RESUMO
Osteomas of the paranasal sinuses are slow-growing, benign tumours most frequently found in the frontal sinus with an incidence that varies from 47% to 80% of the cases; there are often no symptoms and they are diagnosed by chance during an x-ray examination. The symptoms are usually headaches and those secondary to ocular or neurological complications. The therapy to be preferred is surgery. The authors describe a case of frontal osteoma complicated by frontal sinusitis and palpebral abscess.
Assuntos
Abscesso/diagnóstico , Doenças Palpebrais/diagnóstico , Seio Frontal/patologia , Osteoma/diagnóstico , Neoplasias dos Seios Paranasais/diagnóstico , Adulto , Sinusite Frontal/diagnóstico , Humanos , MasculinoRESUMO
UNLABELLED: A nasal septal abscess is usually the result of an infected hematoma of the septum. A secondary septal abscess may be the result of infections extending from any of the neighbouring tissues. The necrosis of septal cartilage may lead to nasal deformities and severe impairment of nasal patency and growth. OBJECTIVES: Assess if the drainage of the abscess and the immediate reconstruction of the destroyed nasal septum in the acute phase is the best treatment to prevent short- and long-term effect on nasal and midface growth. METHODS: Three pediatric patients treated with drainage and immediate implantation of homologous bank cartilage prior to 1990 and four treated with mosaic plastic using small pieces of residual septal cartilage assembled with fibrin glue. RESULT: No complication were observed in the follow-up and any deformities in the long-term controls. CONCLUSIONS: The drainage and immediate reconstruction of the nasal septum are the golden standard in the treatment of the septum infected haematoma.
Assuntos
Abscesso/terapia , Septo Nasal/cirurgia , Nariz/lesões , Abscesso/microbiologia , Cartilagem/transplante , Criança , Pré-Escolar , Drenagem , Epistaxe/etiologia , Feminino , Febre/etiologia , Formaldeído/administração & dosagem , Hemostáticos/administração & dosagem , Humanos , Masculino , Obstrução Nasal/etiologia , Septo Nasal/microbiologia , Nariz/cirurgia , Álcool de Polivinil/administração & dosagem , Transplante Homólogo , Resultado do TratamentoRESUMO
Four patients with mucocele of maxillary sinus, observed between 1995 and 2001, with two years' follow-up, are described. Aim of the present study was to establish whether endoscopic marsupialization of the maxillary sinus mucocele is adequate resolutive treatment without complete removal of the mucocele wall, using more invasive approaches. The surgical procedure used was endoscopic endonasal marsupialization by a middle and/or inferior meatal antrostomy. Outcome confirms that this technique is the gold standard treatment in this disorder. In fact, complete removal of the mucocele wall is not necessary thus avoiding the risk of iatrogenic lesions of neighbouring structures in the case of a bony erosion (orbital floor, posterior wall of the maxillary sinus).
Assuntos
Endoscopia , Seio Maxilar , Mucocele/cirurgia , Doenças dos Seios Paranasais/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Masculino , Seio Maxilar/diagnóstico por imagem , Pessoa de Meia-Idade , Mucocele/diagnóstico , Mucocele/diagnóstico por imagem , Doenças dos Seios Paranasais/diagnóstico , Doenças dos Seios Paranasais/diagnóstico por imagem , Fatores de Tempo , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Osteomas of the paranasal sinuses are slow-growing, benign tumours most frequently found in the frontal sinus with an incidence that varies from 47% to 80% of the cases; there are often no symptoms and they are diagnosed by chance during an X-ray examination. When there are symptoms, they are usually headaches and ocular or neurological complications. The treatment of choice is surgery. A case of frontal osteoma complicated by frontal sinusitis and by a palpebral abscess is described.
Assuntos
Abscesso/complicações , Doenças Palpebrais/complicações , Seio Frontal/patologia , Osteoma/complicações , Osteoma/patologia , Neoplasias dos Seios Paranasais/complicações , Neoplasias dos Seios Paranasais/patologia , Abscesso/tratamento farmacológico , Adulto , Anti-Infecciosos/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Betametasona/uso terapêutico , Ciprofloxacina/uso terapêutico , Doenças Palpebrais/tratamento farmacológico , Humanos , MasculinoRESUMO
We present our series of 21 patients treated since 1991 to 2000 with glottic carcinomas T1a-b with commissure extension. The surgical technique used has been frontolateral laryngectomy as Leroux-Robert in 8 cases, and in the other 13 cases we have contributed with somme variations using a piece of superficial cervical fascia to close the thyroid opening and a piece of the vestibular band for the reconstruction at the glottic level. We studied the functional and oncological results we have obtained with a minimum control of one year and maximum of seven years.
Assuntos
Neoplasias Laríngeas/cirurgia , Laringectomia/métodos , Idoso , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Presentamos nuestra casuística de 21 pacientes tratados entre los años 1994-2000 por carcinoma glótico T1 a-b a extensión comisural. La técnica quirúrgica utilizada fue la laringectomía fronto-lateral según Leroux-Robert en 8 casos, mientras que en otros 13 casos aportamos algunas astucias utilizando un pedazo de fascia cervical superficial para el cierre de la brecha tiroidea y un pedazo de deslizamiento de falsa cuerda para la reconstrucción del plano glótico. Entre otras cosas revisamos los resultados funcionales y oncológicos que obtuvimos con un seguimiento mínimo de 1 año y máximo de 7 años (AU)
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