Jennifer R Decker, M.D. (Northwestern University Feinberg School of Medicine)

This systematic overview of sinonasal tumors, both benign and malignant, provides an update on management and approaches, particularly endoscopic. It nicely notes that additional advances are likely in the changing field of endoscopic sinus surgery tumor management.

nd current management strategies. The authors' purpose is to provide a modern, state-of-the-art approach to both endoscopic and radical excisions of difficult-to-treat tumors. This is needed as the management principles of sinonasal tumors are changing, moving from extensive en bloc craniofacial resections to endoscopic or endoscopic-assisted resections. The book does a good job of addressing these management decisions.

It is addressed to otolaryngologists and neurosurgeons subspecializing in rhinology and skull base tumors. Residents and fellows in otolaryngology also will benefit as management of these rare tumors has been changing. The authors are all well known rhinology or skull base otolaryngologists or neurosurgeons at major teaching hospitals throughout the U.S. Of note, the primary authors trained with the same mentors at the same institution. While this is one of the premier centers for skull base surgery, the opinions and approaches may reflect this similar training.

The book develops the history of sinonasal tumor management, radiology, surgical approaches, and nonsurgical treatments of cancers, and topics that are currently being developed or debated in the field. One unusual feature is that the chapters detailing the types of benign and malignant tumors are listed at the end of the book. It seems more logical to list the history, radiology, then tumor types, followed by surgical approaches, nonsurgical treatments, with surgical debates at the end. Radiological and operative pictures are very clear and add much to the book's value. Some of the medical illustrations, particularly of surface anatomy, are more artistic than anatomical.

This is a high-quality book and useful update in a field that is consistently changing. Other books in this field are outdated and describe approaches and management not typically used in the modern high-definition endoscopic era. Rhinologists will benefit from this book when dealing with sinonasal tumors.