Atlas of Endoscopic Sinus and Skull Base Surgery by James N. Palmer MD, Alexander G. Chiu MD

By James N. Palmer MD, Alexander G. Chiu MD

Enhance 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. perfect for each otolaryngologist who plays easy or complicated rhinologic techniques, this superbly 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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Outcomes after middle turbinate resection: revisiting a controversial topic. Laryngoscope. 2010;120(4):832-837. Hewitt KM, Orlandi RR. Suture medialization of the middle tu­rbinates during endoscopic sinus surgery. Ear Nose Throat J. 2008;87(12):E11. e1 CHAPTER 4 Sphenopalatine Artery Ligation Li-Xing Man, Samer Fakhri, Amber Luong, and Martin Citardi INTRODUCTION n n n n n n n n  pistaxis is one of the most common otolaryngologic E emergencies. Minor epistaxis usually originates from the anterior nasal septum and is often satisfactorily treated with direct pressure or anterior nasal packing.

Endoscopic view of the left inferior turbinate bone exposed by incising the anterior soft tissue. Figure 3-3. Artist’s depiction of the incision point into the left inferior turbinate submucosa in endoscopic view. Step 4 n n n  nce the tissue is elevated off of the bone, insert the O oscillating microdebrider blade into the soft tissue pocket and engage the blade with soft tissue in a circular direction. Direct the active face of the microdebrider blade away from the turbinate bone. A slow oscillation speed facilitates controlled resection of the submucosal tissue without injuring the overlying mucosa.

The posterior ethmoid artery, which may be absent, supplies a small area on the superior turbinate and adjacent septum. The labial artery, a branch of the facial or external maxillary artery, also supplies the nasal vestibule. In addition, branches of the greater palatine artery supply the inferior anterior septum. The network of vessels found in the Little area on the anterior septum is known as the Kiesselbach plexus. It has a rich blood supply from the anterior ethmoid artery and the SPA.

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