Plural Publishing produces leading academic, scientific and clinical publications in the fields of speech-language pathology, audiology, and otolaryngology.


Endoscopic Sinus Surgery
Optimizing Outcomes and Avoiding Failures

Edited by: Rodney J. Schlosser, Richard J. Harvey
384 pages, Color Illustrations (4 Color), Hardcover, 8.5 x 11"
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BOOK COMES WITH A DVD CONTAINING SURGICAL VIDEOS. Click here to view a sample video on YouTube.

The goal of this book is to highlight areas from the broad spectrum of rhinology, beginning with the initial history and physical examination through the diagnostic work up, medical and surgical management and identification of potential pitfalls that may arise in order to minimize treatment failures. The authors of these chapters represent a generation of dedicated rhinologists who build upon the contribution to the field by pioneers in rhinology. They have provided their expertise and insight into common mistakes in order to aid the reader in improving treatment outcomes for their patients.

Since the 1990s, the subspecialty of rhinology has evolved faster than any other area within otolaryngology. Only in recent history, the primary pathophysiology of chronic rhinosinusitis was be believed to be primarily a result of structural obstruction of the osteomeatal complex with subsequent bacterial infection. Treatment algorithms revolved around systemic antibiotics and medical failures were treated with removal of diseased mucosa using non-physiologic surgical approaches. We have now gained a better understanding of the heterogeneous nature of chronic rhinosinusitis and the complex interaction between local and systemic immunity, impaired mucociliary clearance and the potential role for a variety of external insults to include bacteria, fungi, and other noxious stimuli. While surgery still plays a major role in the treatment of inflammatory disease, it is now performed in a physiologic fashion and its role as an adjuvant to aid in the delivery of novel topical therapies is better appreciated.

In parallel with technological advancements for use in inflammatory disorders, rhinologists pushed the envelope in the surgical treatment of neoplastic disorders of the skull base and paranasal sinuses. Minimally invasive approaches in collaboration with other specialities, notably ophthalmologists and neurosurgeons, have resulted in the nascent field of neurorhinology, which is still in its infancy and will undoubtedly continue to evolve.

In spite of these tremendous advances in rhinology and greatly improved success, doctors are still faced with difficult patients and failures of standard approaches. If we do not learn from our failures, we are destined to repeat them.

Nithin D. Adappa
Rakesh K. Chandra
Katrina Chaung
David Chin
John M. DelGaudio
Richard Douglas
Peter Earls
Wytske J. Fokkens
Joseph K. Han
Richard J. Harvey
Thomas S. Higgins
Alexandra E. Kejner
Randy M. Leung
Lefteris Margaritis
Ryan Manz
Yuresh S. Naidoo
James N. Palmer
Michael P. Platt
Alkis J. Psaltis
Jeremy T. Reed
Dan Robinson
Luke Rudmik
Raymond Sachs
Rodney J. Schlosser
Raj Sindwani
Timothy L. Smith
Zachary M. Soler
Daniel Timperley
Eric W. Wang
Sarah K. Wise
Andrew Wood
Peter-John Wormald
Bradford A. Woodworth
Adam M. Zanation


  • Kim Ah-See, Aberdeen, Scotland, UK, The Journal of Laryngology & Otology (January 2013):
    "This is a very well produced hardback textbook....The authors are quite explicit in their aims. They set out to produce a book to highlight potential pitfalls in ESS, and to give advice on avoiding problems and optimising patient outcomes. The book is well written, and each chapter is populated with numerous tables, clinical photos, and radiological images. A nice feature of some chapters is a table of common pitfalls and errors and how to avoid them, culminating in an evidence-based summary of the chapter author's principles of evaluation, management and therapy. Other chapters include case studies to illustrate salient points."

  • Claire Hopkins, DM, FRCS, (ORL-HNS), Consultant ENT Surgeon, Guy's and St. Thomas', London, UK, ENT & Audiology News, January/February 2013, Vol 21 (No 6):
    "This is a great book, joining my list of books I wish I had written right at the top - it is a great credit to the authors, and will be of benefit to trainees and more experienced ESS surgeons alike. This does what it says on the tin - it will help to improve outcomes and avoid failures - it is full of useful tips, good quality images and relevant case studies."

  • Robert Chun, Medical College of Wisconsin, Children’s Hospital, International Journal of Pediatric Otorhinolaryngology:
    "[Endoscopic Sinus Surgery] is a thorough instruction manual to the sinuses with evidence. Each chapter ends with case scenario but most importantly ends with a chart reviewing the level of evidence in the medical literature for each management and treatment recommendation.... The video attachment is very comprehensive and helpful. There are clear videos discussing advanced techniques such as anterior and maxillary artery ligation, but there are videos that also demonstrate proper and efficient operative techniques in preparation and intraoperatively....

    Endoscopic Sinus Surgery: Optimizing Outcomes and Avoiding Failures is a comprehensive textbook that focuses on technique, management, and evidence based recommendations. It is won-derful textbook to educate the learner and solidify the knowledge of an attending."

Table of Contents
1. History and examination
Luke Rudmik and Timothy L. Smith

2. The CRS Triangle: Understanding the Causes of Chronic Rhinosinusitis
Richard J. Harvey and Peter Earls

3. Contribution of Systemic Disease
Richard Douglas and Andrew Wood

4. Radiologic evaluation
Katrina Chaung, Randy M. Leung, and Rakesh K. Chandra

5. Pre-ESS medical therapy
Wytske J. Fokkens and Lefteris Margaritis

6. Topical therapies and Chronic Rhinosinusitis: The Role of Topical Therapies in Improving Sinus Surgical Outcomes
Alkis J. Psaltis and Richard Harvey

7. Systemic Medical Therapies
Thomas S. Higgins and Joseph K. Han

8. Advances in Surgical Navigation and New Technology for Rhinologic Surgery
Ryan Manz and Raj Sindwani

9. Balloon Catheter Dilation
Nithin D. Adappa, Jeremy Reed, and James N. Palmer

10. Perioperative Bleeding and Vascular Control
Daniel Timperley

11. Proficient ESS
Richard J. Harvey and Rodney J. Schlosser

12. Common Errors in Sinus Surgery
Zachary M. Soler and Michael P. Platt

13. Managing Intraoperative Complications in Endoscopic Sinus Surgery
Sarah K. Wise and John M. DelGaudio

14. Septal and Turbinate Surgery
Dan Robinson and Raymond Sacks

15. Postoperative Care Regimens
Luke Rudmik and Timothy L. Smith

16. Use of Modified Lothrop/Frontal Drillout/Draf 3 for Failed Frontal Sinusotomy
Yuresh S. Naidoo and Peter-John Wormald

17. Surgical Salvage of the Dysfunctional Sinus
Eric W. Wang and Rodney J. Schlosser

18. Failures in pediatric Chronic Rhinosinusitis
David Chin and Richard J. Harvey

19. Cystic Fibrosis Sinusitis
Alexandra E. Kejner and Bradford A. Woodworth

20. Orbital and Lacrimal Surgery
Raymond Sacks and Dan Robinson

21. Optimizing outcomes in endoscopic skull base surgery
Adam M. Zanation

22. Avoiding ESS related litigation
Rodney J. Schlosser

About The Editors

Rodney J. Schlosser

Rodney J. Schlosser, MD is Professor and Director of Rhinology & Sinus Surgery at the Medical University of South Carolina in Charleston, South Carolina.

Richard J. Harvey

Dr. Harvey currently works as a dedicated rhinologist at St Vincent’s Hospital in Sydney. He also has an academic appointment with the University of New South Wales and Macquarie University. He has completed several years of post-training fellowships, including formal fellowships in the USA and UK.