About The Book

From the Preface

Since the 1990s, the subspecialty of rhinology has evolved faster than any other area within otolaryngology. Only in recent history, the primary pathophysiology of chronic rhinosinusitis was be believed to be primarily a result of structural obstruction of the osteomeatal complex with subsequent bacterial infection. Treatment algorithms revolved around systemic antibiotics and medical failures were treated with removal of diseased mucosa using non-physiologic surgical approaches. We have now gained a better understanding of the heterogeneous nature of chronic rhinosinusitis and the complex interaction between local and systemic immunity, impaired mucociliary clearance and the potential role for a variety of external insults to include bacteria, fungi, and other noxious stimuli. While surgery still plays a major role in the treatment of inflammatory disease, it is now performed in a physiologic fashion and its role as an adjuvant to aid in the delivery of novel topical therapies is better appreciated.

In parallel with technological advancements for use in inflammatory disorders, rhinologists pushed the envelope in the surgical treatment of neoplastic disorders of the skull base and paranasal sinuses. Minimally invasive approaches in collaboration with other specialities, notably ophthalmologists and neurosurgeons, have resulted in the nascent field of neurorhinology, which is still in its infancy and will undoubtedly continue to evolve.

In spite of these tremendous advances in rhinology and greatly improved success, doctors are still faced with difficult patients and failures of standard approaches. If we do not learn from our failures, we are destined to repeat them.

About The Authors

Rodney J. Schlosser, MD is Professor and Director of Rhinology & Sinus Surgery at the Medical University of South Carolina in Charleston, SC. He graduated from the US Military Academy at West Point with a degree in Aerospace Engineering. After serving four years of active duty in the US Army Corps of Engineers, he attended Mayo Medical School. He completed his otolaryngology residency training at the University of Virginia, followed by a fellowship in Rhinology/Sinus Surgery at the University of Pennsylvania. He has authored over 100 publications and has given over 200 presentations at rhinology conferences around the world. He has been an investigator on 27 grants resulting in over $1.3 million in rhinology research.

Dr. Harvey currently works as a dedicated rhinologist at St Vincent’s Hospital in Sydney. He also has an academic appointment with the University of New South Wales and Macquarie University. He has completed several years of post-training fellowships, including formal fellowships in the USA and UK.

Dr. Harvey is a Fellow of the Royal Australasian College of Surgeons, Australiasian Society of Clinical Immunologists and Allergists, American and Australiasian Rhinologic societies and the Australian Society of Otolaryngologists/Head & Neck Surgeons. He has authored over 90 publications, abstracts and book chapters. He currently sits on the editorial board for Rhinology journal and is Associate Editor for the American Journal of Rhinology and Allergy. Dr. Harvey’s clinical expertise spans the divided between neurosurgery and rhinology, teaching at both neurosurgical and sinus courses from the Middle East to South East Asia. He also runs a series of courses with St Vincent’s Hospital every year to further rhinologic education and training in Australia.

Table Of contents

Table of Contents
Chapter
1. History and examination
Luke Rudmik and Timothy L. Smith

2. The CRS Triangle: Understanding the Causes of Chronic Rhinosinusitis
Richard J. Harvey and Peter Earls

3. Contribution of Systemic Disease
Richard Douglas and Andrew Wood

4. Radiologic evaluation
Katrina Chaung, Randy M. Leung, and Rakesh K. Chandra

5. Pre-ESS medical therapy
Wytske J. Fokkens and Lefteris Margaritis

6. Topical therapies and Chronic Rhinosinusitis: The Role of Topical Therapies in Improving Sinus Surgical Outcomes
Alkis J. Psaltis and Richard Harvey

7. Systemic Medical Therapies
Thomas S. Higgins and Joseph K. Han

8. Advances in Surgical Navigation and New Technology for Rhinologic Surgery
Ryan Manz and Raj Sindwani

9. Balloon Catheter Dilation
Nithin D. Adappa, Jeremy Reed, and James N. Palmer

10. Perioperative Bleeding and Vascular Control
Daniel Timperley

11. Proficient ESS
Richard J. Harvey and Rodney J. Schlosser

12. Common Errors in Sinus Surgery
Zachary M. Soler and Michael P. Platt

13. Managing Intraoperative Complications in Endoscopic Sinus Surgery
Sarah K. Wise and John M. DelGaudio

14. Septal and Turbinate Surgery
Dan Robinson and Raymond Sacks

15. Postoperative Care Regimens
Luke Rudmik and Timothy L. Smith

16. Use of Modified Lothrop/Frontal Drillout/Draf 3 for Failed Frontal Sinusotomy
Yuresh S. Naidoo and Peter-John Wormald

17. Surgical Salvage of the Dysfunctional Sinus
Eric W. Wang and Rodney J. Schlosser

18. Failures in pediatric Chronic Rhinosinusitis
David Chin and Richard J. Harvey

19. Cystic Fibrosis Sinusitis
Alexandra E. Kejner and Bradford A. Woodworth

20. Orbital and Lacrimal Surgery
Raymond Sacks and Dan Robinson

21. Optimizing outcomes in endoscopic skull base surgery
Adam M. Zanation

22. Avoiding ESS related litigation
Rodney J. Schlosser

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