Synopsis

The field of rhinology has undergone a dramatic evolution in the past two decades. Landmark events that have occurred during this period include the widespread adoption of advanced technologies, the expansion of endoscopic techniques to complex skull base pathologies, and a dedicated focus on clinical and basic science research. This process has been, in large part, fueled by the increasing sub-specialization of the field, including the continued growth of fellowship programs and clinician-scientists dedicated to rhinology.  As the breadth of the field has expanded, so too have our horizons. It is interesting that the trends in rhinology have moved in different directions for various aspects of the field. For example, the indications and capabilities of endoscopic approaches for skull base tumors have increasingly expanded; at the same time, there has been a greater interest in minimally invasive techniques for inflammatory sinusitis, including balloon dilation technology. Integral to the development of novel surgical techniques and technology is a greater emphasis on a more holistic approach to surgical outcome analysis, including an emphasis on patient-scored quality-of-life measures. In parallel, the striking increase in the number and quality of basic science research articles is beginning to address fundamental questions, including the pathophysiologic basis of inflammatory sinusitis. This is an exciting time in rhinology as the field collectively looks back on its recent advances and towards the future to the remaining unanswered questions.  In creating this volume, our primary goal has been to provide a comprehensive reference for the field of rhinology, including the fundamental underpinnings of anatomy, physiology, and radiology; a practical approach to the evaluation of patient with sinonasal disorders; a description of the full spectrum of rhinologic disorders, including the different subtypes of rhinitis and sinusitis; and a comprehensive approach to medical and surgical management of sinonasal disorders. Sections reviewing sinonasal malignancy, trauma, and cosmetic rhinoplasty can be found in the volumes dedicated to these disorders. Advanced surgical techniques are discussed in detail, including indications, techniques, and outcomes. The book is included with thought-provoking chapters on the history and future of rhinology, current models of rhinology training, and practical aspects of practice management.