Serial sections of frozen cadaver heads were obtained in the axial, coronal, and sagittal planes. These were analyzed with specific attention to the anatomy of the paranasal sinuses as it pertains to endoscopic sinus surgery. Important anatomic landmarks are pointed out. The use of these landmarks to guide the surgeon through the dissection and to avoid complications is discussed. The resolution of chronic sinusitis is often brought about by the structural changes secondary to endoscopic sinus surgery, and the reasons for this outcome are reviewed.
MesserklingerW. Uber die Drainage der Menschlichen Nasennebenholen unter normalen und pathologischen Bendingungen II: Die Stirnhole und ihr Ausfuhrungssystem. Monatsschr Ohrenheilkd1967; 101: 313.
2.
MesserklingerW. Endoskopische Diagnose und Chirurgie der residivierenden Sinusitis. In: KrajinaZ, ed. Advances in nose and sinus surgery. Zagreb, Yugoslavia: Zagreb University, 1985: 31–4.
3.
NaumannH. Pathologische anatomie der chronischen rhinitis und sinusitis. In: Proceedings VIII International Congress of Oto-Rhinolaryngology. Amsterdam, the Netherlands: Excerpta Medica, 1965: 80.
4.
DrafW. Die chirurgische Behandlung entzundlicher Erkrankungen der Nasennebenhohlen. Arch Otorhinolaryngol1982; 235: 133–305.
5.
WigandME. Endoscopic surgery of the paranasal sinuses and anterior skull base. New York, NY: Thieme Medical Publishers, 1990.
6.
WigandMESteinerWJaumannMP. Endonasal sinus surgery with endoscopical control from radical operation to rehabilitation of the mucosa. Endoscopy (Stuttg)1978; 10: 255–60.
7.
WigandME. Transnasal ethmoidectomy under endoscopic control. Rhinology1981; 19: 7–15.
8.
StammbergerH. Endoscopic surgery for mycotic and chronic recurring sinusitis. Ann Otol Rhinol Laryngol1985; 94(Suppl 119).
9.
StammbergerH. Endoscopic endonasal surgery — concepts in treatment of recurring rhinosinusitis. Part I. Anatomic and pathophysiologic considerations. Otolaryngol Head Neck Surg1986; 94: 143–7.
10.
StammbergerH. Endoscopic endonasal surgery — concepts in treatment of recurring rhinosinusitis. Part II. Surgical technique. Otolaryngol Head Neck Surg1986; 94: 147–56.
11.
KennedyDWZinreichSJRosenbaumAEJohnsME. Functional endoscopic sinus surgery. Theory and diagnostic evaluation. Arch Otolaryngol1985; 111: 576–82.
KennedyDW. Surgery of the sinuses. In: JohnsME, ed. Head and neck. Toronto, Canada: BC Decker, 1986. (Complications in otolaryngology—head and neck surgery; vol 2.).
14.
RiceDHSchaeferSD. Endoscopic paranasal sinus surgery. New York, NY: Raven Press, 1988.
15.
RiceDH. Basic surgical techniques and variations of endoscopic sinus surgery. Otolaryngol Clin North Am1989; 22: 713–26.
16.
SchaeferSD. Endoscopic total sphenoethmoidectomy. Otolaryngol Clin North Am1989; 22: 727–32.
17.
MosherHP. Symposium of the ethmoid. The surgery anatomy of the ethmoid labyrinth. Trans Am Acad Ophthalmol Otolaryngol1929; 34: 376–410.
18.
Van AlyeaOE. Nasal sinuses: an anatomic and clinical consideration. Baltimore, Md: Williams and Wilkins, 1951.
19.
HalleM. Die intranasalen operationen bei eitrigen erkrankungen der nebenhohlen der nose. Arch Laryngol Rhinol1914; 29: 73.
20.
RitterFN. The paranasal sinuses: anatomy and surgical technique. St Louis, Mo: CV Mosby, 1978.
21.
KasperKA. Nasofrontal connections. A study based on one hundred consecutive dissections. Arch Otolaryngol1936; 23: 322–43.
22.
AshikawaR. Most posterior paranasal sinuses (with special reference to sphenoidal sinus) [in Japanese with English abstract]. Otolaryngology1969; 10: 762–70.
23.
LangJ. Clinical anatomy of the nose, nasal cavity, and paranasal sinuses. New York, NY: Thieme Medical Publishers, 1989.
24.
MesserklingerW. On the drainage of the normal frontal sinus of man. Acta Otolaryngol (Stockh) 1967; 63: 176–81.
25.
KennedyDWZinreichSJJohnsME. Functional endoscopic sinus surgery. In: GoldmanJL, ed. The principles and practices of rhinology: a text on diseases and surgery of the nose and paranasal sinuses. New York, NY: John Wiley and Sons, 1987: 879–902.
26.
KainzJStammbergerH. The roof of the anterior ethmoid: a place of least resistance in the skull base. Am J Rhinol1989; 3: 191–9.
27.
KerosP. Uber die prohtische bedentung der nuveauunterschiede der lamina cribrosa des ethmoids. Laryngol Rhinol Otol (Stuttg)1965; 41: 808–13.
28.
ManigliaAJ. Fatal and other major complications of endoscopic sinus surgery. Laryngoscope1991; 101: 349–54.
29.
OhnishiT. Bony defects and dehiscences of the roof of the ethmoid cells. Rhinology1981; 19: 195–202.
30.
TeatiniGSimonettiGSalvoliniU. Computed tomography of the ethmoid labyrinth and adjacent structures. Ann Otol Rhinol Laryngol1987; 96: 239–50.
31.
OnodiA. The optic nerve and the accessory cavities of the nose. Contribution to the study of canalicular neuritis and atrophy of the optic nerves of nasal origin. Ann Otol Rhinol Laryngol1908; 17: 1–116.
32.
KennedyDWJosephsonJSZinreichSJMattoxDEGoldsmithMM. Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope1989; 99: 885–95.
33.
NeelHBMcDonaldTJFacerGW. Modified Lynch procedure for chronic frontal sinus diseases: rationale, technique and long-term results. Laryngoscope1987; 97: 1274–9.
34.
StammbergerH. Functional endoscopic sinus surgery. Philadelphia, Pa: BC Decker, 1991.
35.
BeckerSP. Anatomy for endoscopic sinus surgery. Otolaryngol Clin North Am1989; 22: 677–82.
36.
PernkopfE. Atlas of topographical and applied human anatomy. Philadelphia, Pa: WB Saunders, 1963.
37.
FujiiKChambersSMRhotonALJr.Neurovascular relationships of the sphenoid sinus: a microsurgical study. J Neurosurg1979; 50: 31–9.
38.
ManisalcoJEHabalMB. Microanatomy of the optic canal. J Neurosurg1978; 48: 402–6.
