Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.
1. Cover image - p. Cover 2. Title page - p. Cover 3. Table of Contents - p. Cover 4. Copyright - p. Cover 5. CME Accreditation Page - p. Cover 6. Contributors - p. Cover 7. Forthcoming Issues - p. Cover 8. Preface. Hemostasis in Otolaryngology—Head and Neck Surgery - p. Cover 9. Preoperative Assessment of Risk Factors - p. Cover 10. Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery - p. Cover 11. Blood-Sparing Techniques in Head and Neck Surgery - p. Cover 12. Quality Control Approach to Anticoagulants and Transfusion - p. Cover 13. Hemostatic Materials and Devices - p. Cover 14. Surgical Adhesives in Facial Plastic Surgery - p. Cover 15. Hemostasis in Pediatric Surgery - p. Cover 16. Hemostasis in Tonsillectomy - p. Cover 17. Surgical Management of Severe Epistaxis - p. Cover 18. Treatment of Hereditary Hemorrhagic Telangiectasia–Related Epistaxis - p. Cover 19. Hemostasis in Endoscopic Sinus Surgery - p. Cover 20. Hemostasis in Skull Base Surgery - p. Cover 21. Hemostasis in Airway Surgery: Adult and Pediatric - p. Cover 22. Hemostasis in Laryngeal Surgery - p. Cover 23. Hemostatic Options for Transoral Robotic Surgery of the Pharynx and Base of Tongue - p. Cover 24. Thyroidectomy Hemostasis - p. Cover 25. Hemostasis in Otologic and Neurotologic Surgery - p. Cover 26. Hemostasis in Orbital Surgery - p. Cover 27. Managing Vascular Tumors—Open Approaches - p. Cover 28. Endoscopic Management of Vascular Sinonasal Tumors, Including Angiofibroma - p. Cover 29. Management of Major Vascular Injury: Open - p. Cover 30. Management of Major Vascular Injury During Endoscopic Endonasal Skull Base Surgery - p. Cover 31. Management of Carotid Blowout from Radiation Necrosis - p. Cover 32. Endovascular Management of Diseases in Relation to Otolaryngology - p. Cover 33. Education and Training in Hemostasis: Perspectives of the Early Practitioner and Expert Practitioner - p. Cover 34. Simulation Training for Vascular Emergencies in Endoscopic Sinus and Skull Base Surgery - p. Cover 35. Index - p. Cover
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Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.
1. Cover image - p. Cover 2. Title page - p. Cover 3. Table of Contents - p. Cover 4. Copyright - p. Cover 5. CME Accreditation Page - p. Cover 6. Contributors - p. Cover 7. Forthcoming Issues - p. Cover 8. Preface. Hemostasis in Otolaryngology—Head and Neck Surgery - p. Cover 9. Preoperative Assessment of Risk Factors - p. Cover 10. Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery - p. Cover 11. Blood-Sparing Techniques in Head and Neck Surgery - p. Cover 12. Quality Control Approach to Anticoagulants and Transfusion - p. Cover 13. Hemostatic Materials and Devices - p. Cover 14. Surgical Adhesives in Facial Plastic Surgery - p. Cover 15. Hemostasis in Pediatric Surgery - p. Cover 16. Hemostasis in Tonsillectomy - p. Cover 17. Surgical Management of Severe Epistaxis - p. Cover 18. Treatment of Hereditary Hemorrhagic Telangiectasia–Related Epistaxis - p. Cover 19. Hemostasis in Endoscopic Sinus Surgery - p. Cover 20. Hemostasis in Skull Base Surgery - p. Cover 21. Hemostasis in Airway Surgery: Adult and Pediatric - p. Cover 22. Hemostasis in Laryngeal Surgery - p. Cover 23. Hemostatic Options for Transoral Robotic Surgery of the Pharynx and Base of Tongue - p. Cover 24. Thyroidectomy Hemostasis - p. Cover 25. Hemostasis in Otologic and Neurotologic Surgery - p. Cover 26. Hemostasis in Orbital Surgery - p. Cover 27. Managing Vascular Tumors—Open Approaches - p. Cover 28. Endoscopic Management of Vascular Sinonasal Tumors, Including Angiofibroma - p. Cover 29. Management of Major Vascular Injury: Open - p. Cover 30. Management of Major Vascular Injury During Endoscopic Endonasal Skull Base Surgery - p. Cover 31. Management of Carotid Blowout from Radiation Necrosis - p. Cover 32. Endovascular Management of Diseases in Relation to Otolaryngology - p. Cover 33. Education and Training in Hemostasis: Perspectives of the Early Practitioner and Expert Practitioner - p. Cover 34. Simulation Training for Vascular Emergencies in Endoscopic Sinus and Skull Base Surgery - p. Cover 35. Index - p. Cover
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