Daniel B Simmen

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Tumours affecting the nose, paranasal sinuses and adjacent skull base are fortunately rare. However, they pose significant problems of management due their late presentation and juxtaposition to important anatomical structures such eye and brain. The increasing application of endonasal endoscopic techniques to their excision offers potentially similar(More)
BACKGROUND The orthodox endoscopic sinus surgical technique is "one-handed," which means that the surgeon holds the endoscope in one hand and uses the free hand for other instruments or suction. This technique has its limitations. When there is a lot of bleeding or when tension needs to be kept on tissue so that it can be cut cleanly, this is best done(More)
PURPOSE In autopsy reports of patients who died of septic cavernous sinus thrombosis, tributary venosinus occlusion has been a common finding related to intracranial inflammatory complications. The purpose of this article is to illustrate the MR and CT appearance of septic cavernous sinus thrombosis and tributary venous occlusion. METHODS Over a period of(More)
OBJECTIVES To define the relationship of the anterior ethmoid artery to the frontal recess and secondly whether the degree of pneumatisation of the suprabullar recess/supraorbital cell correlates with the distance between the anterior ethmoid artery and the skull base thus making it more vulnerable to damage during surgery. METHOD Thirty-four cadaver head(More)
BACKGROUND This study was performed to determine the variations in the branching pattern of the sphenopalatine artery medial to the crista ethmoidalis. Seventy-seven cadaver head sides that had been sectioned sagittally in the midline with their septum removed were used after injecting pink latex to highlight the arterial vessels. METHODS The mucosa from(More)
The advent of endoscopic sinus surgery led to a resurgence of interest in the detailed anatomy of the internal nose and paranasal sinuses. However, the official Terminologica Anatomica used by basic anatomists omits many of the structures of surgical importance. This led to numerous clinical anatomy papers and much discussion about the exact names and(More)
BACKGROUND AND PURPOSE Defects at the skull base leading to spontaneous CSF rhinorrhea are rare lesions. The purpose of our study was to correlate CT and MR findings regarding the location and content of CSF leaks in 27 patients with endoscopic sinus surgery observations. MATERIALS AND METHODS Imaging studies in 27 patients with intermittent CSF(More)
Recent investigations have suggested human papillomavirus (HPV) to be involved in the development of sinonasal papillomas (SNP). Forty-three patients operated for SNP were studied to determine the prevalence of HPV-DNA sequences in these tumours and to evaluate their value as a prognostic parameter. The original sections of all cases were reviewed and(More)
Today, the wide variety of modern endoscopes allows routine diagnostic examinations. Precise observation is possible because of excellent optical and light transmission. Surgery can be performed while viewing a television screen, and video documentation and intraoperative photography are possible with outstanding quality. The invention of a rod-lens optical(More)
BACKGROUND Computed tomography (CT) is being used increasingly both to evaluate location and extent of sinus disease and to detect anatomic abnormalities prior to surgery. Analysis of the CT scan should be undertaken in a routine, standardized fashion to ensure that important details are not missed. To aid in this evaluation, a checklist has been developed(More)