ABSTRACT
Anatomical location of salivary glands requires from surgeon high precision during the operation in this site. Waterjet is one of the modern tools which allows to perform "minimal invasive" operating procedure. This tool helps to separate pathological structures from healthy tissue with a stream of high pressure saline pumped to the operating area via special designed applicators. Stream of fluid is generated by double piston pummp under 1 to 80 bar pressure that can be regulated. This allows to precise remove tumors, spare nerves and vessels in glandular tissue and minimize use of electrocoagulation. Waterjet is a modern tool that can help to improve the safety of patients and comfort of surgeon's work.
Subject(s)
Dissection/instrumentation , Dissection/methods , Neurosurgical Procedures/instrumentation , Neurosurgical Procedures/methods , Salivary Gland Neoplasms/surgery , Equipment Design/methods , Humans , Hydrostatic Pressure , Isotonic Solutions/administration & dosage , Poland , Sodium ChlorideABSTRACT
UNLABELLED: The main problem for nose and paranasal sinuses oncology is not the high incidence but the poor oncological and functional results of the treatment. AIM: The aim of the work was presentation the patients and reconstruction methods after oncological ablation of nose and paranasal sinuses area. MATERIAL AND METHOD: The study wa carried out on 14 patients treated in Department of Otolaryngology of The Military Clinical Hospital in Krakow. The patients were divided into groups considering size and localization of the tumor. RESULTS: All the patients are in observation without recurrence untill now. Cosmetic and functional results are satisfed. The main problem is total reconstruction of the nose where the cosmetic results are not satisfied. CONCLUSIONS: The main difficulty is the total and near total reconstruction of the nose especially if it is necessary to reconstruct all nasal structures. From quality of life point of view the cooperation with dental prosthetic doctor is obligated for maxillectomy.
Subject(s)
Nose Neoplasms/surgery , Paranasal Sinus Neoplasms/surgery , Rhinoplasty/methods , Surgical Flaps , Adult , Female , Humans , Male , Middle Aged , Nose/surgery , Nose Neoplasms/pathology , Oncology Service, Hospital , Paranasal Sinus Neoplasms/pathology , Poland , Treatment OutcomeABSTRACT
The authors present a very rare disease--metastasis of colon adenocarcinoma to the sphenoid sinus based on their own case. The sphenoid sinus was the first place of metastasis. Symptoms were characteristic of sphenoid sinus lesions. Histological examination of sphenoid sinus tissues revealed primary site of the tumour.
Subject(s)
Adenocarcinoma/secondary , Colonic Neoplasms/pathology , Paranasal Sinus Neoplasms/diagnostic imaging , Paranasal Sinus Neoplasms/secondary , Sphenoid Sinus , Aged , Female , Humans , Sphenoid Sinus/pathology , Tomography, X-Ray ComputedABSTRACT
UNLABELLED: During last few years we could observe systematic growth of diabetes sick rate. The purpose to be achieved in treating diabetes is to keep the glycemy on the level near to the glycemy of the healthy system. Sometimes we can not succeed in keeping target level of glycemy. Among many reasons leading to such conditions are infection and inflammation processes. OBJECTIVES: Assess the rate of infection and inflammation processes among patients suffering from uncontrolled diabetes and its most frequent locations. MATERIAL AND METHODS: 68 patients suffering from uncontrolled diabetes treated in the Internal Disease Clinic in 2001-2002. RESULTS: Among 68 cases examined, in 54 (79.4%) infection and inflammation process was found, where in half of the cases infection and inflammation process was found in more than one location. The most common locations were: pharyngeal and nasal cavity; larynx (51.5%) nasal sinus (32.4%), jaws (20.6%), urinary system (19.1%). CONCLUSIONS: In most cases of uncontrolled diabetes inflammation focal spots could be found, half of them in more than one location. In case of patients suffering from uncontrolled diabetes it is fully justified to conduct obligatory tests aimed at identifying infection and inflammation processes in most common locations.
