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Article
September 1989

Microscopic Endonasal Surgery of the Paranasal Sinuses and the Parasellar Region

Author Affiliations

From the Departments of Otolaryngology (Drs Amedee and Mann) and Neurosurgery (Dr Gilsbach), University of Freiburg (West Germany) Medical School. Dr Amedee is now with the Tulane University Medical Center, New Orleans, La.

Arch Otolaryngol Head Neck Surg. 1989;115(9):1103-1106. doi:10.1001/archotol.1989.01860330093025
Abstract

• The anatomic principles and operative techniques currently applied to functional endoscopic endonasal surgery have allowed for significant refinements in another approach to regional pathology that uses the operating microscope, newly designed sinus instruments, and a self-retaining nasal speculum system. The main benefits of this method are the superb widefield stereoscopic vision and the distinct freedom to work bimanually. Additionally, direct bipolar cautery of bleeders is afforded while use of the observer tube or video allows for excellent teaching. The precise nature of this surgery affords less fear of serious complications in the treatment of periorbital, paranasal sinus, and parasellar diseases. We describe technical aspects of the surgery and associated complications in 219 patients treated from 1984 to 1987.

(Arch Otolaryngol Head Neck Surg. 1989;115:1103-1106)

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