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Orbital floor blow-out fractures occur in repeatable patterns that can be classified as either medial or lateral to the infraorbital nerve. Medial fractures are the most common and are amenable to endoscopic repair, while lateral fractures are not. The keys to successful surgical repair of these...
Objective To describe and analyze outcomes of the “multilayer centripetal technique” and “cranioendoscopic technique” in the treatment of malignancies of the sinonasal tract.
Surgical approaches to the petrous apex include transtemporal, middle cranial fossa, and transsphenoidal approaches. Lateral approaches risk brain injury, facial paralysis, and loss of hearing and vestibular function. Recent advances in minimally invasive surgery with the use of intraoperative...
Traditional approaches to the pterygopalatine fossa have required invasive techniques that result in significant patient morbidity. The advent of endoscopic endonasal surgery overcomes many of the limitations needed to reach the relatively inaccessible pterygopalatine fossa. We describe our...
Indirect traumatic blindness is often associated with closed head injuries and specifically with blows to the cheekbone and the forehead area above the eyebrow. Mainstay therapy includes corticosteroids with surgery reserved for persistant blindness and when appropriate instruments and...
Vidian neurectomy was first described for the treatment of intractable vasomotor rhinitis in the 1960s but fell into disrepute because of the recurrence of symptoms and significant complications. With subsequent improvements in the understanding of the nasal and sinus anatomy, endoscopic vidian...
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