Wolfgang Draf - Böcker

A comprehensive, multidisciplinary perspective on endonasal endoscopic skull base surgeryThis book presents a complete step-by-step guide to endonasal endoscopic skull base surgery, written by prominent interdisciplinary specialists and reflecting important recent developments in the field. Combining the fundamentals of skull base anatomy and pathology with current diagnostic and interventional imaging techniques, Endonasal Endoscopic Surgery of Skull Base Tumors provides a solid clinical foundation for anyone working in this challenging and evolving specialty.Special features: State-of-the-art contributions from international experts in endonasal endoscopic skull base surgeryA 360 degree panoramic assessment of skull base pathologiesDescription of basic and advanced endoscopic procedures based on the endonasal corridor systemCurrent tumor-specific strategies, including indications and preoperative work-up, endoscopic surgical techniques, sequel and potential complications, postoperative care, outcomes, and pearls and pitfallsClear and consistent interdisciplinary guidelines for managing the internal carotid artery in skull base surgery, allowing the removal of previously inoperable tumorsSurgical outcomes from two of the leading international skull base centers, one in Fulda, Germany (formerly headed by Professor Draf), and one joint program at the University of Brescia and University of Varese, ItalyComplete with 500 full-color photographs, anatomic illustrations, flowcharts and tables, Endonasal Endoscopic Surgery of Skull Base Tumors offers a practical management approach and sets a new standard in the field. It is invaluable for all otolaryngologists, head and neck surgeons, neurosurgeons, neuroradiologists, and pathologists who routinely make diagnostic and therapeutic decisions with regard to skull base lesions. It is also an essential text and reference for those who are learning how to perform endonasal endoscopic skull base surgery in a multidisciplinary environment.

The book provides a systematic and comprehensive approach to the surgical therapy of nasosinus diseases, clearly written and beautifully illustrated including many colour photographs and instructional drawings. It stresses practical information to improve surgical success and to avoid complications by adding either endoscopic or microscopic techniques, or both, to conventional surgical techniques. It is a truly international work from 14 countries with contributions that advocate different techniques and approaches for the different problems.

Georg von Bekesey was awarded the Nobel Prize for his seminal everyone all over the world. In other words it is directed toward work on hearing. It was, however, 43 years later in 2004 that evolving a common scientifc language that is spoken uniformly Linda Buck and Richard Axel were awarded the Nobel Prize for and consistently all over the world. Universality, so that norms, their work on olfaction. Tis is indicative of how the science of staging systems, etc., can be applied anywhere in the world with rhinology is only now coming into its own. For quite some time, equal validity. Tis can only be achieved through consensus. rhinology was thought to be limited in scope. It is now appreci- Tis book contains not only the genesis and pathogenesis of ated that the nose is not only an organ of aesthetic appeal, but rhinologic disease, but also what all surgeons want and that is one that carries out several important, complex functions. Te operative steps to bring about successful resolution of disease, tremendous surge in medical literature in recent times bears with the return of normal function.

Addressing disease of the frontal sinus successfully remains, perhaps, one of the most technically challenging issues encountered by otolaryngologists. The intricate anatomy, combined with a narrow aperture and relatively acute angle of approach, leads to complexity not encountered elsewhere in surgery of the sinuses. This comprehensive volume with contributions by over 30 of the world's leading rhinologists will help to shed light on this difficult topic. Thorough discussions of anatomy and pathophysiology of a variety of frontal sinus diseases provide a background for in-depth chapters on aspects of both medical and surgical management. A variety of surgical approaches are discussed, including the latest endoscopic techniques, as well as more traditional open and microscopic approaches. Heavily illustrated, this volume will be a "must have" for the rhinologist managing disease in the frontal sinus.

The diagnosis and treatment of the diseases of the nose, paranasal sinuses and skull base have changed dramatically in the past few years, transforming rhinol­ ogy in one of most exciting and attractive medical fields. The increasing advance in this area has addressed the ENT physicians to keep up with the expanding information in the high tech area of sinus surgery and its expansion into skull base surgery. The intention of this book is to present in a unique way basic information on Anatomy, Endoscopy, Rhinomanometry, Imaging, Allergy, Nasosinus Infection, and Polyposis followed by by clinical and surgical chapters written by some of the most experienced rhinosurgeons around the world. We belive that this book will be of value for all levels of Otolaryngology, from house officers to experienced surgeons and, although principally for Otolaryngologists, Radiologists, Patholo­ gists, Maxillofacial surgeons, Ophthalmologists, Neurosurgeons, and Infectious Diseases Specialists may find the book of value because of its overlap with their interests. We would like to show that, both from the technical and conceptual points of view, success can be achieved using different techniques and philosophies. Cer­ tainly, both endoscopic instrumentation and the surgical microscope have proved to be of great assistance in nasal and sinus surgery, and now image systems are providing further progress.

The exponential explosion of diagnostic techniques that is the hallmark of Twentieth Century medicine often makes us forget that the human perceptual senses are still the simplest, most reliable, and most readily available means of recognizing disease and detecting abnormalities in the human body. Improvements in optical telescopes and in glass rod light transmission have enables us to look directly into the human body, and they are indispensable to modern endoscopy. The present monograph is a product of many years of diligent search and tireless work by Professor WOLFGANG DRAF in the field of endoscopy of the parana sal sinuses. Scholastic curiosity, pursuit of academic excellence, and a fervent desire to give patients prompt and lasting relief of symptoms caused by paranasal sinus disease were the author's initial motivations. As time went on and the methodology became more refined, he ventured from the field of endoscopic diagnostic and photographic documentation into the area of endoscopic therapy for selective diseases of maxillary, frontal, and sphenoid sinuses. Many of the instruments and most of the optical and photo­ graphic equipment and accessories have been developed and improved in parallel with the author's professional career; indeed, many of these technical innovations were a product of Professor DRAF'S keen and methodical research.

Contents: The Neck and Thorax.- The Larynx and the Thyroid Gland.- The Face.- The Oral Cavity and the Oropharynx.- The Nose.- The Paranasal Sinus and the Retromaxillary Space.- The Eye and its Orbital Adnexa.- The Ear.- The Middle and Posterior Cranial Fossae.- The Skull and the Gross Anatomy of the Central Nervous System.- The Topography and Variations of the Extra- and Intracranial Vessels.- The Paraganglia.- References.- Index of Operations and Surgically Important Anatomic Relationships.- Subject Index.

The region of the skull base was long considered a surgical barrier because of its complex anatomy. With few exceptions, the region immediately beyond the dura or bony skull base constituted a "no man's land" for the surgeon working from the other direction. A major reason for this was the high morbidity associated with operative procedures in that area using traditional dissection techniques. This situation changed with the advent of the operating microscope. Used initially by ear, nose and throat specialists for resective and reconstructive surgery of the petrous bone and parana sal sinuses, the operating microscope was later introduced in other areas, and neurosurgeons began using it in the mid-1960s. With technical equality thus established, the groundwork was laid for taking a new, systematic, and interdisciplinary approach to surgical problems of the skull base. Intensive and systematic cooperation between ear, nose and throat surgeons and neurologic surgeons had its origins in the departments of the University of Mainz bindly supported by our chairmen Prof. Dr. Dr. hc Kurt Schiirmann (Department of Neurosurgery) and Prof. Dr. W. Kley (Depart­ ment of Ear, Nose and Throat Diseases, Head and Neck Surgery). The experience gained from this cooperation was taught in workshops held in Hannover from 1979 to 1986, acquiring a broader interdisciplinary base through the participation of specialists from the fields of anatomy, patholo­ gy, neuroradiology, ophthalmology, and maxillofacial surgery.

Sowohl bei der konservativen als auch bei der operativen Therapie von Nasennebenhöhlenerkrankungen erlebt man als Arzt immer wieder Enttäuschungen insofern, als sich die Beschwerden des Patienten nicht oder nur wenig bessern, ja, daß sie sich- und dies ist besonders nach operativen Eingriffen gar nicht so selte- sogar verschlimmern. Diese Unsicherheit in der Prognose hängt nicht zuletzt mit den beschränkten diagnostischen Möglichkeiten zusammen, die eine sichere Beurteilung der Nasennebenhöhlener­ krankung, insbesondere des Schleimhautzustandes, der Abflußver­ hältnisse und der Menge und Konsistenz des pathologischen Sekretes bisher nur in begrenztem Umfang zuließen. Seit Beginn dieses Jahrhunderts wurde durch verschiedene Autoren versucht, mit Hilfe optischer Systeme Einblick in die Kieferhöhle und damit größere Sicherheit in der Beurteilung des Krankheitsprozesses zu gewinnen. Aber erst in den letzten Jahren gewinnt die Endoskopie der Nasennebenhöhlen mit der Entwick­ lung verbesserter Optiken und mit besserer Ausleuchtung immer mehr Anhänger und findet nach und nach die ihr gebührende Verbreitung. An dieser Entwicklung ist der Autor dieser Monographie in einem hohen Maße beteiligt, indem er sich seit Jahren intensiv und systematisch zunächst mit der Sinuskopie befaßte und die er­ hobenen Befunde photographisch dokumentierte. Unmittelbar habe ich miterlebt, wie Herr Professor Dr. DRAF an der stark frequentierten Universitäts-Hals-Nasen -0 hren-Klinik Mainz ein reichhaltiges Bildmaterial von typischen Normalbefunden, von Normvarianten und von pathologischen Zuständen sammeln konnte. Erstaunt waren wir immer wieder über die häufige Diskrepanz zwischen Röntgenbefund einerseits und endo­ skopischem Befund andererseits, eine Diskrepanz, sicherin die vielen Fällen eine Erklärung für die unbefriedigenden Ergebnisse der Therapie abgeben kann.

This is the only book dedicated solely to frontal sinus disorders. Additional topics include balloon dilation, frontal surgery as part of skull base surgery, and advances in endoscopic techniques and tools that have occurred since 2004 and have made open osteoplastic procedures almost obsolete.

Georg von Bekesey was awarded the Nobel Prize for his seminal everyone all over the world.