Office-Based Rhinology: Principles and Techniques

First Edition

Zara Patel, Sarah Wise, John DelGaudio

Details: 168 pages, Full Color, Hardcover + DVD, 7" x 10"

ISBN13: 978-1-59756-475-5

© 2013 | Available


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Office-Based Rhinology conveys the principles and techniques necessary for successfully undertaking various rhinology procedures in the office setting. The procedures described will range from those commonly performed in the physician's office (e.g. nasal endoscopy and debridement) to certain procedures often performed in the operating room for which, in certain patients, an office setting would be appropriate (e.g. nasal polypectomy and drainage of mucoceles). It also covers relevant sinonasal anatomy and radiology, proper patient selection, and appropriate room setup. Its straightforward approach makes it an easy to use reference, a must-have for practicing otolaryngologists and senior level residents.

The book comes with a DVD which includes 28 surgical videos.


"In an ever-expanding surgical field that is constantly moving toward more office-based procedures to promote patient convenience and decreased health care costs, Office-Based Rhinology: Principles and Techniques is an outstanding addition to the current rhinology literature that is not only right on target but also right on time.

With contributions from top names in the field of rhinology from across the country, this text is organized into 15 short yet pertinently detailed chapters that begin with an overview of nasal and paranasal sinus anatomy and imaging, and progress to a more in-depth discussion of office-based procedural techniques, including proper instrumentation and room setup...[T]his text is fully comprehensive in that it also includes chapters discussing appropriate patient selection and anesthetic techniques such as nerve blocks, which are very important topics that are not always stressed during medical training.

This book is extremely well written and a very easy read. The diagrams, illustrations, and included DVD compliment and reinforce the written text quite effectively. Office-Based Rhinology: Principles and Techniques is a must-read for all current and future rhinologists who wish to stay on the cutting edge of their field, whether in academia or in private practice. Furthermore, this is an excellent text for general otolaryngologists who wish to expand their scope of in-office procedures and need some guidance on how to do so. This text will likely encourage more otolaryngologists to move certain procedures from the operating room to an office setting, and in doing so will hopefully have a positive impact on patient satisfaction and health care costs."
Patricia A. Lotus, MD and Marvin Fried, MD, Dept of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, in The Laryngoscope (2013)

"The book is nicely illustrated with appropriate colour photography and radiological images, and is accompanied by a DVD containing a number of surgical procedures. Overall this is a well written text which would be particularly useful to aspiring rhinologists, and in the current of expanding our 'office-based' horizons, its publication is quite timely."
Naveed Kara, FRCS ORL-HNS, ENT & Audiology News (September 2014)

1. Introduction
2. History of Nasal Endoscopy
3. Pertinent Nasal and Sinus Anatomy for Office-Based Rhinology Procedures
4. Pertinent Radiology for Office-Based Rhinology Procedures
5. Room Setup and Equipment
6. Choosing the Appropriate Patient for Office-Based Rhinology Procedures
7. Anesthesia for Office-Based Rhinology Procedures
8. Basic nasal endoscopy
9. Basic Endoscopic Sinonasal Debridement and Biopsy
10. Treatment of Postoperative Issues Following Nasal and Sinus Surgery
11. Inferior Turbinate Reduction
12. Office-Based Evaluation and Treatment of Nasal Septal Pathology
13. Office-Based Nasal Polypectomy
14. Office-Based Drainage of Sinus Mucoceles
15. Office-Based Treatment of Epistaxis
16. Closed Reduction of Nasal Fractures
17. Office Evaluation of Epiphora
18. Closing remarks

DVD Contents:

  • Chapter 8
    • 8-1 Right Maxillary Sinus View with Different Angled Scopes
    • 8-2 Placement of Silastic Stent with Frontal Sinus
    • 8-3 One Week Post-FEES Debridement
    • 8-4 Two Week Post-FEES Removal of Frontal Stents
    • 8-5 Removal of Early Synechia at Left Frontal Recess
    • 8-6 Opening of Mature Left Frontal Sinus Ostium Stenosis
    • :(Example 1)
    • 8-7 Opening of Mature Left Frontal Sinus Ostium Stenosis
    • :(Example 2)
    • 8-8 Revision of Sphenoidotomy
  • Chapter 9-11
    • 9-1 Injection of Local Anesthetic for Inferior Turbinate **:Reduction
    • 9-2 Use of Coblation to Reduce the Inferior Turbinate
    • 9-3 Contraction of Mucosal Surface Over Inferior Turbinate **:with Coblation
    • 9-4 Use of Microdebrider to Reduce the Inferior Turbinate
    • 10-1 Endoscopic Silver Nitrate Cauterization of the Right **:Anterior Nasal Septum
    • 10-2 Endoscopic Drainage of a Septal Abscess
    • 11-1 Office Mircodebrider Polypectomy
    • 11-2 Office Coblator Polypectomy
  • Chapter 12
    • 12-1 Office Drainage of Concha Bullosa Mucocele
    • 12-2 Office Revision Frontal Sinustomoy
    • 12-3 Office Revision Ethmoid Mucocele
    • 12-4 Office Sphenoidotomy for Mycetoma
    • 12-5 Office Drainage Right Ethmoid Mucocele
    • 12-6 Office Right Maillary Antrostomy for Mycetoma
  • Chapter 14-15
    • 14-1 Nasal Reduction 1
    • 14-5 Nasal Reduction 2
    • 15-1 Normal Left Nasolacrimal Duct Orifice
    • 15-2 Another Normal Nasolacrimal Duct Orifice
    • 15-3 Obstruction of Right Nasolacrimal Duct Orifice by **:Invasive Fingal Sinusitis
    • 15-4 Nasolacrimal Duct Obstruction by a Polypoid Inferior **:Turbinate

Zara Patel

Dr. Patel is originally from St. Louis, MO and attended the University of Missouri at Columbia for her undergraduate years, where she graduated magna cum laude. She moved to Portland, OR where she attended medical school at Oregon Health and Science University, and then to New York for residency training in Otolaryngology/Head and Neck Surgery at Mount Sinai Medical Center. She then undertook a Rhinology fellowship at Stanford University in California under the mentorship of Dr. Peter Hwang, to become a specialist in Endoscopic Sinus and Skull Base Surgery. She then joined the faculty of the Department of Otolaryngology/Head and Neck Surgery at Emory University in Atlanta, where she has taken on the role of Director of the Resident Sinus and Skull Base Dissection Course.
Dr. Patel’s clinical research interests surround evidence based Rhinology, treatment patterns for immunosuppressed patients with sinusitis, treatment outcomes in patients with sinonasal cancer, and novel instrumentation used in rhinologic procedures.
She is an active member of the American Rhinologic Society, and has served as faculty for several national and regional rhinologic meetings.
She also is beginning to take a leadership role in promoting surgical advocacy on the national level by serving on the Legislative Committee for the Board of Governors.

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Sarah Wise

Dr. Wise grew up in Houston, Texas. She graduated magna cum laude from Texas A&M University with a degree in Biochemistry. Dr. Wise obtained her MD degree at the University of Texas Health Science Center in San Antonio in 2001. She completed residency in Otolaryngology-Head and Neck Surgery at Emory University in 2006 and Rhinology fellowship at the Medical University of South Carolina in 2007, under the direction of Dr. Rodney Schlosser. Dr. Wise is currently on the faculty of the Department of Otolaryngology-Head and Neck Surgery at Emory University, specializing in rhinology, allergy, and endoscopic skull base surgery. She also obtained a Master of Science in Clinical Research from Emory University in 2012. Dr. Wise serves as the Assistant Residency Program Director and Director of Resident Education and Research in the Emory Department of Otolaryngology.
She is active in the American Rhinologic Society, where she is currently a Consultant to the Board of Directors and editor of the ARS Nose News. She is also a member-at-large of the American Academy of Otolaryngologic Allergy Board of Directors.
Dr. Wise's clinical research interests include evaluation of 3D endoscopy, clinical outcomes with sublingual immunotherapy, and office-based rhinology procedures. Her basic science research focus is intercellular junctional proteins and wound resealing in sinonasal epithelium, including their regulation of epithelial permeability, inflammatory mediator interactions, and role in the pathophysiology of nasal polyposis.

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John DelGaudio

Dr. Del Gaudio was born and raised in Philadelphia, PA. He attended LaSalle University, and received his medical school education at Jefferson Medical College, graduating Maxima Cum Laude. Dr. Del Gaudio completed his residency in Otolaryngology- Head and Neck Surgery at The University of Michigan Hospitals in Ann Arbor, MI in 1995. He then joined the Department of Otolaryngology at Emory University in Atlanta, where he presently holds the positions of Professor and Vice Chair of the Department of Otolaryngology, Residency Program Director, and Chief of Rhinology and Sinus Surgery. Dr. Del Gaudio is nationally recognized for his academic achievements, and has been awarded the Golden Head Mirror Award by the American Rhinologic Society and the Gerald S. Gussack Award from the Georgia Society of Otoloryngology. He serves on the Board of Directors of the American Rhinologic Society, and is a Past President of the Georgia Society of Otolaryngology and the Metro Atlanta Otolaryngology Society. He is a fellow of the American College of Surgeons, the American Academy of Otolaryngology- Head and Neck Surgery, the Triological Society, and the American Rhinologic Society.
Dr. Del Gaudio is a recognized expert in many of his clinical interests, including the relationship between Reflux and sinonasal disease, Office-based Rhinologic Surgery, "Sinus" headache, and Inferior Meatus Surgery for epiphora.
Dr. Del Gaudio’s proudest accomplishments are his wonderful children, Rachel Leah and Michael Aaron, who will both graduate from Emory University in 2013

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Details: 480 pages, B&W, Softcover, 8.5" x 11"

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