scholarly journals Paranasal sinus mucoceles, therapeutic solution through external surgical approach

2020 ◽  
Vol 10 (40) ◽  
pp. 137-141
Author(s):  
Bogdan Mihail Cobzeanu ◽  
Dragos Octavian Palade ◽  
Gianina Bandol ◽  
Patricia Sonia Vonica ◽  
Florentina Severin ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Paranasal Sinuses ◽  
Clinical Symptoms ◽  
External Approach ◽  
Ct Scanner ◽  
Complete Excision ◽  
Cystic Tumors ◽  
Preoperative Ct ◽  
Sinus Ostium ◽  
Histopathological Result

AbstractMucoceles are benign, expansive, cystic tumors, affecting especially the adult, with development in the paranasal sinuses. Clinical symptoms are not specific. These are rare conditions that originate within the sinusal mucosa, favoured by the obstruction of the sinus ostium. Due to the inflammation and the expansive character of the tumor, with the erosion of the bony walls, combined forms can develop, with the involvement of two or more sinuses, most frequently with fronto-ethmoidal localization.The authors carry out a clinical retrospective study on 25 cases of mucoceles of the paranasal sinuses, diagnosed and treated in the ENT Clinic of the “Sfantul Spiridon” Emergency Clinical Hospital Iasi, during 2015-2019. The authors insist on aspects related to clinical and radiological diagnosis (CT scanner), as well as surgical treatment by external approach.The postoperative evolution is generally simple, with full recovery, without complications or recurrences.The diagnosis of the mucoceles of the paranasal sinuses consists in radiologic techniques by preoperative CT scan examination, intraoperative macroscopic aspect and histopathological result.Surgical approach with complete excision of the tumor and creating a new sinusal drainage path prevents the occurrence of recurrences.

scholarly journals Implication of frontal sinus mucocele’s location and intrasinus septation

2019 ◽  
Vol 12 (3) ◽  
pp. e226830
Author(s):  
K Devaraja ◽  
Hitesh Verma ◽  
Rajeev Kumar
Keyword(s):  
Surgical Approach ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Standard Of Care ◽  
Sinus Surgery ◽  
External Approach ◽  
Critical Factors ◽  
Successful Management ◽  
Air Cells

Mucocele of paranasal sinuses commonly affects frontal or frontoethmoidal air cells. With the evolution of endoscopic sinus surgery, the endoscopic marsupialisation has become the standard of care for these lesions. However, the external approach still has a role in selected cases of frontal sinus mucocele. The location of the mucocele and its communication with the natural outflow tract of the frontal sinus are some of the critical factors to be considered while choosing the surgical approach. We have discussed the management of three cases of frontal mucoceles having different locations and one of them having intervening septa. We emphasise that the successful management of far laterally located mucoceles and those with laterally situated septation require an external approach in conjunction with endoscopic marsupialisation.

Revising the Indications of Transtemporal Surgical Approaches in the Modern Endoscopic Era of Skull Base Surgery: A Dying Art

2020 ◽  
Author(s):  
Ravi Sankar Manogaran ◽  
Raj Kumar ◽  
Arulalan Mathialagan ◽  
Anant Mehrotra ◽  
Amit Keshri ◽  
...  
Keyword(s):  
Skull Base ◽  
Surgical Approach ◽  
Nerve Palsy ◽  
Tertiary Care ◽  
Surgical Approaches ◽  
Microsurgical Anatomy ◽  
Complete Excision ◽  
Lateral Skull Base ◽  
The Individual ◽  
Selection Of

Abstract Objectives The aim of the study is to emphasize and explore the possible transtemporal approaches for spectrum of complicated lateral skull base pathologies. Design Retrospective analysis of complicated lateral skull base pathologies was managed in our institute between January 2017 and December 2019. Setting The study was conducted in a tertiary care referral center. Main Outcome Measures The study focused on the selection of approach based on site and extent of the pathology, the surgical nuances for each approach, and the associated complications. Results A total of 10 different pathologies of the lateral skull base were managed by different transtemporal approaches. The most common complication encountered was facial nerve palsy (43%, n = 6). Other complications included cerebrospinal fluid (CSF) collection (15%, n = 2), cosmetic deformity (24%, n = 4), petrous internal carotid artery injury (7%, n = 1), and hypoglossal nerve palsy (7%, n = 1). The cosmetic deformity included flap necrosis (n = 2) and postoperative bony defects leading to contour defects of the scalp (n = 2). Conclusion Surgical approach should be tailored based on the individual basis, to obtain adequate exposure and complete excision. Selection of appropriate surgical approach should also be based on the training and preference of the operating surgeon. Whenever necessary, combined surgical approaches facilitating full tumor exposure are recommended so that complete tumor excision is feasible. This requires a multidisciplinary team comprising neurosurgeons, neuro-otologist, neuroanesthetist, and plastic surgeons. The surgeon must know precise microsurgical anatomy to preserve the adjacent nerves and vessels, which is necessary for better surgical outcomes.

scholarly journals Frontal sinus mucopyelocele with intracranial and intraorbital extension

1970 ◽  
Vol 3 (1) ◽  
pp. 91-92 ◽  
Author(s):  
S Gupta ◽  
R Goyal ◽  
M Shahi
Keyword(s):  
Ct Scan ◽  
Paranasal Sinuses ◽  
Frontal Sinus ◽  
Visual Loss ◽  
Early Recognition ◽  
Surgical Excision ◽  
Intracranial Extension ◽  
External Approach ◽  
Intracranial Complications ◽  
Symptoms And Signs

This case is related to a 52-year-old lady with proptosis, diplopia and diminution of vision due to a mass lesion in upper medial quadrant of the orbit. CT scan revealed a well defined mass in basi-frontal area with intra-orbital and intracranial extension. On exploring it was found to be mucopyocele of the frontal sinus. Surgical excision was done by external approach. The symptoms and signs resolved completely within a week. Frontal sinus mucopyoceles are benign and curable. Early recognition and management of them is of paramount importance because they can expand and cause local, orbital or intracranial complications. Keywords: Mucocele; mucopyocele; paranasal sinuses; visual loss; proptosis  DOI: 10.3126/nepjoph.v3i1.4287Nepal J Ophthalmol 2011;3(5):91-92

scholarly journals Sphenochoanal Polyp - "The Forgotten Element?"

2021 ◽  
Vol 29 (2) ◽  
pp. 209-212
Author(s):  
Misbahul Haque ◽  
Subhrajit Das ◽  
Subrata Mukhopadhyay
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Surgical Approach ◽  
Surgical Intervention ◽  
Complete Removal ◽  
Endoscopic Polypectomy ◽  
Complete Excision ◽  
Sphenochoanal Polyp

Introduction The occurrence of isolated spheno-choanal polyps are not very common and can be very well confused with antro-choanal polyps or adenoids in adolescents and children. Appropriate diagnosis and prompt surgical intervention are essential for its removal.   Case Report We report one such case of a 16 year old female who presented with complaints nasal obstruction and reduced hearing. Endoscopic polypectomy was done with complete removal of the polyp.   Discussion Sphenochoanal Polyp is often misdiagnosed and proper investigations are thus essential for its diagnosis. Surgical Approach is the mainstay form of treatment with complete excision of the polyp.

scholarly journals Correlation between preoperative CT scan and lung metastases according to surgical approach in patients with colorectal cancer

2021 ◽  
Author(s):  
Jorge Hernández ◽  
Laureano Molins ◽  
Juan J. Fibla ◽  
Ángela Guirao ◽  
Juan J. Rivas ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Ct Scan ◽  
Surgical Approach ◽  
Lung Metastases ◽  
Preoperative Ct

scholarly journals Complex treatment of diseases of the nasal cavity and paranasal sinuses at the present time

2021 ◽  
pp. 134-139
Author(s):  
V. M. Svistushkin ◽  
K. V. Eremeeva
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Clinical Symptoms ◽  
Local Treatment ◽  
Silver Ions ◽  
Upper Respiratory Tract ◽  
Drug Induced ◽  
High Incidence ◽  
Upper Respiratory ◽  
Pain Symptoms

The search for rational treatment of diseases of the nasal cavity and paranasal sinuses is due to the high incidence among the world's population. Despite the absolutely clear recommendations that would seem to greatly facilitate the choice and scope of therapy, it is extremely important to have a differentiated approach to each patient, depending on age, concomitant pathology, the nature of the course of the disease, the severity of clinical, primarily pain symptoms, and the presence of rhinogenic complications. Differential diagnosis of viral and bacterial acute rhinosinusitis (ARS) allows to avoid unreasonable prescription of antibiotics in the former case and choose therapy in such a way as to help relieve clinical symptoms, timely cure the disease and prevent complications. A systematic review of the literature was conducted with the analysis of scientific research data on the evaluation of the effectiveness of protargol or silver proteinate in the local treatment of upper respiratory tract diseases. A review of studies shows that silver proteinate has astringent, antiseptic and anti-inflammatory effects. The spectrum of antimicrobial action of silver is much wider than many antibiotics and sulfonamides. At the same time, pathogenic microflora is more sensitive to silver ions than non-pathogenic microflora. The analysis of the works also demonstrates the absence of adverse reactions when using this drug. The obtained data allow us to recommend preparations based on silver proteinate as a complex therapy for acute and chronic diseases of the nasal cavity and nasopharynx. The vasoconstrictive effect of protargol allows it to be used as an alternative to decongestants in order to avoid the development of drug-induced rhinitis and tachyphylaxis. Sialor® is a new, convenient, affordable, longer-shelf-life form of silver proteinate.

scholarly journals Intraventricular Craniopharyngiomas—Overcoming Their Relative Inaccessibility: Institutional Experience With a Review of Literature

2021 ◽  
Vol 12 ◽  
Author(s):  
Chandrashekhar Deopujari ◽  
Sanjay Behari ◽  
Krishna Shroff ◽  
Ashutosh Kumar ◽  
Bhushan Thombre ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Term Outcome ◽  
Complete Excision ◽  
Long Term Outcome ◽  
Ifn Alpha ◽  
Cystic Tumors ◽  
Institutional Experience ◽  
Radiotherapy Alone ◽  
Suprasellar Cistern ◽  
Surgical Field

Introduction: Craniopharyngiomas constitute 2–4% of intracranial neoplasms. Intraventricular craniopharyngiomas (IVCrs) are the rarely encountered varieties of these lesions.Objective: The objective of the study was to study the special features in clinical presentation, imaging, management, and surgical outcome of IVCrs.Materials and Methods: This retrospective analysis included the combined experience from two tertiary care institutions. Medical records of histopathologically proven cases of IVCrs from January 1994 to June 2021 were assessed, and images were analyzed based on the criteria by Migliore et al. for inclusion of solely intraventricular lesion with the third ventricular ependyma demarcating it from the suprasellar cistern.Results: Among the 25 patients included (mean age: 35.4 years), the most common presentation included headache (n = 21, 84%), vomiting and other features of raised ICP (n = 18, 72%), visual complaints (n = 12, 48%), and endocrinopathies (n = 11, 44%). Fifteen had predominantly cystic tumors, two were purely solid, and eight were of mixed consistency. Primary open microsurgical procedures were performed in 18 (72%) patients, of which four (16%) were endoscope-assisted. Seven (28%) underwent a purely endoscopic procedure. One underwent a staged surgery with endoscopic cyst fenestration and intracystic interferon (IFN)-alpha therapy, followed by microsurgical excision. Complete excision was achieved in 10 patients, near-total in nine, and partial excision in six. Four patients underwent a ventriculoperitoneal shunt (one before the definitive procedure). At a median follow-up of 36 months (range:11–147 months), five patients developed a recurrence, and one had a stable small residue. This patient and two others with small cystic recurrences were observed. One patient was managed with radiotherapy alone. Another underwent re-surgery after a trial of radiotherapy, and the last patient developed a local recurrence, which was managed with radiotherapy; he then later developed an intraparenchymal recurrence, which was operated.Conclusion: Purely IVCrs present with raised intracranial pressure, and visual disturbances are less common. Their deep-seated location and limited surgical field-of-view makes minimally invasive endoscopic-assisted surgery most suitable for their excision. The thin-walled cystic lesions may be occasionally adherent to the ependymal wall in close vicinity to the thalamus–hypothalamus complex, making complete excision difficult. Their responsiveness to radiotherapy, often leads to a gratifying long-term outcome.

scholarly journals Maxillary Sinus Pneumocele Presenting as Aesthetic Deformity: A Case Report With Literature Review

2019 ◽  
Vol 99 (6) ◽  
pp. 397-401
Author(s):  
Hyun Sang Cho ◽  
Seok Jung Hong ◽  
Hyun Kyu Chae ◽  
Kyung Soo Kim
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Surgical Approach ◽  
Clinical Symptoms ◽  
Interesting Case ◽  
Operation Technique ◽  
Comprehensive Review ◽  
The Past ◽  
Standard Operation ◽  
Eye Symptoms

We report an interesting case of maxillary sinus pneumocele that presented with aesthetic deformity and completely treated with Caldwell-Luc approach and thoroughly review all of the past literature focusing on clinical symptoms and surgical approach. Based on our comprehensive review of maxillary sinus pneumocele, we found 2 important characteristics. First, maxillary sinus pneumocele may be asymptomatic but cause various symptoms owing to the displacement of neighboring structures, such as facial symptoms, eye symptoms, and nasal obstruction. Second, there is no standard operation technique for maxillary sinus pneumocele, but surgical approach should be individualized depending on patient’s symptoms and needs. Therefore, more case studies are needed to confirm this.

Clinical Study of Percutaneous Puncture Radiofrequency Ablation Guided by CT Image Information Technology in Patients with Secondary Hyperparathyroidism of Uremia

2021 ◽  
Vol 11 (1) ◽  
pp. 174-178
Author(s):  
Chunqin Pan ◽  
Xuecai Zhou ◽  
Wenzhong Sun ◽  
Dou Fu ◽  
Jie Liu
Keyword(s):  
Radiofrequency Ablation ◽  
Secondary Hyperparathyroidism ◽  
Clinical Symptoms ◽  
Calcium Supplementation ◽  
Percutaneous Radiofrequency Ablation ◽  
Ct Guided ◽  
Before And After ◽  
Preoperative Ct ◽  
Renal Bone Disease

Objective: To investigate the effectiveness and safety of CT-guided percutaneous radiofrequency ablation for the treatment of secondary hyperparathyroidism (SHPT) in chronic renal failure. Methods: Thirty patients with SHPT in our hospital were selected as the study subjects. Preoperative CT examinations confirmed that there were 1 to 4 hyperplastic parathyroid tissues. Under the guidance of CT, radiofrequency ablation of the hyperplastic parathyroid tissues was performed to detect ablation The levels of PTH, blood Ca, and blood P before and after 10 min, 1 d, 1 week, 1 month, 6 months, and 1 year of ablation were observed to observe the improvement of clinical symptoms and the occurrence of complications. Results: First, the patients' blood PTH levels at 10 min, 1 d, 1 week, 1 month, 6 months, and 1 year after ablation were significantly lower than those before the ablation (P < 0.05); 10 min, 1 d, Blood Ca levels at 1 week, 1 month, 6 months, and 1 year were significantly lower than those before ablation (P < 0.05); 10 min, 1 d, 1 week, 1 month, 6 months, and 1 month after ablation The blood P level in 2015 was significantly lower than that before ablation (P < 0.05). Second, the symptoms of bone pain, itching of the skin, muscle weakness, and anorexia were significantly improved after ablation, and hoarseness occurred in 3 cases. The rate was 10%, all of which remitted spontaneously within 1 week after operation; 2 cases of severe hypocalcemia occurred with a rate of 6.6%. All patients had remission after timely calcium supplementation, and all patients did not relapse. Conclusion: CT-guided percutaneous radiofrequency ablation is a safe and effective method for the treatment of SHPT, which can significantly improve the symptoms of renal bone disease and improve the quality of life.

RESULTS OF MAGNETIC RESONANCE IMAGING AND COMPUTERIZED TOMOGRAPHY DURING SURGERY OF CHRONIC SUBDURAL HEMATOMA IN HOP LUC GENERAL HOSPITAL - THANH HOA

2017 ◽  
pp. 20-25
Author(s):  
Thanh Van Nguyen
Keyword(s):  
Subdural Hematoma ◽  
Clinical Symptoms ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Ct Scanner ◽  
Intracranial Hematomas ◽  
The Brain ◽  
Large Hematoma ◽  
Neurosurgical Techniques ◽  
Timely Treatment

Consequence of traumatic brain injury as intracranial hematomas are severe complications with disability and high mortality. The diagnosis and treatment are difficult expecially for provincial hospitals. Chronique subdural hematoma (SDH) could occur at any age but mostly in the elderly. Clinical symptoms of chronic SDH often fuzzy, nonspecific. The large hematoma trường hợpuses prolonged tamponade leading to irrversible damage in the brain. The consequences may lead to death or severe sequelae. With actual advances in diagnostic imaging and neurosurgical techniques, chronic SDH may be considered benign lesions. With early detection, timely treatment, the results will be very positive. From 2007 – 2014 we operated 97 caes of chronic SDH with good results. Key words: chronic hematoma, result MRI and CT Scanner, chronic capillary surgery

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