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Polipoză de sinus frontal operată prin abord endoscopic transcranian Head and Neck SurgeryOtolaryngology. Inverted papilloma mri Company, Philadelphia, Draft W. The endoscopic approach was performed through a small bone window by the midline of the glabella, with the restoration of the bone inverted papilloma mri at the end of the surgery using a titanium mesh.

The endoscopic approach was performed through a small bone window by nasal papilloma mri midline of the glabella, with the restoration of the bone support at the end of the surgery using a titanium mesh. Nasal papilloma mri the surgical staff has a lot of experience in doing the endoscopic transnasal approach, there are some cases where the transnasal route cannot safely solve certain pathologies.

This is the reason why the authors wish to illustrate the need of using an approach that will ensure a proper management of any kind of complications that can occur during surgery, specific to these tumors bleeding, cerebrospinal fluid papilloma virus o herpes.

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In this papilloma on nasal septum, the transcranial endoscopic approach papilloma on nasal septum the best solution. Keywords frontal sinus, tumor, external endoscopic approach Rezumat Prezentăm cazul unui pacient, în vârstă de 62 de ani, cu o formaţiune tumorală voluminoasă de sinus frontal bilateral, cu sindrom cefalalgic sever şi distrucţia parcelară a laminei papiracee papilloma on nasal septum şi a peretelui posterior al sinusului frontal drept.

Transcranian endoscopic approach in a frontal polyposis Abordul endoscopic s-a nasal papilloma mri printr-o fereastră intersprâncenoasă de mici dimensiuni, cu refacerea suportului osos la finalul intervenţiei utilizând papilloma papilloma on nasal septum nasal septum plasă din titan.

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Deşi echipa chirurgicală are o experienţă îndelungată în nasal papilloma mri transnazal endoscopic, există cazuri în care parcursul trans­nazal nu poate rezolva în deplină siguranţă anumite pato­lo­gii. Autorii doresc să sublinieze necesitatea utilizării unui abord care să asigure managementul corespunzător al unor eventuale complicaţii intraoperatorii specifice acestor tumori sângerări, fistulă de lichid cefalorahidianiar în cazul de faţă abordul endoscopic transcranian a reprezentat cea mai bună soluţie.

Magdalena Chirila - Referințe bibliografice Google Academic

Cuvinte cheie sinus frontal tumoră abord endoscopic extern A warts treatment papilloma on nasal septum patient, S. Three years ago Mayin another ENT service, the patient underwent a curative surgery for bilateral fronto-ethmoido-sphenoidal rhinosinusitis. Papilloma on nasal septum to the medical discharge presented by the patient, the frontal sinus approach used was of the Draf I kind, without exploring the frontal sinus cavity. The prolonged evolution led to a lysis of a wall caused by a decubitus injury.

Nasal papilloma mri

This explained the intimate tumoral contact with the dura mater through an 8-mm bone breach in the posterior wall of nasal papilloma mri right frontal sinus.

Also, the tumor protruded through the left orbit by an erosion of the left lamina papyracea, with the appearance of a discrete papilloma on nasal septum and external exo­phthalmia in the left eye. The MRI revealed that the dura mater was integral and the orbital periosteum was apparently free Figure 1.

Down: partial destruction of the left eye lamina papyracea, bone breach to anterior cerebral fossa The apparent origin located at the posterior wall of the bilateral frontal sinus, the partial exposure of the dura mater and the destruction of the lamina papyracea with the penetration of the tumor into the left orbit led to the decision of an external endoscopic approach.

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We underwent the surgery using general anesthesia with OT intubation. Skin incision: 20 mm, bone fenestration with 13 mm papilloma on nasal septum diameter and 10 mm nasal papilloma mri diameter.

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A hard tumor was shown upon palpation, with a macroscopic aspect of an inverted papilloma, well-vascularized, that occupied both frontal sinuses and dived through the nasofrontal ducts in the anterior ethmoidal cells.

The apparent origin of the tumor was located at the junction between the posterior wall of the left frontal sinus and the intersinusal septum, in the upper floor of the sinus cavity. Magdalena Chirila - Referințe bibliografice Google Academic Nasal papilloma mri was a partial exposure of the dura mater and the left orbital periosteum, but there was no signs of penetration at nasal papilloma mri level.

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A Draf Nasal papilloma mri transnasal endoscopic approach was performed for the restoration of ventilation in both frontal sinuses. Efficient hemostasis; did not require nasal package. The integrity of the bone support was restored using a squamous papilloma of skin pathology outlines mesh fixed with biocompatible screws Figure 2.

Referințe bibliografice pe an Intradermal skin suture Vicryl 5. Figure 2.

Papilloma on nasal septum

Intraoperative macroscopic aspect — optics. Restoration of bone support using titanium mesh A CT scan using a contrast substance was performed at the end of the surgery Figure 3.

It confirmed the complete macroscopic resection of the tumor and a wide ventilation of both frontal sinuses.

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Up: postoperative CT aspect — axial, sagital. IHC revealed the diagnosis of a glandular subtype of sinus inflammatory polyp. We presented this case to point out that there are many situations when the pathology of the frontal sinuses still requires an external approach, even when we consider that the surgical team has a strong experience in transnasal endoscopic surgery.

Tonsillar Squamous Cell Carcinoma

VI, NR. The peculiarity of nasal papilloma mri case was papilloma on nasal septum small bone-window through which the tumor was resected, the advantage we had being given by the usage of optics and angular tools that made the resection complete and safe for the patient. CSF leaks, the nasal papilloma mri sinus osteomas that exceed the diameter of the nasofrontal duct and large solid tumors can be safely managed for the patient through a minimally invasive transcranial endoscopic approach that is lesion-centered.

nasal papilloma mri

Note: This article does not contain any references, since it describes a strictly personal experience of the authors. Conflict of interests: The authors declare no conflict of interests.

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