RESUMO
OBJECTIVE: Determine the frequency of crista galli (crest of the rooster) pneumatization and the presence of communication of the pneumatized crista galli with the paranasal sinuses. MATERIAL AND METHODS: Computed tomography data of the paranasal sinuses of 251 patients. The patients' age ranged from 23 to 70 years. Variations in crista galli were classified according to the degree of pneumatization. RESULTS: The pneumatic type of crista galli structure was observed in 14.7% of cases. The most commonly crista galli pneumatized had a connection with the frontal sinus. In some cases, in the presence of sinusitis, the crista galli cavity was involved in the inflammatory process. The article presents a case of inflammation of pneumatized crista galli, in which a patient complained of a stubborn headache in the frontal sinus. Attention is drawn to the importance of diagnosing this pathology using objective imaging methods. Videoendoscopy and computed tomography revealed crista galli pneumatization with thickening of the mucous membrane and the presence of fluid. As a result, the optimal surgical approach was chosen - transseptal dissection with removal of one of the walls of pneumatized crista galli.
Assuntos
Relevância Clínica , Seio Frontal , Masculino , Animais , Prevalência , Galinhas , Osso EtmoideRESUMO
The objective of the present work was to study microflora of the external auditory meatus in the patients presenting with bacterial otitis externa diffusa. The authors have analyzed the results of microbiological investigations involving 102 patients with this condition undergoing the treatment with 'Polidexa'. The characteristic of species composition of microflora associated with otitis externa diffusa is presented. The sensitivity of the most common pathogens responsible for the development of this pathology towards antibiotics contained in ear drops has been analysed. The advantages of the use Polidexa for the treatment of this acute ear disease are described.
Assuntos
Dexametasona/administração & dosagem , Meato Acústico Externo/microbiologia , Microbiota , Neomicina/administração & dosagem , Otite Externa/tratamento farmacológico , Polimixina B/administração & dosagem , Staphylococcus aureus , Streptococcus pyogenes , Adulto , Antibacterianos/administração & dosagem , Combinação de Medicamentos , Feminino , Humanos , Instilação de Medicamentos , Masculino , Testes de Sensibilidade Microbiana/métodos , Otite Externa/diagnóstico , Otite Externa/microbiologia , Otite Externa/fisiopatologia , Soluções Farmacêuticas/administração & dosagem , Federação Russa , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus aureus/isolamento & purificação , Streptococcus pyogenes/efeitos dos fármacos , Streptococcus pyogenes/isolamento & purificação , Resultado do TratamentoAssuntos
Neoplasias do Seio Maxilar/diagnóstico , Seio Maxilar/diagnóstico por imagem , Osteoma/diagnóstico , Tomografia Computadorizada por Raios X , Diagnóstico Diferencial , Feminino , Humanos , Neoplasias do Seio Maxilar/cirurgia , Pessoa de Meia-Idade , Osteoma/cirurgia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodosRESUMO
The author presents the results of the analysis of the data from the domestic and foreign literature concerning the potential of the osteoplastic methods for the restoration of bone defects in the nasal septum. All types of the osteoplastic materials finding the application in rhinologyare described.