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Endoscopic Surgery of the Orbit
- 1st Edition - July 28, 2020
- Author: Raj Sindwani
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 1 3 2 9 - 3
Endoscopic orbital procedures are at the forefront of today’s multidisciplinary patient care and team approach to problem-solving. Endoscopic Surgery of the Orbit offers state-of-… Read more
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Request a sales quoteEndoscopic orbital procedures are at the forefront of today’s multidisciplinary patient care and team approach to problem-solving. Endoscopic Surgery of the Orbit offers state-of-the-art, expert guidance on minimally invasive orbit techniques that promise a more streamlined approach to comprehensive patient care, improved patient satisfaction, and superior outcomes. This unique resource reflects the contemporary, unparalleled partnership between otolaryngology, neurosurgery, and ophthalmology that often also includes a cohesive team of clinicians from many other specialties.
- Provides expert perspectives from thought leaders in various specialties, including otolaryngologists, ophthalmologists, neurosurgeons, endocrinologists, medical and radiation oncologists, radiologists, and pathologists.
- Details the two-surgeon, multi-handed surgical techniques that have revolutionized the management of complex pathologies involving the orbit and skull base.
- Covers the full breadth of endoscopic orbital procedures—from advanced intraconal tumor removal and intracranial techniques involving the optic nerve and optic chiasm to more routine endoscopic procedures such as orbital decompressions, E-DCR, fracture repair, and subperiosteal abscess drainage.
- Reviews key topics such as neuromonitoring in orbital and skull base surgery, endoscopic surgery of the intraconal space for tumor resection, Transorbital NeuroEnodscopic Surgery (TONES), and reconstruction of the orbit.
- Includes tips and pearls on safe and effective procedures as well as novel approaches and innovations in the equipment used to perform these popular procedures.
- Provides superb visual reinforcement with more than 400 high-definition images of anatomy, imaging, and surgical techniques, as well as procedural videos.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Otolaryngologists
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Preface
- Biography
- Video Contents
- Contributors
- Part 1: Perspectives and Evolution in Techniques
- 1: Endoscopic Orbital Surgery: The Rhinologist’s Perspective
- Abstract
- Endoscopic Dacryocystorhinostomy
- Endoscopic Orbital Decompression
- Endoscopic Optic Nerve Decompression
- Endoscopic Resection of Orbital Tumors
- Future Directions
- Conclusion
- 2: Endoscopic Orbital Surgery: The Ophthalmologists’ Perspective: Formation of the Ophthalmology-Otolaryngology Team
- Abstract
- 3: Endoscopic Orbital Surgery: The Neurosurgeon’s Perspective
- Abstract
- Transorbital Approaches
- Conclusion
- Part 2: Evaluation, Anatomy, and Imaging
- 4: Surgical Anatomy of the Orbit, Including the Intraconal Space
- Abstract
- Anatomy of the Orbit
- 5: Surgical Anatomy of the Nose, Septum, and Sinuses
- Abstract
- Surgical Anatomy and Principles Relevant to the Orbital Surgeon
- Evaluation
- Imaging
- Conclusion
- 6: Rhinologic Evaluation in Orbital and Lacrimal Disease
- Abstract
- Sinonasal Examination
- Lacrimal Disease
- Orbital Disease
- Summary
- 7: Ophthalmologic Evaluation in Orbital and Lacrimal Disease
- Abstract
- History
- Medical History, Medications, and Allergies
- Ophthalmic Examination
- Other Tests
- Summary
- 8: Neuro-Ophthalmologic Evaluation and Testing
- Abstract
- Techniques for Assessing Visual Function
- 9: Radiologic Evaluation of the Orbit: Computed Tomography and Magnetic Resonance Imaging
- Abstract
- Anatomy
- Imaging Considerations
- Computed Tomography
- Magnetic Resonance Imaging
- Protocols
- Conclusion
- 10: Optimizing Visualization and Localization During Endoscopic Orbital Surgery
- Abstract
- Surgical Technique
- Handling of Bleeding During Surgery to Improve Visualisation
- Adjuncts for Intraorbital Tumor Dissection
- Dealing With Extraconal Muscles
- Part 3: Nasolacrimal Duct Obstruction and Endoscopic-DCR
- 11: Evaluation and Management of Congenital Nasolacrimal Duct Obstruction
- Abstract
- Epidemiology and Risk Factors
- Pathophysiology
- Diagnosis
- Management
- Conclusion
- 12: Evaluation and Management of Acquired Nasolacrimal Duct Obstruction
- Abstract
- Etiology
- Evaluation
- Diagnostic Tests
- Imaging
- Management
- 13: Endoscopic Dacrocystorhinostomy
- Abstract
- Workup
- Indications
- Operative Setup
- Surgical Procedure
- Postoperative Care and Considerations
- Risks and Benefits
- Sacks’ Six Causes of Failure
- 14: Endonasal Dacryocystorhinostomy With Mucosal Flaps
- Abstract
- Preoperative Assessment
- Imaging: Dacrocystogram and Lacrimal Scintillography
- Surgical Technique
- Results of Powered Dacryocystorhinostomy
- Key Points
- 15: Revision Endoscopic Dacryocystorhinostomy and Conjunctivodacryocystorhinostomy
- Abstract
- Causes of Dacryocystorhinostomy Failure
- Indications for Revision Surgery
- Surgical Technique
- Additional Considerations
- Postoperative Care
- Outcomes
- Complications
- Conclusion
- 16: Endoscopic Management of Pediatric Nasolacrimal Obstruction
- Abstract
- Simple Congenital Nasolacrimal Duct Obstruction
- Complex Congenital Nasolacrimal Duct Obstruction
- Dacryocele/Dacryocystocele, and Dacryocystitis
- Technique of Nasal Endoscopic-Assisted Probing and Irrigation
- Summary
- 17: Outcomes of Endoscopic Dacryocystorhinostomy: Enhancing the Patency of the Rhinostomy
- Abstract
- Outcomes of Endoscopic Dacryocystorhinostomy
- Nasolacrimal Stent Type
- Nasolacrimal Stent Timing
- Topical Mitomycin C
- Anti-Inflammatory Medications
- Conclusion
- Part 4: Endoscopic Orbital and Optic Nerve Decompression
- 18: Thyroid Eye Disease
- Abstract
- Epidemiology
- Pathophysiology
- Modifiable Risk Factors
- Diagnosis and Clinical Workup
- Differential Diagnosis
- Classification and Disease Activity
- Management of Thyroid Eye Disease
- Considerations in Thyroid Eye Disease Optic Neuropathy
- Conclusions
- 19: Surgical Indications and Outcomes of Orbital Decompression Surgery
- Abstract
- Surgical Indications
- Surgical Contraindications
- Patient Selection
- Outcomes
- Pearls
- 20: Endoscopic Orbital Decompression
- Abstract
- Anatomy
- Technique
- Complications
- 21: Endoscopic Optic Nerve Decompression: Intracanalicular Portion
- Abstract
- The Evolution of Optic Nerve Decompression
- Anatomy
- Pathology Involving the Optic Nerve: Indications and Contraindications for Decompression
- Preoperative Considerations
- Pearls and Potential Pitfalls
- Surgical Technique
- Postoperative Complications, Considerations, and Management
- 22: Complications in Endoscopic Orbital Surgery
- Abstract
- Immediate/Early Complications
- Late Complications
- Preventing Complications
- Conclusions
- 23: Postoperative Care of the Endoscopic Orbital Decompression Patient
- Abstract
- Perioperative
- Follow-up
- Conclusion
- Part 5: Endoscopic Intraorbital Surgery and Tumor Resection
- 24: Endoscopic Endonasal Approaches to the Orbit and Skull Base in the Coronal Plane
- Abstract
- Anatomy
- Indications
- Technique
- Case Example
- Complications
- Conclusions
- 25: Intraorbital Pathology (Tumors) and Management Strategies
- Abstract
- Lymphoproliferative Tumors
- Histiocytic Tumors
- Lacrimal Gland Tumors
- Neurogenic Tumors
- Vascular Tumors and Malformations
- Fibrous Connective Tissue Tumors
- Myogenic Tumors
- Orbital Cystic Lesions
- Lipomatous Tumors
- Metastatic Tumors
- 26: Orbital Apex Surgery and Tumor Removal
- Abstract
- Preoperative Considerations
- Endoscopic Transnasal Approach to the Orbital Apex
- Transorbital Endoscopic-Assisted Approach
- Complications of Endoscopic Orbital Surgery
- 27: Management of Intraconal Hemangioma: Techniques and Outcomes
- Abstract
- Epidemiology and Etiology
- Anatomic Location and Characteristics
- Clinical Presentation and Investigations
- Management
- Endoscopic Orbital Cavernous Hemangioma Outcomes
- Conclusion
- 28: Fibro-Osseous Lesions of the Orbit and Optic Canal
- Abstract
- Benign Fibro-Osseous Lesions
- Conclusion
- 29: Endoscopic Orbital Exenteration
- Abstract
- Examining Indications for Endoscopic-Assisted Orbital Exenteration
- Preoperative Assessment
- Endoscopic-Assisted Orbital Exenteration: Surgical Technique
- Part 6: Transorbital Techniques
- 30: Endoscopic Subperiosteal Abscess Drainage
- Abstract
- Clinical Presentation
- Management
- Surgical Management
- Conclusion
- 31: Transorbital Techniques to Frontal Sinus Diseases
- Abstract
- Surgical Technique
- Management of Selected Targeted Disease
- Postoperative Management
- 32: Endoscopic Management of Mucoceles With Significant Orbital Involvement
- Abstract
- Patient Demographics, Clinical Presentation, and Preoperative Workup
- Approaches
- Complications and Pitfalls
- Conclusion
- 33: Endoscopic Orbital Fracture Repair
- Abstract
- Medial Orbital Wall Fractures
- The Milan Approach to Medial Wall Orbital Fractures
- Endoscopic Assistance for Complex Fractures or Management of Complications of Previous Conventional Fracture Treatment
- Part 7: Intracranial/Skull Base Surgery and the Optic Apparatus
- 34: Surgical Anatomy of the Optic Nerves and Chiasm
- Abstract
- Surgical Anatomy
- Conclusion
- 35: Transcranial Approaches to the Optic Apparatus
- Abstract
- Choice of Approach: Supraorbital Versus Minipterional Versus Endonasal Versus Conventional Craniotomy
- Use of Supraorbital and Minipterional Approaches
- Nuances of Endoscopy and Endoscope-Assisted Transcranial Tumor Removal
- Surgical Technique: General Room Setup and Essential Instrumentation for Keyhole Surgery in the Optic Apparatus Region
- Case Examples
- Case Example
- Authors’ Experience
- Conclusion
- 36: Endoscopic Endonasal Approaches to the Optic Apparatus: Technique and Pathology
- Abstract
- Pathology
- Clinical Features
- Surgical Treatment
- Postoperative Management
- Postoperative Complications
- Visual Outcomes
- Advantages of the Endoscopic Endonasal Approach
- Limitations of the Endoscopic Endonasal Approach
- 37: Reconstructive Techniques in Endoscopic Skull Base and Orbital Surgery
- Abstract
- Pre-Reconstruction Considerations
- The Reconstructive Ladder
- Special Considerations for Reconstruction of the Orbit
- Outcomes
- Conclusion
- 38: Transorbital Endoscopic and Neuroendoscopic Surgery
- Abstract
- Indications and Contraindications
- Surgical Planning
- Surgical Technique
- Postoperative Care
- Outcomes and Safety
- Conclusion
- 39: Complications in Endoscopic Skull Base Surgery
- Abstract
- Minor Complications in Skull Base Surgery
- Orbital Complications
- Conclusion
- 40: Neuromonitoring in Endoscopic Skull Base Surgery
- Abstract
- Introduction
- Neuromonitoring Modalities
- Extraocular Muscle Monitoring
- Case Example #1
- Case Example #2
- Case Example #3
- Conclusion
- Index
- No. of pages: 320
- Language: English
- Edition: 1
- Published: July 28, 2020
- Imprint: Elsevier
- Hardback ISBN: 9780323613293
RS
Raj Sindwani
Raj Sindwani MD, FACS, FRCS(C) is Vice Chairman and Head of the Section of Rhinology, Sinus and Skull Base Surgery of the Head and Neck Institute at the Cleveland Clinic. He is also Co-Director of the Minimally Invasive Cranial Base and Pituitary Program of the Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center and Fellowship Co-Director of the Advanced Rhinology and Skull Base Surgery Program. Dr. Sindwani is currently President-Elect of the Cleveland Clinic Medical Staff and a member of the Board of Governors. Dr. Sindwani is currently the Editor-in-Chief of the American Journal of Rhinology and Allergy, and past Editor-in-Chief of the Yearbook of Otolaryngology. Dr. Sindwani is an established authority on the medical and surgical management of conditions affecting the sinuses and skull base, and he pioneered endoscopic surgical approaches. He has published and lectured extensively in the field of Rhinology and Skull Base Surgery.
Affiliations and expertise
Section Head, Rhinology, Sinus and Skull Base Surgery, Quality Improvement Officer (QIO), Head and Neck Institute, Cleveland Clinic , Cleveland, Ohio