ABSTRACT
The authors describe rare clinical observations of patients suffering transnasal injuries to the base of the skull. Based on their own experience, they propose practical recommendations for the management of such cases.
Subject(s)
Brain Injuries/surgery , Facial Bones/surgery , Head Injuries, Penetrating , Nasal Cavity/surgery , Transportation of Patients/standards , Wounds, Stab , Adult , Brain Injuries/diagnostic imaging , Brain Injuries/physiopathology , Facial Bones/diagnostic imaging , Facial Bones/injuries , Female , Head Injuries, Penetrating/diagnostic imaging , Head Injuries, Penetrating/physiopathology , Head Injuries, Penetrating/surgery , Humans , Male , Nasal Cavity/diagnostic imaging , Nasal Cavity/injuries , Patient Care Team/organization & administration , Radiography , Time Factors , Treatment Outcome , Wounds, Stab/diagnostic imaging , Wounds, Stab/physiopathology , Wounds, Stab/surgeryABSTRACT
A pilot trial of efficacy of the drugs lisobact and stomatidin in local treatment of acute pharyngitis and combined therapy of tonsillitis and paratonsillar abscess included 82 patients with tonsillitis (n=30), paratonsillar abscess (n=30) and acute pharyngitis (n=22) aged 15-72 years. Effectiveness of the treatment was assessed by changes in clinical symptoms, pharyngoscopic picture and results of bacteriological studies. It was found that treatment with lisobact and stomatidin diminished considerably bacterial contamination of the paratonsillar abscess and pharyngeal mucosa. Local treatment with lisobact and stomatidin for paratonsillar abscess in combination with systemic antibacterial drug reduces the time of hospital stay, in tonsillitis patients - of disability. High compliance to lisobact and stomatidin treatment was observed.
Subject(s)
Anti-Infective Agents/therapeutic use , Hexetidine/therapeutic use , Muramidase/therapeutic use , Pharyngeal Diseases/drug therapy , Adolescent , Adult , Aged , Bacterial Infections/complications , Bacterial Infections/drug therapy , Female , Humans , Male , Middle Aged , Pharyngeal Diseases/microbiology , Pilot ProjectsSubject(s)
Anti-Bacterial Agents/therapeutic use , Cefixime/therapeutic use , Sinusitis/drug therapy , Adolescent , Adult , Chronic Disease , Female , Humans , Male , Middle Aged , Recurrence , Treatment Outcome , Young AdultABSTRACT
Variants of plastic reconstruction of the frontal sinus anterior wall in its traumatic lesion is reviewed. Examination and treatment of 17 patients with the diagnosis of fracture of the frontal sinus anterior wall with a cosmetic defect were performed in Moscow hospital N 1. Plastic reconstruction consisted of reposition of the bone fragments with elevator (6 patients), reposition and suturing of the fragments to the border of the bone defect (9 patients). Follow-up proved efficacy of the above surgical treatment in repair of the cosmetic defect. Architectonics of the walls of the frontal sinus was restored, pyoinflammation in the sinus was absent, passability of the frontonasal anastomosis was unaffected.
