essentials of rhinology

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Essentials of Rhinology

Hitesh Verma • Alok ThakarEditors

Essentials of Rhinology

ISBN 978-981-33-6283-3 ISBN 978-981-33-6284-0 (eBook)https://doi.org/10.1007/978-981-33-6284-0

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2021This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.The publishers, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publishers nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publishers remain neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

EditorsHitesh VermaDepartment of OtorhinolaryngologyAll India Institute of Medical SciencesNew Delhi India

Alok ThakarDepartment of OtorhinolaryngologyAll India Institute of Medical ScienceNew Delhi India

Jointly published with Byword Books

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Rhinology has been perhaps the most rapidly involving subspecialty in oto-rhinolaryngology over the last few decades. Essentials of Rhinology is an up-to-date and excellently illustrated text on the subject which captures the essence of contemporary rhinology. As a multi-author book, led by the team of Dr. Hitesh Verma and Dr. Alok Thakar at AIIMS New Delhi, it brings together the experience of many recognized pioneers and experts from the Indian subcontinent.

The book expands its scope beyond the conventional by including sections on rhinological instruments, biofilms, packing materials, surgical cavity man-agement, open transcranial skull base surgery, and a detailed description of complications and their management. Authors from allied specialties have contributed to sections on diagnostic microbiology, intervention radiology, and nuclear medicine in sino-nasal diseases. Controversies are covered in a comprehensive and balanced manner.

My congratulations to the editors in compiling this excellent textbook on the subject. It serves both as a textbook on fundamental aspects of the subject and as a reference guide for the recent advancements in the field.

Naresh PandaDepartment of Otolaryngology

PGIMER Chandigarh, India

Foreword

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The nose is an amazing organ. It undertakes humidification, filtration, and heat exchange of inhaled air. It communicates with the four pairs of paranasal sinuses to enable vocal resonance, allow spacing for the brain and eyes, and enable protection of these structures from trauma. The exact dynamics relat-ing to its contribution of inspiratory and expiratory resistance in respiration and ventilatory physiology and sleep disordered breathing are yet not fully apparent. Rhinology has benefited enormously from recent improved diag-nostic tools and refinement of surgical techniques. The field of rhinology has matured and evolved in the last two decades, but it does seem that there is yet some way to go for its complete understanding.

This book is an attempt to capture the state of current knowledge in the subject. It focuses on the basic principles of diagnosis and treatment, and supplements on these with recent developments. Sections from allied special-ties including microbiology, nuclear medicine, and interventional radiology are designed to enable integrated care. Sinusitis, as the most common clinical entity encountered by the practicing rhinologist, is discussed in detail, and lessons from the past regarding the practice of non-endoscopic external sinus procedures in current times are well covered.

We would hope and expect that the book shall provide rhinologists with a template for contemporary care for their patients and also enable a basic understanding of principles so as to be able to evaluate and adopt newer developments as they become available.

New Delhi, India Hitesh Verma Alok Thakar

Preface

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1 Endoscopic Anatomy and Surgery . . . . . . . . . . . . . . . . . . . . . . . . 1Hitesh Verma, Smita Manchanda, Sunil Kumar, Vaibhav Saini, Debesh Bhoi, Nagesh Tangirala, Abha Kumari, and Anandita Gupta

2 Rhinoplasty Anatomy and Procedures . . . . . . . . . . . . . . . . . . . . . 31Arvind K. Kairo, Saurav Sarkar, Anindya Nayak, Prateek Sharma, and Rakesh Kumar

3 Nasal Physiology and Sinusitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49K. Davraj, Mayank Yadav, Preetam Chappity, Prity Sharma, Mohnish Grover, Shitanshu Sharma, Tanmaya Kataria, Kranti Bhawna, Anand Pendakur, Gurbax Singh, David Victor Kumar Irugu, Anoop Singh, and Nitin Gupta

4 Granulomatous Disease and Faciomaxillary Trauma . . . . . . . . . 103Gaurav Gupta, Pooja D. Nayak, Manju Silu, Shashank Nath Singh, and Harpreet Kocher

5 Diagnostic Method and Instrumentation in Rhinology . . . . . . . . 121Gagandeep Singh, Immaculata Xess, Ankur Goyal, Ashu Seith Bhalla, Shamim Ahmed Shamim, Hitender Gautam, Zareen Lynrah, Pradip Kumar Tiwari, Ripu Daman Arora, Nikhil Singh, and Nitin M. Nagarkar

6 Tumours of Nose and Paranasal Sinuses . . . . . . . . . . . . . . . . . . . 157Gyan Nayak, Hitesh Verma, Rakesh Kumar, Rupa Mehta, Nikhil Singh, Kuldeep Thakur, Kapil Sikka, Anchal Kakkar, and Deepali Jain

7 Extended Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203Pankuri Mittal, Hitesh Verma, Amit Kesari, R. S. Virk, Kshitiz Charya, Smriti Panda, Alok Thakar, Rajesh Kumar Meena, Ramesh S. Doddamani, Manish Gupta, Rohit Verma, Vikas Gupta, Ganakalyan Behera, Amit Shanker, Namrita Mahmi, M. Ravi Sankar, and Arulalan Mathialagan

Contents

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8 Prevention and Management of Complications . . . . . . . . . . . . . . 277Anupam Kanodia, Hitesh Verma, Avni Jain, Gopica Kalsotra, Sheetal Kumari, Sonu Kumari Agrawal, Hitender Gautam, Darwin Kaushal, Abhishek Gugliani, and Jaini Lodha

9 Septum, Adenoid, and Epistaxis . . . . . . . . . . . . . . . . . . . . . . . . . . 309Ravneet Singh, Hitesh Verma, Shashikant Paul, Sanjeev Bhagat, and Vishal Sharma

10 Radiotherapy, Chemotherapy, and Quality of Life . . . . . . . . . . . 329Bharti Devnani, Suman Bhasker, Raja Pramanik, Surya Prakash Vadlamani, and Suresh Mani

Contents

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Hitesh  Verma MBBS (SMS Medical College, Jaipur), MS (PGIMER), DNB, MBA (IGNOU), is working as Associate Professor of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi. The focus of his work has been on rhinology and skull base surgery, sleep sur-gery, and airway surgeries. Dr. Hitesh’s research has included three funded research projects and more than 70 research publications. He has also received gold medal and Junior Consultant Award by the Indian Rhinology and Delhi AOI society.

Alok Thakar MBBS (AIIMS), MS (AIIMS), DNB, DLO (London), FRCS (Edinburgh), is the Professor and Head of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi. He worked as a Specialist Registrar and a Skull Base Fellow-Commonwealth Fellow in the UK.  Dr. Thakar’s research includes 11 funded research projects, more than 250 research publications, with 2200 citations, and 2 patent applications. He has also received Shakuntala Amir Chand Award by the ICMR and a Gold Medal by the NES Society of India.

About the Editors

xiii

Abha  Kumari ENT, Command Hospital, Kolkata, West Bengal, India e-mail: abhak12@gmail.com

Abhishek Gugliani ENT, AIIMS, Jodhpur, Rajasthan, Indiae-mail: abhishekgugliani@gmail.com

Amit Kesari Neurootology, SGPGIMS, Lucknow, UP, Indiae-mail: amitkeshri2000@yahoo.com

Amit  Shanker ENT, Brighton and Sussex University Hospital NHS, Brighton, UKe-mail: shankarpgi22@yahoo.com

Anand Pendakur Allergy Asthma ENT Clinic, Bangalore, Karnataka, Indiae-mail: pendakur.anand@gmail.com

Anandita  Gupta ENT, Army College of Medical Sciences, New Delhi, Indiae-mail: anandita0508@gmail.com

Anchal Kakkar Pathology, AIIMS, New Delhi, Indiae-mail: aanchalkakkar@gmail.com

Anindya Nayak ENT, AIIMS, Bhubaneswar, Odisha, Indiae-mail: anindaa_nayak30690@yahoo.in

Ankur Goyal Radiology, AIIMS, New Delhi, Indiae-mail: ankurgoyalaiims@gmail.com

Alok Thakar Department of ENT, AIIMS, New Delhi, Indiae-mail: drathakar@gmail.com

Anoop Singh ENT, AIIMS, New Delhi, Indiae-mail: anoop.aiims1@gmail.com

Anupam Kanodia ENT, AIIMS, New Delhi, Indiae-mail: kanodiaanupam@gmail.com

Arulalan Mathialagan Neurootology, SGPGIMS, Lucknow, UP, Indiae-mail: arulalan87@gmail.com

Arvind K. Kairo ENT, AIIMS, New Delhi, Indiae-mail: arvindkairo@yahoo.com

List of Contributors

xiv

Ashu Seith Bhalla Radiology, AIIMS, New Delhi, Indiae-mail: ashubhalla1@yahoo.com

Avni  Jain ENT, ESIC Medical College Faridabad, Faridabad, Haryana, Indiae-mail: avanijain87@hotmail.com

Bharti Devnani Radiotherapy, AIIMS, New Delhi, Indiae-mail: bhartidevnani@gmail.com

Darwin Kaushal ENT, AIIMS, Jodhpur, Rajasthan, Indiae-mail: drdarwin.aiims@gmail.com

David Victor Kumar Irugu ENT, AIIMS, New Delhi, Indiae-mail: irugudavid72kumar@rediffmail.com

Debesh  Bhoi Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, Indiae-mail: debeshbhoi@gmail.com

Deepali Jain Pathology, AIIMS, New Delhi, Indiae-mail: deepalijain76@gmail.com

Gagandeep Singh Microbiology, AIIMS, New Delhi, Indiae-mail: drgagandeep@gmail.com

Ganakalyan Behera ENT, AIIMS, Bhopal, MP, Indiae-mail: drganakalyan@gmail.com

Gaurav Gupta ENT, SP Medical College, Bikaner, Rajasthan, Indiae-mail: drgauravgupta24@gmail.com

Gopica Kalsotra ENT, GMC, Jammu, Indiae-mail: drgopikapgimer@gmail.comm

Gurbax Singh ENT, GGS Medical College and Hospital, Faridkot, Punjab, Indiae-mail: drgurbax@gmail.com

Gyan Nayak ENT, PGIMER, Chandigarh, Indiae-mail: gyani.nayak@gmail.com

Harpreet Kocher ENT, Yatharth Superspeciality Hospital, Greater Noida, UP, Indiae-mail: hpskochar@gmail.com

Hitender Gautam Microbiology, AIIMS, New Delhi, Indiae-mail: drhitender@gmail.com

Hitesh Verma ENT, AIIMS, New Delhi, India

Department of ENT, AIIMS, New Delhi, Indiae-mail: drhitesh10@gmail.com

Immaculata Xess Microbiology, AIIMS, New Delhi, Indiae-mail: immaxess@gmail.com

List of Contributors

xv

Jaini  Lodha ENT, Seven Hills Hospital, Andheri East Mumbai, Maharashtra, Indiae-mail: jainilodha@gmail.com

K. Davraj ENT, KMC, Manipal, Karnataka, Indiae-mail: deardrdr@gmail.com

Kapil Sikka ENT, AIIMS, New Delhi, Indiae-mail: kapil_sikka@yahoo.com

Kranti Bhawna ENT, AIIMS, Patna, Bihar, Indiae-mail: bhavana.kranti@gmail.com

Kshitiz Charya Indus Hospital, Mohali, Punjab, Indiae-mail: charaya.k@gmail.com

Kuldeep Thakur ENT, AIIMS, New Delhi, Indiae-mail: drkuldeep70@gmail.com

M. Ravi Sankar Neurootology, SGPGIMS, Lucknow, UP, Indiae-mail: drravisankarpgi@gmail.com

Manish Gupta ENT, MMIMSR, MMU, Ambala, Haryana, Indiae-mail: manishgupta1217@gmail.com

Manju Silu ENT, SP Medical College, Bikaner, Rajasthan, Indiae-mail: manjusilu35@gmail.com

Mohnish Grover ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: drmohnish.aiims@gmail.com

Mayank Yadav ENT, SHKM GMC, Nalhar, Nuh, Haryana, Indiae-mail: drmayankyadav@yahoo.co.in

Nagesh  Tangirala Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, Indiae-mail: nag947@gmail.com

Namrita Mahmi Department of ENT, AIIMS, New Delhi, Indiae-mail: namritamehmi@gmail.com

Nikhil Singh ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: doc.niks03@gmail.com

Nitin Gupta ENT, GMCH, Chandigarh, Indiae-mail: nitinent123@gmail.com

Nitin M. Nagarkar ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: nmnent63@gmail.com

Pankuri Mittal Department of ENT, AIIMS, New Delhi, Indiae-mail: mamc.pankhuri@gmail.com

Pooja D. Nayak ENT, SP Medical College, Bikaner, Rajasthan, Indiae-mail: poomahe2007@gmail.com

Pradip Kumar Tiwari ENT, NIGRIMS, Shillong, Meghalaya, Indiae-mail: dr.pradiptiwari@gmail.com

List of Contributors

xvi

Prateek Sharma ENT, AIIMS, New Delhi, Indiae-mail: drprateeksharma.mamc@gmail.com

Preetam Chappity ENT, AIIMS, Bhubaneswar, Odisha, Indiae-mail: drcpreetam@aiimsbhubaneswar.edu.in

Prity Sharma ENT, AIIMS, Bhubaneswar, Odisha, Indiae-mail: sharmaprity21@gmail.com

R. S. Virk ENT, PGIMER, Chandigarh, Indiae-mail: virkdoc@hotmail.com

Raja Pramanik Medical Oncology, Dr.B.R.A-IRCH, AIIMS, New Delhi, Indiae-mail: drrajapramanik@gmail.com

Rajesh Kumar Meena Neurosurgery, AIIMS, New Delhi, Indiae-mail: drrajeshmeena165@gmail.com

Rakesh Kumar ENT, AIIMS, New Delhi, Indiae-mail: winirk@hotmail.com

Ramesh S. Doddamani Neurosurgery, AIIMS, New Delhi, Indiae-mail: drsdramesh@gmail.com

Ravneet Singh ENT, GMCH, Chandigarh, Indiae-mail: ravneetrverma@gmail.com

Ripu Daman Arora ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: neelripu@gmail.com

Rohit Verma ENT, DMC, Ludhiana, Punjab, Indiae-mail: rohitaiims@yahoo.co.in

Rupa Mehta ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: rmehta0409@yahoo.com

Sanjeev Bhagat ENT, Rajindra Hospital Patiala, Patiala, Punjab, Indiae-mail: sbent224@gmail.com

Saurav Sarkar ENT, AIIMS, Bhubaneswar, Odisha, Indiadoc.sauravsarkar@gmail.com

Shamim Ahmed Shamim Nuclear Medicine, AIIMS, New Delhi, Indiae-mail: sashamim2002@gmail.com

Shashank Nath Singh ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: drshashanknathsingh@gmail.com

Shashikant Paul ENT, JIPMER, Pondicherry, Indiae-mail: drshashikantpol@gmail.com

Sheetal Kumari ENT, GMC, Jammu, Indiae-mail: gphonshashetal@gmail.com

Shitanshu Sharma ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: shsharma811@gmail.com

List of Contributors

xvii

Smita Manchanda Radiology, AIIMS, New Delhi, Indiae-mail: smitamanchanda@gmail.com

Smriti Panda Department of ENT, AIIMS, New Delhi, Indiae-mail: smriti.panda.87@gmail.com

Sonu Kumari Agrawal Microbiology, AIIMS, New Delhi, Indiae-mail: drhitender@gmail.com

Suman Bhasker Radiotherapy, AIIMS, New Delhi, Indiae-mail: drsumanbhasker@gmail.com

Sunil Kumar ENT, LHMC, New Delhi, Indiae-mail: suku321@rediffmail.com

Suresh Mani ENT, CMC, Vellore, Tamil Nadu, Indiae-mail: msuresh.doc@gmail.com

Surya  Prakash  Vadlamani Medical Oncology, Dr.B.R.A-IRCH, AIIMS, New Delhi, Indiae-mail: vadlamanisuryaprakash@gmail.com

Tanmaya Kataria ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: tanmayakataria@gmail.com

Vaibhav Saini ENT, AIIMS, Bhatinda, Punjab, Indiae-mail: drvaibhavsaini@gmail.com

Vikas Gupta ENT, AIIMS, Bhopal, MP, Indiae-mail: vikasmsent@gmail.com

Vishal Sharma ENT, Rajindra Hospital Patiala, Patiala, Punjab, Indiae-mail: drvishalsharma2@gmail.com

Zareen Lynrah ENT, NIGRIMS, Shillong, Meghalaya, Indiae-mail: zareenalynrah@gmail.com

List of Contributors

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