[Progress in endoscopic sinus surgery].
Once in the early part of the 20th century, endonasal ethmoidectomy was called as 'easiest way to kill a patient'. Many instruments' advances such as, endoscope, high-vision CCD camera and TV monitor, and power instruments have significantly advanced the ability of surgeons to execute endoscopic sinus surgery (ESS). Recently, image guided operating room equipped with image guided systems and CT scanning, which can reflect anatomic changes during surgery, carrying the promise of increased safety. To successfully perform ESS, the surgeon must have a complete understanding of the complex anatomy of the skull base, nose, and paranasal sinuses. Fresh cadaver dissection in skills laboratory supports both surgeons' anatomical knowledge and technical procedures using actual instruments. Nowadays, ESS has revolutionized the approach for surgery of the paranasal sinuses and has expanded to include endoscopic approaches to the skull base and orbit.
Matsuwaki
Yoshinori
Y
Department of Otorhinolaryngology, Jikei University School of Medicine.
Moriyama
Hiroshi
H
D004724:Endoscopy / Q000379:methods*; D006801:Humans; D010256:Paranasal Sinuses / Q000601:surgery*; D013525:Surgical Instruments