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By Roy R. Casiano

Endoscopic Sinonasal Dissection advisor demonstrates the main correct concepts that allow citizens to securely navigate the complicated anatomy of the nostril and paranasal ...

summary: Endoscopic Sinonasal Dissection consultant demonstrates the main proper thoughts that permit citizens to securely navigate the complicated anatomy of the nostril and paranasal

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Laryngoscope 2001;111 (6):964–974 5 Basic Endoscopic Sinonasal Dissection Roy R. Casiano, Islam R. Herzallah, Amy S. Anstead, Jean Anderson Eloy, Adam Folbe, Lori Lemonnier, and Belachew Tessema ■ Intranasal Examination Key Landmarks (Fig. 1) ■ Inferior and middle turbinates ■ Nasal septum ■ Posterior choanal arch ■ Eustachian tube opening ■ Nasolacrimal convexity Fig. 1 19 20 CHAPTER 5 ■ Basic Endoscopic Sinonasal Dissection A B Fig. 2 (A,B) CHAPTER 5 The surgeon starts examining the nasal fossa by passing a 30-degree telescope posteriorly (looking laterally) along the junction of the inferior and middle turbinates and adjacent to the nasal septum (Fig.

Van Alyea OE. Sphenoid sinus: anatomic study, with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Arch Otolaryngol 1941;34:225–253 5. Lang J. Clinical Anatomy of the Nose, Nasal Cavity and the Paranasal Sinuses. New York: Thieme Medical Publishers, 1989 6. Calhoun KH, Rotzler WH, Stiernberg CM. Surgical anatomy of the lateral nasal wall. Otolaryngol Head Neck Surg 1990;102(2):156–160 7. Schaefer SD. An anatomic approach to endoscopic intranasal ethmoidectomy.

The arch of the posterior choana Using these landmarks, revision endoscopic sinus surgery (ESS) for recurrent or persistent disease in the maxillary, ethmoid, sphenoid, or frontal sinuses can be safely performed. May was one of the first to acknowledge that in advanced sinus disease anatomical landmarks, such as the uncinate process, basal lamella, and superior or middle turbinates are not always readily identifiable. He was also one of the first to point out that the floor of the orbit, as seen through an antrostomy, serves as a consistent landmark from which other structures may be found.

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