By Dr. Peter S. Hechl, Dr. Reuben C. Setliff III, Prof. Dr. Manfred Tschabitscher (auth.)
For the newbie or for the finished sinus medical professional, getting to know the anatomy of the lateral nasal wall is an ongoing problem. even supposing there are very good usual anatomical references and both notable sinus classes with cadaver dissection, a reference depicting the surgical anatomy is required. A step by step surgical procedure at the anterior nasal backbone to the anterior wall of the sphenoid is gifted. The sinus health practitioner is faced with quite a lot of assorted areas created by way of the ethmoid bone. No different bone within the human physique has such a lot of anatomical diversifications. 4 serious anatomical constructions are emphasised because the starting place for an exact method of surgical procedure of the maxillary, anterior ethmoid, frontal, and posterior ethmoid sinuses. The objective of this e-book is to satisfy the great problem of supplying an anatomical technique with a view to serve the sinus health professional of each point of expertise and expertise.
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Extra info for Endoscopic Anatomy of the Paranasal Sinuses
Cut edge of uncinate process at 12 o'clock. ----------------------------~(]~---------------------------- 56 EO 6. The ethmoidal bulla Fig. 2. Right side, zero degree lens, ethmoidal bulla seen following partial resection of uncinate process. Fig. 3. Right side, zero degree lens, ethmoidal bulla; uncinate process has been resected; horizontal portion of basal lamella beneath bulla. --------------------------~~--------------------------- 6. The ethmoidal bulla EB 57 Fig. 4. Right side, 30 degree lens, uncinate process resected, ethmoidal bulla, and sinus lateralis.
The most consistent drainage pattern is from the posterior and medial aspect of the bulla medially into the hiatus semilunaris posterior, anterior to the basal lamella. The external anterior wall of the bulla serves as the posterior limit of the infundibulum. In many instances, a medial and inferior "teardrop" extension of the bulla may be present. The internal posterior anatomy is variable, sometimes presenting with a posterior bony wall and sometimes having the basal lamella as its posterior limit.
2. Left side, zero degree lens, drainage from most inferior and medial portion of middle meatus between middle turbinate and inferior turbinate. 1 1 \ \ \ SE MT , \ ,, ,, ,, , ... ;;1f \, ~\"'\ '" LNW ", , ,, NC Fig. 3. Right side, zero degree lens, middle meatus, a potential space only due to lateralization of middle turbinate. The middle meatus 31 MM Fig. 4. Right side, zero degree lens, middle meatus closed by nasal polyps. ,, ,, , I I MT ! \ II' \-\5 I 'I 1 I I ,, \ \ UP \ \ \ \ \ \ x Fig. 5.