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  • Book
    Daniel Simmen, Professor and Lecturer in Rhinology, University of Zurich, ENT Center, ... Show More the Hirslanden Clinic, Zurich, Switzerland, Nick Jones, Professor, Department of Otorrhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, University Hospital, Nottingham, UK ; with contributions by Karthik Balakrishnan, Hans Rudolf Briner, Leonardo Lopes Balsalobre Filho, Kris S. Moe, Robert Reisch, Bernhard Schuknecht, Aldo Cassol Stamm.
    Summary: "Highlighted by thousands of outstanding photographs and schematic illustrations, this step-by-step guide to endoscopic sinus and skull base surgery is ideal for all specialists who need to stay current in the field. In this expanded second edition, practitioners will not only find basic and advanced procedures in endoscopic sinus surgery (including key criteria for patient selection), but also four entirely new chapters on anterior skull base surgery that reflect important recent developments. Special features of the second edition: 30% larger, with nearly 1500 endoscopic images and corresponding line drawings that make every procedure easy to visualize. Provides a practical management approach that leads to optimal outcomes: Who are the best candidates for specific procedures? When should medical treatment or surgery be used? Why should surgery be undertaken? How are the operative procedures performed? Covers the latest techniques for removal of skull base tumors and repair of skull base defects. Includes new chapters on pathophysiology of rhinosinusitis, sense of smell, applied anatomy, the endoscopically assisted bimanual operating technique (developed by the author), transorbital surgery, interdisciplinary teamwork, and more. Offers online access to 18 videos of endoscopically guided surgical procedures and patient interviews, for an excellent review and refresher. From diagnosis and preoperative counseling to evidence-based procedures, complication avoidance, and postoperative management, this book covers the gamut of topics clinicians face in everyday practice. All otolaryngologists, neurosurgeons, and maxillofacial surgeons will find it essential when making diagnostic and treatment decisions involving the skull base and paranasal sinuses"--Provided by publisher.
    Digital Access Thieme MedOne Otolaryngology 2014
  • Article
    Bear RA.
    Can Med Assoc J. 1978 Mar 18;118(6):663-4, 669.
    Pregnancy is not invariably contra-indicated in patients with pre-existing renal disease. Clinical data now exist that permit the clinician to distinguish such patients who are likely to experience difficulty during pregnancy from those in whom pregnancy can be undertaken with high expectation of success. Patients suffering from systemic lupus erythematosus, active or inactive, with or without lupus nephritis, should avoid pregnancy. Patients with other forms of chronic renal disease in whom the serum creatinine concentration prior to pregnancy is less than 1.5 mg/dL are not exposed to increased maternal or fetal risk. On the other hand, patients with serum creatinine values exceeding 1.6 mg/dL experience a high incidence of maternal and fetal complications and should avoid pregnancy. The life expectancy of recipients of a renal transplant is uncertain, and these patients should receive counselling as to the advisability of undertaking pregnancy. The maternal risk in such patients is not inordinately high, but the fetal risk is considerable.
    Digital Access Access Options