J Rhinol.  2021 Mar;28(1):19-29. 10.18787/jr.2020.00332.

Footsteps of the Innovations in Rhinology

• Jung HJ
• Lee HM

• KMID: 2513839
• DOI: http://doi.org/10.18787/jr.2020.00332

Abstract

Rhinology is the study of nose, paranasal sinus, and nasopharynx. The nose is the most prominent structure on the human face and has been a subject of study since ancient human civilization. The history of rhinology has reflected the sociocultural aspects of the times, and rhinology has achieved remarkable growth with innovative discoveries by numerous pioneers. The focus of surgical procedures of the paranasal sinus shifted from mucosal stripping to functional endoscopic surgery with advancement of technology. Furthermore, the field of rhinology is gradually expanding due to cutting-edge technologies such as image-guided surgery, three-dimensional endoscopy, and robotic surgery. Additional clinical experiences and technological developments are expected to further advance rhinology.

Keyword

NoseㆍParanasal sinusesㆍNasal septumㆍRhinoplastyㆍHistory

Figure

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  Fig. 1. Timelines of major events of rhinology. PNS CT: paranasal computed tomography, 3-D: 3-dimensional.

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  Fig. 2. Removal of brain via transnasal apporach using hook during mummification in ancient Egypt mural. Purchased image from Shutterstock.com.

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  Fig. 3. Hippocrates’ removal technique of nasal polyposis (dotted circle) with a stringed sponge in the direction of arrow.

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  Fig. 4. Leonardo da Vinci’s drawing of human skull. The sketch describes a coronal section of frontal sinus, maxillary sinus, and inferior turbinate. Purchased image from Shutterstock.com.

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  Fig. 5. Evolution of endoscopy. A: The first modern endoscopy invented by Phillip Bozzini in 1804. The “light conductor” was consisted of an optical part with the illumination device and a mechanical part which had to be modified to fit to the respective body opening. B: Rod lens system established by Korl Storz and Harold Hopkins. It provides better light transmission resulting in advanced resolution and contrast, and wider viewing angles compared to traditional optical system. C: The modern nasal endoscopy provide available in various angles from 0 to 30, 45, and 70 degree.

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  Fig. 6. Steroid-releasing sinus implants indicated for ethmoid sinus and frontal recess. A: PROPEL® is an cylindrical-shaped, expandable and biodegradable polymer (polyactide-co-glycolic acid) coated with steroid (mometasone fuorate). 23 mm in length of PROPEL® , 16 mm of PROPEL® Mini. B: PROPEL® Contour is an hourglass-shaped implant, 8 mm in length. Adapted from https://www.intersectent.com.

Reference

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