By Dan M. Fliss, Ziv Gil
This richly illustrated atlas, compiled by way of authors with wide event within the box, deals a step by step advisor to the surgical procedure of tumors, and congenital ailments of the cranium base and nasal sinuses. specific consciousness is dedicated to a few of the concepts hired for extirpation of tumors and reconstruction of the cranium base and Paranasal Sinuses. with a view to facilitate knowing of the several techniques, transparent surgical illustrations are offered along the high quality intraoperative pictures. every time applicable, technical assistance are supplied and in brief mentioned. This atlas will entice a large viewers of citizens, fellows, and experts in numerous fields of drugs, together with surgeons (head and neck, neurosurgery, otolaryngology, plastic and reconstructive surgical procedure, ophthalmology, maxillofacial surgical procedure) and oncologists.
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Extra resources for Atlas of Surgical Approaches to Paranasal Sinuses and the Skull Base
The sphenopalatine artery sends medial branches to the septum and lateral branches to the turbinates, meatus, and maxillary sinus. The number and distribution of these branches are highly variable. The medial branch, or posterior septal artery, supplies the nasoseptal flap used for skull base reconstruction. The sphenopalatine foramen is usually positioned immediately superior to the posterior aspect of the middle turbinate attachment and is formed anteriorly by the orbital process of the palatine bone, posteriorly by the sphenoid process of the palatine bone and superiorly by the sphenoid body (Fig.
B) Enlarged view. The soft palate has been divided in the midline, and the leaves are reflected laterally. The atlanto-occipital joints and the foramen magnum are located at approximately the level of the hard palate. The anterior arch of C1 and the dens are located behind the oropharynx, and the clivus is located behind the nasopharynx and sphenoid sinus. The prominence over the longus capitis and the anterior arch of C1 is seen through the pharyngeal mucosa. (c) The mucosa lining the posterior pharyngeal wall has been reflected to the right, exposing the longus capitis, which attaches to the clivus and the part of the longus colli that attaches to the anterior arch of C1.
The middle and superior turbinates are appendages of the ethmoid bone. The carotid artery courses along the lateral margin of the sphenoid sinus. The prominence within the sphenoid sinus, formed by the superior orbital fissure, is located anterior to the intracavernous carotid, and the prominence overlying the maxillary nerve is located below the intracavernous carotid. (c) The middle and superior turbinates have been removed to expose the ostia of the maxillary and frontal sinuses. Both open into the middle meatus below the middle turbinate.