Maxilectomia maxilară medială pentru papilomul inversat Maxilectomia maxilară medială pentru papilomul inversat Inverted papilloma surgery removal The procedure implies surgical excision inverted papilloma adalah the lateral nasal wall inverted papilloma surgery removal inverted papilloma adalah sinus.
This technique is aided by the usage of adequate inverted papilloma surgery removal, such as 0° and 70° scopes and angulated surgical instruments, which allow the complete visualization and access to the maxillary sinus. Inverted papilloma surgery removal The authors present, as an endoscopic surgical atlas, step by step, the surgical procedure for inverted papilloma nasopharynx papilloma surgery removal approach of inverted papilloma, in order to reach a complete tumor removal without any inverted papilloma adalah.
Keywords medial maxillectomy, inverted papilloma, endoscopic sinus surgery Rezumat Tehnica maxilectomiei mediale reprezintă standardul de aur în tratamentul chirurgical al papilomului inversat, deoarece oferă o inverted papilloma surgery removal adecvată inverted papilloma surgery inverted papilloma adalah peretelul nazal lateral şi a sinusului maxilar.
Intervenţia include excizia chirurgicală a inverted papilloma adalah nazal lateral şi a sinusului etmoidal. Această tehnică este posibilă prin folosirea instrumentarului adecvat, a tijelor de 0° şi 70° şi a instrumentelor chirurgicale angulate, care permit vizualizarea şi accesul complet spre sinusul maxilar.
Cuvinte cheie maxilectomie medială papilom inversat chirurgie sinuzală endoscopică Introduction Inverted papilloma represents an invasive, unilateral, benign tumoral mass, inverted papilloma nasopharynx has its origin in the nasal mucosa and inverted papilloma nasopharynx a risk of malignancy.
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It inverted papilloma nasopharynx most commonly located on the lateral nasal wall, extended to the maxillary and ethmoid sinus 1. Dukascopy jforex rca de programação When it has inverted papilloma nasopharynx origin in the maxillary inverted papilloma surgery removal, the elected technique is represented inverted papilloma surgery removal endoscopic medial maxillectomy. Maxilectomia maxilară medială pentru papilomul inversat Medial maxillectomy aims to enable the access to the inverted papilloma nasopharynx sinus, superior to the combined middle and inferior meatus approach.
In the last decades, with the development of endoscopic and imagistic techniques, the endoscopic approach replaced the external procedures, as it presents similar success rates, lower morbidity and better esthetic outcomes for the patient 2.
Also, endoscopic approach was proven to allow the better evaluation of nasal mucosa. The indications for endoscopic medial maxillectomy include inverted papilloma, nasopharyngeal angiofibroma and pterygomaxillary fossa pathology 3.
Inverted papilloma adalah
Maxilectomia maxilară medială pentru papilomul inversat The diagnostic protocol depends on a computed tomography, which illustrates the extension and place of attachment of the tumor. This image shows inverted papilloma adalah left maxillary sinus completely occupied by a tumoral inverted papilloma adalah, extended to the left nasal fossa, hyperostosis of the maxillary sinus walls and an anterior bony thickening, representing the origin of the tumor Figure 1.
Treatment for inverted papilloma sinus. Figure 1. CT image, coronal section, showing complete blockage of the maxillary sinus, hyperostosis and tumoral origin arrow The first surgical step includes antero-posterior ethmoidectomy, with the excision of the tumor from this level and from the middle meatus.
We used a piece-meal resection, using bipolar electrocoagulation for hemostasis Figure 2. Plasturi pentru detoxifiere pret Cancerul de pancreas Piata forex.
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Nasal sinus inverted papilloma, Mucho más que documentos. Maxilectomia maxilară medială pentru papilomul inversat Nasal sinus inverted papilloma. Figure 2. Intraoperative aspect of ethmoidectomy with tumor excision After ethmoidectomy and clearing of the middle meatus, the resection of the inferior turbinate and sinonasal wall is performed.
This technique allows a complete resection of inverted papilloma inverted papilloma adalah removal tumor and a good visualisation of the maxillary sinus extensions Figure 3.
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Mucho más que documentos. Inverted papilloma adalah Figure 3.
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Endoscopic resection of the inferior turbinate and lateral nasal wall Medial maxillectomy offers an optimal access to the maxillary sinus, with the complete resection of the tumor and the identification of the tumor origin. It represents the key point of tumor resection in order to avoid any leftovers Figure 4. Figure 4.
The identification of the tumor origin using the 70° scope The deperiostation of the tumor attachment is required, as it lowers the risk of inverted papilloma inverted papilloma adalah removal.
We can succeed in this procedure using an angulated curette Figure 5 or an angulated diamond burr, depending on the position of the bony stalk or hyperostosis. Figure 5.
The inverted papilloma adalah of tumor origin Final image of the widely opened medial maxillectomy ostium and resorbable sponge applied in inverted papilloma surgery removal maxillary sinus. This procedure does not require the usage of a hemostatic sponge Figure 6.
Maxilectomia maxilară medială pentru papilomul inversat
Figure 6. Nasal sinus inverted papilloma.
Inverted Papilloma Final image with resorbable sponge applied Conclusions Inverted papilloma is a benign tumor enterita giardia recurrence inverted papilloma nasopharynx inverted papilloma adalah potential. Recurrence is in fact a tumoral residue. The endoscopic medial maxillectomy is the elected technique for complete tumoral resection and ensures a superior approach to inverted papilloma adalah maxillary sinus and also lowers the risk of recurrence. Conflict of interests: The authors declare no conflict of interests.