By Peter-John Wormald
A comprehensive and completely up-to-date anatomical guide to sinus and skull base surgery. Like previous acclaimed editions, Endoscopic Sinus Surgery Fourth Edition focuses strictly on anatomy, 3D reconstruction, and step-by-step surgical techniques . The richly illustrated text details the anatomy and operative management of sinus conditions such as nasosinusal polyposis, chronic rhinosinusitis [CRS], Samter’s triad, eosinophilic mucus of CRS, exophthalmos, acute orbital hemorrhage , the subperiosteal orbital abscess, and a wide variety of tumors. The Fourth Edition presents simplified anatomical nomenclature, which includes a reclassification of frontal recess cells and the extension of frontal sinus surgery (EFSS). This allows for a better understanding of the related anatomy, especially the drainage pathways of the frontal sinuses. Procedures, based on new or revised evidence, include mega-antrostomy and the pre-tear approach to the maxillary sinus and the use of anteriorly pedicled flaps for frontal sinus drilling procedures. Refinement of other surgical techniques includes medial endoscopic maxillectomy and resection of nasosinusal neoplasms.• Anatomy and surgical strategies elucidated through 1,000 images, which include CT illustrations and diagrams.• Incredible dissections by Rowan Valentine, who worked in the anatomy lab by the late Albert L. Rothon Jr., an internationally recognized author, educator, brain anatomist, and neurosurgeon. • Delineation of variations in the anatomy of the frontal recess, and in the difficult regions adjacent to the sinuses, provides important surgical guidelines. • Seventy videos on operations detail the potential anatomical variations seen in the frontal sinuses, ancillary procedures such as DCR, orbital decompression, tightness of cerebrospinal fluid fistula and surgical approaches to the skull base.This classic reference is an indispensable resource for otolaryngologists, head and neck surgeons, as well as residents and trainees seeking a tutorial on the latest techniques in functional endoscopic sinus surgery (FESS). It allows understanding of the three-dimensional anatomy affected by diseases, making decisions about the associated surgical treatment, and a functional endoscopic sinus surgery (FESS). It allows understanding the three-dimensional anatomy affected by diseases, making decisions about the associated surgical treatment, and safer surgery.

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