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Rhinology and Skull Base Surgery – From the Lab to the Operating Room: an Evidence-based Approach

There have been many attempts to comprehensively address the topic of ‘Rhinology’, however Georgalas and Fokkens in their new book Rhinology and Skull Base Surgery – From the lab to the operating room: an evidence-based approach, have managed to deliver...

Which factors affect the postoperative CSF leak following endoscopic skull base surgery?

Endoscopic skull base surgery is being increasingly performed worldwide for skull base tumours. Common indications include pituitary tumours, rathke cleft cysts, chordomas, craniopharyngiomas and olfactory neuroblastomas. The most common and important complication following endoscopic skull base surgery is postoperative CSF...

Lateral skull base surgery using the endoscope

Endoscopic lateral skull base surgery could be performed via less invasive techniques due to wide panoramic visualisation of the operative field. With less invasive techniques, patients have been shown to require shorter recovery time and reduced postoperative pain. In this...

Eustachian tube function before and after FESS

This is a prospective study from the UK looking at Eustachian tube dysfunction (ETD) in patients with chronic rhinosinusitis (CRS) undergoing surgery. Fifty-seven consecutive patients who had failed medical therapy and were scheduled for endoscopic sinus surgery completed SNOT-22 and...

Paranasal sinus osteoma management

The authors aimed to determine the best approach to paranasal osteoma excision. They conducted a retrospective study of 41 patients with paranasal sinus osteoma (PNSO) at a tertiary centre in Turkey. PNSO was present in: the frontal sinus in 26...

Transnasal endoscopic choanal atresia surgery

Surgery is currently the only definitive treatment for congenital choanal atresia (CCA). There are various surgical approaches including transnasal, transeptal or transpalatal. The authors propose that the preferred option is transnasal endoscopic choanal atresia surgery (TECAS) and set out to...

Patient reported outcomes improve if antibiotic choice is directed from endoscopic culture results in chronic rhinosinusitis

The use of antibiotics in chronic rhinosinusitis (CRS) has been established as part of the EPOS guidelines, as has the role of taking swabs for microbiology culture. There has not been much literature however on whether tailoring antibiotics in response...

CSF leak – endoscopic or open repair?

Cerebrospinal fluid (CSF) rhinorrhoea is well known to the ENT surgeon. It commonly occurs secondary to a predisposing event such as accidental or iatrogenic trauma. When it occurs spontaneously, it can be associated with benign intracranial hypertension. The commonest CSF...

Atlas of Endoscopic Sinus and Skull Base Surgery

This surgical textbook has a target audience of otolaryngology consultants carrying out basic and advanced rhinological procedures. It is also suited to otolaryngology trainees and fellows. Although it would provide a useful reference text for otolaryngology consultants I found it...

Nasoseptal Perforations: Endoscopic Repair Techniques

This 181-page book, published in 2017, comes with 218 illustrations and online videos of the described techniques. The authors take us through a detailed description of the anatomy and physiology of nose and then discuss the various causes of nasal...