Endonasal Microsurgery of the Paranasal Sinuses and the Anterior Skull Base

Endoscopic Sinus and Skull Base Surgery – Introduction

• A step by step practical guide: Who? When? Why? How?

• Terminology and classification of surgical procedures
  

Endoscopic Technique
Bimanual and Video controlled

Cadaver dissection
Introduction of Endoscopes and Instrumentation, Nasal endoscopy

Infundibulotomy, partial anterior ethmoidectomy
Introduction and surgical technique

Cadaver dissection

Infundibulotomy, partial anterior ethmoidectomy
(right side of the cadaver specimen!)

Selected specimens
demonstrated by the Institute of Anatomy

Surgical anatomy of the frontal recess
Fronto-ethmoidectomy – Introduction and surgical technique

Cadaver dissection

Fronto-ethmoidectomy
(right side of the cadaver specimen!)

Extended sinus surgery and beyond

Dacryocystorhinostomy
Introduction and surgical technique

Cadaver dissection

Dacryocystorhinostomy
(right side of the cadaver specimen!)

Pathogenesis of sinusitis

Spheno-ethmoidectomy
Introduction and surgical technique

Cadaver dissection

• Spheno-ethmoidectomy
  (right side of the cadaver specimen!)

• Skullbase Part 1

Imaging of the paranasal sinuses
Preoperative "Check-List"

Pre- and postoperative management of chronic rhino-sinusitis

Cadaver dissection

Infundibulotomy, partial anterior ethmoidectomy,
fronto-ethmoidectomy, spheno-ethmoidectomy
(left side of the cadaver specimen!)

Selected specimens
demonstrated by the Institute of Anatomy

Olfaction in endonasal sinus surgery

Endonasal tumour surgery
Achievements and perspectives

08.30

Surgical anatomy of the frontal sinus
Fronto-ethmoidectomy with frontal sinus drainage procedure (FSDP)
Introduction and surgical technique

09.00

Navigation in Sinus and Skull Base Surgery

09.30

Cadaver dissection

Fronto-ethmoidectomy with frontal sinus drainage procedures
(right side of the cadaver specimen!)

10.30

11.00

Facial pain, indication for surgery

11.45

Cadaver dissection

Infundibulotomy – , partial anterior ethmoidectomy – ,
fronto-ethmoidectomy – dacryocystorhinostomy continued
(left side of the cadaver specimen!)

12.30

13.30

“Hints” in endoscopic sinus surgery

14.00

Complications of endoscopic sinus surgery

14.30

Cadaver dissection

Endonasal management of the sphenopalatine artery, ligation of the ethmoidal arteries, lateral canthotomy and cantholysis for severe orbital hemathoma Endonasal medial maxillectomy, Anterior skull base surgery

16.00

16.30

Imaging of the paranasal sinuses –
Value of CT and MRI in selected sinus diseases

17.00

Open discussion with the faculty