The Frontal Sinus: Surgical Approaches and Controversies

This book will be a valuable resource for novice surgeons approaching one of the most challenging anatomical subsites, since it provides a stepwise approach to understanding the anatomical background, the radiological aspects, and the broad spectrum of different surgical approaches to the frontal sinuses.The authors are to be congratulated for this masterpiece, which will become the gold standard for experts and beginners." —Paolo Castelnuovo

Edited by renowned rhinologists and skull base surgeons Christos Georgalas and Anshul Sama, this complete guide to frontal sinus surgery covers surgical anatomy and radiology, frontal-specific pathology, surgical techniques, technical advancements, and controversies. It focuses on those starting surgical practice and it is also of interest to well-established surgeons.

This book brings together some of the leading surgeons across the globe to provide varied and complementary perspectives. The content is organized in five sections: surgical anatomy, specific conditions of the frontal sinus, open surgical approaches, endoscopic surgical approaches, and controversies.

Key Features

• More than 600 full-color images and diagrams illustrating surgical concepts and demonstrating detailed techniques
• Stepwise descriptions of surgical techniques with a "tips and tricks" section in each chapter drawn from the authors' experience
• Clinical case presentations in each chapter illustrating key concepts and techniques
• A truly global and balanced perpective with world-leading authors from all continents
• Controversial topics analyzed from evidence-based medicine (EBM) perspective

This is a must-have resource for otolaryngology–head and neck surgery residents, fellows, and specialists that may also benefit neurosurgeons, maxillofacial surgeons, plastic surgeons, and other clinicians who deal with this challenging and complex area.

Table of Contents

Section I Anatomy of the Frontal Sinus and Frontal Recess
Chapter 1 The developmental bases of the anatomy of the frontal sinuses
Chapter 2 Radiological Anatomy
Chapter 3 Applied Surgical Anatomy
Section II Endoscopic Surgical Approaches to Frontal Sinus Disease
Chapter 4 Balloon Sinuplasty
Chapter 5 Draf Frontal Sinusotomy I – IIa
Chapter 6 Draf IIb
Chapter 7 Draf IIc / Extended Draf IIb / Mini-Lothrop (uni-transseptal approach)
Chapter 8 Frontal Sinus Rescue
Chapter 9 Draf III Frontal Sinusotomy
Chapter 10 Transseptal approach
Chapter 11 Endoscopic endonasal orbital transposition for lateral frontal sinus l
Chapter 12 The role of Frontal sinus in anterior skull base / transcribriform approach
Chapter 13 Extended endonasal anterior skull base approaches
Chapter 14 Revision endoscopic frontal sinus surgery
Chapter 15 Complications of frontal sinus surgery
Chapter 16 Delivery of topical therapy to the frontal sinus
Chapter 17 Postoperative Management – Dressings and Toilet
Chapter 18 Office based frontal sinus procedures
Section III Open Surgical Approaches to Frontal Sinus Disease
Chapter 19 Mini and Maxi-Trephines
Chapter 20 Osteoplastic Flaps approach (With/ Without Obliteration)
Chapter 21 Cranialization and Riedel's
Section IV Management of Specific Frontal Sinus Conditions
Chapter 22 Frontal sinus Barosinusitis
Chapter 23 Frontal sinus in CF / Frontal sinus in Pediatric Patients
Chapter 24 Expansile frontal sinus / Pneumocele / Pneumosinus dilatans
Chapter 25 Frontal sinus in CSRsNP
Chapter 26 Frontal sinus in CRSwNP/AFS / ASA triad
Chapter 27 Frontal Sinus Mucoceles
Chapter 28 Frontoethmoidal Osteomas
Chapter 29 Frontal Inverted Papilloma
Chapter 30 Frontal Sinus Fibrous Dysplasia / Ossifying Fibroma
Chapter 31 Malignant Disease involving the Frontal Sinus
Chapter 32 Acute Frontal Osteomyelitis and Intracranial and Orbital complications
Chapter 33 Fungal Frontal Sinusitis – Allergic and Non-allergic
Chapter 34 Frontal Sinus Trauma and its Management
Chapter 35 CSF leak in the frontal sinus - endoscopic management
Section V Controversial Topics in Current Practice
Chapter 36 The use of flaps in Frontal sinus surgery
Chapter 37 Osteitis and frontal sinus
Chapter 38 Extreme lateral lesions - what is the limit of endoscopic surgery?
Chapter 39 Use of Image-guidance Technology – Mandatory or Not
Chapter 40 Balloon Technology in the Frontal Sinus - Useful or Gimmick?
Chapter 41 Minimum vs. Maximal Surgical Sinusotomy
Chapter 42 PROMS and Outcomes in Frontal sinus surgery - do they make a difference?
Chapter 43 Symptoms of Frontal Sinus Disease: Where is the evidence?
Chapter 44 Anatomy and Classification of Fronto-ethmoidal Cells / Ostium or pathway?
Chapter 45 Drill or Not to Drill
Chapter 46 Indications for Operating in the Frontal Sinus – Primary Surgery or Always Second-line?
Chapter 47 Economic and QOL evaluation of surgery versus medical treatmemt
Chapter 48 Training models and techniques in frontal sinus surgery
Chapter 49 Augmented reality in frontal sinus surgery
Chapter 50 Robotic surgery - beyond Da-Vinci