ABSTRACT
Paciente masculino de 60 años de edad con trauma nasal accidental, producido por un arpón de pesca que penetra a través de la fosa nasal izquierda. Este fue atendido de urgencia y se le removió el arpón mediante una rinoscopia anterior. El paciente evolucionó de forma satisfactoria y no hubo afectación de gravedad ni secuelas. Los traumatismos en el macizo facial y craneoencefálico, producidos por armas diferentes a las de fuego, son poco frecuentes. El tipo de lesión presentada es algo excepcional y no existen informes similares en la literatura.
A sixty-year old male patient, who suffered nasal trauma caused by a fishing harpoon that penetrated his left nasal cavity. He was immediately assisted to remove the hapoon by performing anterior rhinoscopy. He recovered satisfactorily and there were no side effects or sequelae. The facial and cranioencephalic traumas caused by weapons different from firearms are rare. The type of lesion presented in this article is unique and there is no similar reports found in literature.
Subject(s)
Humans , Male , Aged , Radiography/statistics & numerical data , Accidents , Epistaxis/therapy , Facial Injuries/diagnosis , Weapons , Craniocerebral Trauma/therapyABSTRACT
Objective: To measure the intra-sinus pressure and the maxillary sinus functional efficiency (MSFE) in individuals with chronic facial pain after conservative or conventional endoscopic maxillary surgery, as well as in controls. Method: Sinus manometry was performed 5 times during inhalation. Results: The resemblance of pressure values comparing those treated with minimally invasive surgery and controls was remarkable, while traditional surgery significantly decreased intrasinusal pressures. The MSFE was 100% in the three tested times for controls, close to that in those submitted to minimally invasive surgery (98.3%, 98.8%, and 98.0%) and significantly impaired after conventional surgery (48.8%, 52.1%, 48.5 %, p<0.01). All patients submitted to minimally invasive surgery remained pain-free after three months of surgery, relative to 46.7% of the submitted to conventional surgery (p<0.05). Conclusion: Minimally invasive sinus surgery is associated with functionality of the chambers that resemble what is found in normal individuals. .
Objetivo: Medir a pressão intrasinusal e a eficiência funcional do seio maxilar (EFSM) em indivíduos com dor facial crônica após cirurgia endoscópica maxilar conservadora ou convencional em comparação a pessoas normais. Método: A manometria do seio foi feita 5 vezes durante a inalação. Resultados: A semelhança entre os valores das pressões comparando aqueles tratados com cirurgia minimamente invasiva e os controles foi notável, enquanto que na cirurgia tradicional houve diminuição significativa das pressões intrasinusais. A EFSM foi 100% nas três vezes testadas nos controles, de modo muito semelhante ao que foi observado naqueles submetidos a cirurgia minimamente invasiva (98,3%, 98,8%, e 98,0%) e significativamente diminuída naqueles submetidos a cirurgia convencional (48,8%, 52,1%, 48,5 %, p<0,01). Todos os pacientes submetidos a cirurgia minimamente invasiva mantiveram-se sem dor três meses depois da cirurgia, comparados a 46,7% naqueles submetidos a cirurgia convencional (p<0,05). Conclusão: Cirurgia minimamente invasiva está associada a funcionalidade das câmaras sinusais que se assemelha ao que é observado em indivíduos normais. .
Subject(s)
Adult , Female , Humans , Male , Endoscopy/methods , Facial Pain/surgery , Maxillary Sinus/surgery , Maxillary Sinusitis/surgery , Otorhinolaryngologic Surgical Procedures/methods , Chronic Disease , Facial Pain/etiology , Facial Pain/physiopathology , Manometry , Maxillary Sinus/physiopathology , Maxillary Sinusitis/complications , Maxillary Sinusitis/physiopathology , Treatment OutcomeABSTRACT
The human face develops mainly between the fifth and eighth weeks, following conception. Its development can be traced to five facial primordial appearing around the stomodeum early in the fourth week. There are : one frontonasal, two maxillary and two mandibular prominences. By the end of the fourth week, two nasal placodes develop on each side of the lower part of the frontonasal prominences. The early development of the human face is similar to that of other mammals, such as the pig and rat, all of which acquire branchial arches in the early development stage. The rat branchial arches develop at the 4 mm stage and nearly disappear at the 6 mm stage, as the second one grows dorsally and obliterates the cervical sinus. The medial and lateral nasal prominences appear at the 4 mm stage, and at 6 mm the nasal cavities are more extensive than those of a 10 mm pig embryo ; they are at the same stage of development as a 15 mm pig embryo. Currently we use 10 and 15 mm pig embryos as models in studying facial and nasal development. However, in the future, it might be more suitable to use 4 and 6 mm rat embryos because they are easier to obtain.