This book is a comprehensive compendium on the medical and surgical treatment of chronic rhinosinusitis (CRS), with or without polyposis. Detailed coverage is provided of a wide range of topics, including medical and surgical management of CRS and its subsets, medical therapy in the pre- and postoperative period and specific medical therapeutic classes currently employed in CRS patients. Each chapter highlights key aspects of specific therapies, including mechanism of action, indications, dosages, side-effects and available clinical efficacy data and emphasizes practical management pearls and pitfalls. Operative techniques for endoscopic sinonasal procedures for CRS are also outlined. The book will be a valuable resource for practicing general otolaryngologists, rhinologists and allergists as well as residents and fellows in training. It will also serve as a reference guide for physician assistants, nurse practitioners and nurses involved in the care of CRS patients.
- First comprehensive primer on the medical and surgical management of chronic sinusitis
- Detailed treatment algorithms for practitioners
- Practical pearls and pitfalls for each treatment modality
- Representative color images illustrating the impact of medical modalities and surgical techniques on the underlying disease process
Epidemiology and Pathophysiology of Chronic Rhinosinusitis.- Microbiology of CRS.- Endoscopic Diagnosis of Chronic Rhinosinusitis.- Radiographic Diagnosis of Chronic Rhinosinusitis.-Classification of Chronic Rhinosinusitis and its Subsets.- Nasal Polyposis.- Fungal Rhinosinusitis.- Management of FESS Failures.- Pediatric Sinusitis.- Allergic Rhinitis.- Asthma.- Therapeutic Modalities for CRS.- Overview of Medical Treatment of CRS.- Oral Antibiotics as Anti-Infectives.- Oral Antibiotics as Anti-Inflammatories.- Topical and Intravenous Antibiotics.- Oral Steroids.- Topical Steroids.- Oral and Topical Antifungals.- Leukotriene Modifiers.- Aspirin desensitization.- Saline Irrigations.- Emerging Innovative Medical Therapies.- Endoscopic Sinus Surgery as Adjunct to Medical Therapy.- Endoscopic Sinus Surgery: Rationale, Indications, and Technique.- Medical Therapy in Preoperative and Postoperative Period.- Surgery for Maxillary Sinus Disease.- Ethmoid Sinus Surgery.- Surgery for Frontal Sinus Disease.- Surgery for Sphenoid Sinus Disease .- Surgery for Nasal Polyposis.- Surgery for Fungal Rhinosinusitis.- Surgery for Pediatric Sinusitis.- Surgery of the Nasal Septum and Turbinates.
Pete S. Batra, MD, FACS, is Associate Professor in the Department of Otolaryngology – Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas, where he is Co-Director of the Comprehensive Skull Base Program. Dr. Batra is also a Clinical Associate Member of the Harold C. Simmons Comprehensive Cancer Center at Dallas. His previous positions include Section Head for Nasal and Sinus Disorders, Head and Neck Institute, Cleveland Clinic Foundation. He is board certified by the American Board of Otolaryngology and is a Fellow of The Triologic Society, the American College of Surgeons, the American Rhinologic Society and the American Academy of Otolaryngology. Dr. Batra was cited in Best Doctors in America in 2011-12 and 2012-13 and has been the recipient of an Honor Award from the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS). He is a member of the AAO-HNS Rhinology and Paranasal Sinus Committee and Skull Base Surgery Committee and a board member of the American Rhinologic Society. Dr. Batra is an editorial board member for the American Journal of Rhinology and Allergy and is the lead or co-author of more than 80 peer-reviewed articles.