essentials of rhinology
TRANSCRIPT
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.
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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
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Abha Kumari ENT, Command Hospital, Kolkata, West Bengal, India e-mail: [email protected]
Abhishek Gugliani ENT, AIIMS, Jodhpur, Rajasthan, Indiae-mail: [email protected]
Amit Kesari Neurootology, SGPGIMS, Lucknow, UP, Indiae-mail: [email protected]
Amit Shanker ENT, Brighton and Sussex University Hospital NHS, Brighton, UKe-mail: [email protected]
Anand Pendakur Allergy Asthma ENT Clinic, Bangalore, Karnataka, Indiae-mail: [email protected]
Anandita Gupta ENT, Army College of Medical Sciences, New Delhi, Indiae-mail: [email protected]
Anchal Kakkar Pathology, AIIMS, New Delhi, Indiae-mail: [email protected]
Anindya Nayak ENT, AIIMS, Bhubaneswar, Odisha, Indiae-mail: [email protected]
Ankur Goyal Radiology, AIIMS, New Delhi, Indiae-mail: [email protected]
Alok Thakar Department of ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Anoop Singh ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Anupam Kanodia ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Arulalan Mathialagan Neurootology, SGPGIMS, Lucknow, UP, Indiae-mail: [email protected]
Arvind K. Kairo ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
List of Contributors
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Ashu Seith Bhalla Radiology, AIIMS, New Delhi, Indiae-mail: [email protected]
Avni Jain ENT, ESIC Medical College Faridabad, Faridabad, Haryana, Indiae-mail: [email protected]
Bharti Devnani Radiotherapy, AIIMS, New Delhi, Indiae-mail: [email protected]
Darwin Kaushal ENT, AIIMS, Jodhpur, Rajasthan, Indiae-mail: [email protected]
David Victor Kumar Irugu ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Debesh Bhoi Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, Indiae-mail: [email protected]
Deepali Jain Pathology, AIIMS, New Delhi, Indiae-mail: [email protected]
Gagandeep Singh Microbiology, AIIMS, New Delhi, Indiae-mail: [email protected]
Ganakalyan Behera ENT, AIIMS, Bhopal, MP, Indiae-mail: [email protected]
Gaurav Gupta ENT, SP Medical College, Bikaner, Rajasthan, Indiae-mail: [email protected]
Gopica Kalsotra ENT, GMC, Jammu, Indiae-mail: [email protected]
Gurbax Singh ENT, GGS Medical College and Hospital, Faridkot, Punjab, Indiae-mail: [email protected]
Gyan Nayak ENT, PGIMER, Chandigarh, Indiae-mail: [email protected]
Harpreet Kocher ENT, Yatharth Superspeciality Hospital, Greater Noida, UP, Indiae-mail: [email protected]
Hitender Gautam Microbiology, AIIMS, New Delhi, Indiae-mail: [email protected]
Hitesh Verma ENT, AIIMS, New Delhi, India
Department of ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Immaculata Xess Microbiology, AIIMS, New Delhi, Indiae-mail: [email protected]
List of Contributors
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Jaini Lodha ENT, Seven Hills Hospital, Andheri East Mumbai, Maharashtra, Indiae-mail: [email protected]
K. Davraj ENT, KMC, Manipal, Karnataka, Indiae-mail: [email protected]
Kapil Sikka ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Kranti Bhawna ENT, AIIMS, Patna, Bihar, Indiae-mail: [email protected]
Kshitiz Charya Indus Hospital, Mohali, Punjab, Indiae-mail: [email protected]
Kuldeep Thakur ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
M. Ravi Sankar Neurootology, SGPGIMS, Lucknow, UP, Indiae-mail: [email protected]
Manish Gupta ENT, MMIMSR, MMU, Ambala, Haryana, Indiae-mail: [email protected]
Manju Silu ENT, SP Medical College, Bikaner, Rajasthan, Indiae-mail: [email protected]
Mohnish Grover ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: [email protected]
Mayank Yadav ENT, SHKM GMC, Nalhar, Nuh, Haryana, Indiae-mail: [email protected]
Nagesh Tangirala Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, Indiae-mail: [email protected]
Namrita Mahmi Department of ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Nikhil Singh ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: [email protected]
Nitin Gupta ENT, GMCH, Chandigarh, Indiae-mail: [email protected]
Nitin M. Nagarkar ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: [email protected]
Pankuri Mittal Department of ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Pooja D. Nayak ENT, SP Medical College, Bikaner, Rajasthan, Indiae-mail: [email protected]
Pradip Kumar Tiwari ENT, NIGRIMS, Shillong, Meghalaya, Indiae-mail: [email protected]
List of Contributors
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Prateek Sharma ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Preetam Chappity ENT, AIIMS, Bhubaneswar, Odisha, Indiae-mail: [email protected]
Prity Sharma ENT, AIIMS, Bhubaneswar, Odisha, Indiae-mail: [email protected]
R. S. Virk ENT, PGIMER, Chandigarh, Indiae-mail: [email protected]
Raja Pramanik Medical Oncology, Dr.B.R.A-IRCH, AIIMS, New Delhi, Indiae-mail: [email protected]
Rajesh Kumar Meena Neurosurgery, AIIMS, New Delhi, Indiae-mail: [email protected]
Rakesh Kumar ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Ramesh S. Doddamani Neurosurgery, AIIMS, New Delhi, Indiae-mail: [email protected]
Ravneet Singh ENT, GMCH, Chandigarh, Indiae-mail: [email protected]
Ripu Daman Arora ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: [email protected]
Rohit Verma ENT, DMC, Ludhiana, Punjab, Indiae-mail: [email protected]
Rupa Mehta ENT, AIIMS, Raipur, Chhattisgarh, Indiae-mail: [email protected]
Sanjeev Bhagat ENT, Rajindra Hospital Patiala, Patiala, Punjab, Indiae-mail: [email protected]
Saurav Sarkar ENT, AIIMS, Bhubaneswar, Odisha, [email protected]
Shamim Ahmed Shamim Nuclear Medicine, AIIMS, New Delhi, Indiae-mail: [email protected]
Shashank Nath Singh ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: [email protected]
Shashikant Paul ENT, JIPMER, Pondicherry, Indiae-mail: [email protected]
Sheetal Kumari ENT, GMC, Jammu, Indiae-mail: [email protected]
Shitanshu Sharma ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: [email protected]
List of Contributors
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Smita Manchanda Radiology, AIIMS, New Delhi, Indiae-mail: [email protected]
Smriti Panda Department of ENT, AIIMS, New Delhi, Indiae-mail: [email protected]
Sonu Kumari Agrawal Microbiology, AIIMS, New Delhi, Indiae-mail: [email protected]
Suman Bhasker Radiotherapy, AIIMS, New Delhi, Indiae-mail: [email protected]
Sunil Kumar ENT, LHMC, New Delhi, Indiae-mail: [email protected]
Suresh Mani ENT, CMC, Vellore, Tamil Nadu, Indiae-mail: [email protected]
Surya Prakash Vadlamani Medical Oncology, Dr.B.R.A-IRCH, AIIMS, New Delhi, Indiae-mail: [email protected]
Tanmaya Kataria ENT, SMS Medical College, Jaipur, Rajasthan, Indiae-mail: [email protected]
Vaibhav Saini ENT, AIIMS, Bhatinda, Punjab, Indiae-mail: [email protected]
Vikas Gupta ENT, AIIMS, Bhopal, MP, Indiae-mail: [email protected]
Vishal Sharma ENT, Rajindra Hospital Patiala, Patiala, Punjab, Indiae-mail: [email protected]
Zareen Lynrah ENT, NIGRIMS, Shillong, Meghalaya, Indiae-mail: [email protected]
List of Contributors