinuses. The pursuit of minimally invasive but equally efficacious surgery has fueled the development of innovative endoscopic approaches to the orbit and lacrimal apparatus. Endoscopic orbital techniques
can be used to exploit key anatomic relationships, the most notable being that the sinonasal tract and orbit are separated by very thin bone. Many of these approaches are routinely performed in tandem by an otolaryngologist and an ophthalmologist.
Successful outcomes from this type of surgery require an intimate understanding of the anatomy and physiology of structures on both sides of the lamina papyracea. Many of these approaches are not difficult to do, but they may be difficult to get to do—as a result of political barriers
that may be at play between specialties.
The goal of the following series of articles is to reinforce fundamental concepts and techniques useful for endoscopic surgery of the orbit. Technical nuances of well-established procedures such as endoscopic dacryocystorhinostomy, subperiosteal abscess drainage, and orbital decompression will be highlighted, whereas early experience with novel techniques, including endoscopic extraocular muscle surgery, orbital
exenteration, and anterior ethmoidal artery ligation, will also be presented. It should be mentioned that the safety and utility of some of the more recently described procedures, although innovative and forward–thinking, have yet to be validated through extensive clinical experience and scientific scrutiny. Nevertheless, I am certain that the reader will be surprised and hopefully inspired by what some of our well-trained and experienced colleagues are able to accomplish with the endoscope.
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