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By focusing on how to establish clear indications for surgery and how to improve surgical approaches in endoscopic paranasal sinus surgery, this practical operating manual appeals to the beginner as well as to the practicing surgeon. Techniques covered range from simple procedures to the most advanced applications, including tumor and trauma surgery, and procedures involving the anterior skull base. Based on their clinical and considerable teaching experience, the authors have chosen an approach that responds directly to patients? concerns and which is set within a simple framework based on the questions of Who? When? Why? and How?: Who? offers guidelines on patient selection and dealing with patients' expectations, When? discusses optimizing the diagnosis and medical management as well as the timing of surgery, Why? evaluates realistic surgical goals with regard to patients' symptoms and their quality of life, How? describes surgical techniques step-by-step, explains terminology, discusses surgical modifications and alternatives, and offers guidelines for the management of complications. Nearly 1,000 illustrations of exceptional quality and a 3-hour DVD of surgical procedures and interviews with patients supplement the step-by-step instructions and practical tips in the text. Table of Contents 1 Principles of Practice 2 Who?   Patient Selection 3 When?   Optimizing Diagnosis, Medical Treatment, and Timing of Surgery 4 Why?   Goals of Surgery in Patients with Rhinosinusitis 5 How?   Operative Procedures: A Step-by-Step Safe and Logical Approach 6 An Endoscopic Tour: Endoscopic Examination, Anatomical Variations, and Specific Conditions 7 The Place of Radiology 8 Preoperative Checklist 9 Patient Consent and Information 10 Perioperative Aids 11 Hints 12 Preventing and Dealing with Complications 13 Postoperative Management 14 Selected Procedures 15 Skull Base Surgery 16 The Way Forward Appendix Information for Patients References Index