دانلود کتاب سینوس پیشانی – رویکردهای جراحی

The last decade has brought a “democratization” of frontal sinus surgery—more and more people are interested in it, are writing about it, and are practicing it: What used to be the “final frontier” of endoscopic sinus surgery, exclusive domain of a small group of highly specialized rhinologists, is nowpart of the surgical armamentarium of a larger group of otolaryngologists dealing with frontal sinus pathology. This is reflected not only in practice logbooks but also in the success of dedicated frontal sinus courses (such as the Nottingham course) and the growth of publications on frontal sinus surgery over the last decade (a more than doubling in PubMed citations over the last 20 years). This book is both a result and a celebration of this trend. There has been a proliferation of new techniques in conjunction with a better understanding of the role of surgery in the management of inflammatory disease. Although it would be elegant to present the evolution of frontal sinus surgery as a smooth transition from more traumatic (external) approaches to less invasive (intranasal) ones, reality is different: The history of frontal sinus surgery is more like a pendulum—from more extended (open) approaches to more conservative (mini functional endoscopic sinus surgery [FESS 1 ], limited FESS, balloon sinuplasty), and again back to more extended (full house FESS, Draf III, Denker), as better understanding of pathophysiology of what is primarily a medical disease makes us more humble and more open to different approaches. We understand that there is no place for “god-derived truths” in frontal sinus surgery—different approaches can be combined; different techniques, materials, and concepts have their place; and one should be careful in choosing the approach that fits the patient, the pathology, and the surgeon.