ABSTRACT
This paper mainly reports a case with the foreign body staying in nasal sinus and cranium via orbit. CT manifests the foreign body staying in ethmoid sinus and entering the bottom of cranium. After completing the relevant inspection, the patient unerwent right eye exenteration, endoscopic sinus surgery with general anesthesia in emergency to take out the foreign body in nasal sinus, and Cerebrospinal fluid leak repair surgery . Then the patient recovers well, futhermore, the symptom of cerebrospinal fluid leakage doesn't appear after five months follow-up.
Subject(s)
Adult , Humans , Male , Cerebrospinal Fluid Leak , Foreign Bodies , General Surgery , Orbit , Paranasal SinusesABSTRACT
Tympanosclerosis is the middle ear tissue hyalinization and calcification caused by chronic middle ear inflammation, which mainly results in conductive deafness with unobvious clinical symptom. Etiology is unclear. The treatment is given priority to surgical treatment at present, while long-term effect reported mostly poor. This article analyzed etiology and treatment of the tympanic cavity sclerosis.
Subject(s)
Humans , Calcinosis , Chronic Disease , Ear, Middle , Hearing Loss, Conductive , Myringosclerosis , Therapeutics , Otitis Media , SclerosisABSTRACT
OBJECTIVE@#To explore the effect of surgery added with antifungal agents in treatment of fungal rhinosinusitis.@*METHOD@#One hundred and two consecutive patients with fungal rhinosinusitis were randomly divided into two groups: the control group (n=48) were treated with surgery alone, the treatment group (n=54) were treated with surgery plus antifungal therapy during operation and postoperation. The patients were followed up for 6 months and the relapse rates between two groups were compared.@*RESULT@#No relapse was observed in the treatment group. The relapse rate of the control group was 20.8% (P < 0.01).@*CONCLUSION@#Surgery plus antifungal therapy can prevent the relapse of fungal rhinosinusitis significantly.
Subject(s)
Adult , Female , Humans , Male , Antifungal Agents , Therapeutic Uses , Fluconazole , Therapeutic Uses , Sinusitis , Drug Therapy , Microbiology , General Surgery , Treatment OutcomeABSTRACT
OBJECTIVE@#To discuss the clinical features, diagnosis and treatment of traumatic pseudoaneurysm.@*METHOD@#We report 4 unusual cases of traumatic Pseudoaneurysms of the artery of head and neck. The data of the 4 cases was analysed retrospectively.@*RESULT@#Four patients were with history of trauma and traumatic pseudoaneurysm were diagnosed by CT and DSA. Two of them accepted interventional vascular therapy, the others accepted surgical operation. Both methods are safe and effective.@*CONCLUSION@#Traumatic pseudoaneurysms of the artery of head and neck are rare but potentially lethal. The diagnosis is not difficult. The interventional treatment should be the first choice if possible, while the surgical approach is another choice. Doctors should try to repair the arterial wall, to keep the artery patency and to decrease the unnecessary complications.