Endoscopic Surgery of the Orbit

Raj Sindwani MD, FACS, FRCS(C) is Vice Chairman and Head of the Section of Rhinology, Sinus and Skull Base Surgery of the Head and Neck Institute at the Cleveland Clinic. He is also Co-Director of the Minimally Invasive Cranial Base and Pituitary Program of the Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center and Fellowship Co-Director of the Advanced Rhinology and Skull Base Surgery Program. Dr. Sindwani is currently President-Elect of the Cleveland Clinic Medical Staff and a member of the Board of Governors. Dr. Sindwani is currently the Editor-in-Chief of the American Journal of Rhinology and Allergy, and past Editor-in-Chief of the Yearbook of Otolaryngology. Dr. Sindwani is an established authority on the medical and surgical management of conditions affecting the sinuses and skull base, and he pioneered endoscopic surgical approaches. He has published and lectured extensively in the field of Rhinology and Skull Base Surgery.

Contents
Preface, vi
Biography, vii
Video Contents, xv
Contributors, xvi
PART 1: Perspectives and Evolution in Techniques, 1
1 Endoscopic Orbital Surgery: The Rhinologist's
Perspective, 2
2 Endoscopic Orbital Surgery: The
Ophthalmologists' Perspective: Formation of
the Ophthalmology-Otolaryngology Team, 6
3 Endoscopic Orbital Surgery: The Neurosurgeon's
Perspective, 10
PART 2: Evaluation, Anatomy, and Imaging, 17
4 Surgical Anatomy of the Orbit, Including the
Intraconal Space, 18
5 Surgical Anatomy of the Nose, Septum,
and Sinuses, 28
6 Rhinologic Evaluation in Orbital and Lacrimal
Disease, 36
7 Ophthalmologic Evaluation in Orbital
and Lacrimal Disease, 41
8 Neuro-Ophthalmologic Evaluation
and Testing, 49
9 Radiologic Evaluation of the Orbit: Computed
Tomography and Magnetic Resonance
Imaging, 68
10 Optimizing Visualization and Localization
During Endoscopic Orbital Surgery, 79
PART 3: Nasolacrimal Duct Obstruction and Endoscopic-DCR, 82
11 Evaluation and Management of Congenital
Nasolacrimal Duct Obstruction, 83
12 Evaluation and Management of Acquired
Nasolacrimal Duct Obstruction, 89
13 Endoscopic Dacrocystorhinostomy, 94
14 Endonasal Dacryocystorhinostomy With Mucosal
Flaps, 99
15 Revision Endoscopic Dacryocystorhinostomy
and Conjunctivodacryocystorhinostomy, 105
16 Endoscopic Management of Pediatric
Nasolacrimal Obstruction, 113
17 Outcomes of Endoscopic Dacryocystorhinostomy
Enhancing the Patency of the Rhinostomy, 118
PART 4: Endoscopic Orbital and Optic Nerve Decompression, 121
18 Thyroid Eye Disease, 122
19 Surgical Indications and Outcomes of Orbital
Decompression Surgery, 132
20 Endoscopic Orbital Decompression, 135
21 Endoscopic Optic Nerve Decompression:
Intracanalicular Portion, 141
22 Complications in Endoscopic Orbital Surgery, 149
23 Postoperative Care of the Endoscopic Orbital
Decompression Patient, 153
Part 5: Endoscopic Intraorbital Surgery and Tumor Resection, 156
24 Endoscopic Endonasal Approaches to the Orbit
and Skull Base in the Coronal Plane, 157
25 Intraorbital Pathology (Tumors) and
Management Strategies, 164
26 Orbital Apex Surgery and Tumor Removal, 175
27 Management of Intraconal Hemangioma:
Techniques and Outcomes, 184
28 Fibro-Osseous Lesions of the Orbit and Optic
Canal, 189
29 Endoscopic Orbital Exenteration, 201
PART 6: Transorbital Techniques, 207
30 Endoscopic Subperiosteal Abscess
Drainage, 208
31 Transorbital Techniques to Frontal Sinus
Diseases, 212
32 Endoscopic Management of Mucoceles With
Significant Orbital Involvement, 216
33 Endoscopic Orbital Fracture Repair, 221
PART 7: Intracranial/Skull Base Surgery and the Optic Apparatus, 227
34 Surgical Anatomy of the Optic Nerves and
Chiasm, 228
35 Transcranial Approaches to the Optic
Apparatus, 233
36 Endoscopic Endonasal Approaches to the Optic
Apparatus: Technique and Pathology, 249
37 Reconstructive Techniques in Endoscopic Skull
Base and Orbital Surgery, 259
38 Transorbital Endoscopic and Neuroendoscopic
Surgery, 267
39 Complications in Endoscopic Skull Base
Surgery, 276
40 Neuromonitoring in Endoscopic Skull Base
Surgery, 281
Index, 288