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Zhonghua Er Bi Yan Hou Ke Za Zhi Jun 2001The aim of this article is to present the concept of empty nose syndrome(ENS) and help ENT doctors take care of regular nasal turbinate surgery.
OBJECTIVE
The aim of this article is to present the concept of empty nose syndrome(ENS) and help ENT doctors take care of regular nasal turbinate surgery.
METHODS
Fourteen patients who was diagnosed as ENS in our department were reviewed retrospectively. All patients had undergone various forms of nasal surgery (all had had turbinectomy). Their age ranged from 13 to 52 years. All patients were treated conservatively, among these patients 5 subjects who had more serious symptoms received submucous and subperiostal nasal implantation with ilium.
RESULTS
All patients had nasal obstruction and dryness of nasal cavity, nasopharynx and oto-pharynx in 6 months--5 years after their first nasal surgery, some presented symptoms of depression. Nasoscope examination showed all patients had a cylindrically enlarged nasal cavity. Conservative treatment was effective in most cases. The effectiveness of operative treatment was encouraging during short-term follow-up.
CONCLUSION
Extensive turbinectomy may cause secondary nasal mucosal atrophy and a series of subsequent symptoms. The presentation of this concept is to remind the ENT doctors prudently performing turbinectomy to avoid the occurrence of irreversible injury to the nasal cavity.
Topics: Adolescent; Female; Follow-Up Studies; Humans; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Rhinitis, Atrophic; Syndrome; Turbinates
PubMed: 12761925
DOI: No ID Found -
ORL; Journal For Oto-rhino-laryngology... 2008This study was designed to describe the anatomic features of the frontal recess by transnasal endoscopy (nasoscope), to analyze its implications in endoscopic frontal...
OBJECTIVE
This study was designed to describe the anatomic features of the frontal recess by transnasal endoscopy (nasoscope), to analyze its implications in endoscopic frontal sinus surgery and to discuss the issues that may be experienced during such operations.
MATERIALS AND METHODS
The patients included in this analysis were adults with chronic sinusitis or nasal polyp (n = 301, 562 sides) hospitalized in our hospital from August 1998 to April 2001. Chronic frontal sinusitis was confirmed in 280 cases (479 sides) by coronal and axial CT scan. Patients with a previous surgical history were excluded from the analysis. The surgical outcomes of these patients and CT imaging data were retrospectively reviewed and analyzed. The drainage pattern of the frontal sinus was identified based on CT scans preoperatively. Endoscopic frontal sinus surgery was performed in 250 cases (421 sides). The anatomic features of the frontal recess under nasoscope were classified into 2 types.
RESULTS
The coronal CT results confirmed the position of the frontal sinus ostium between the uncinate process and the middle turbinate in 203 sides (48.2%) of all operated patients and the ostium was found to be located between the uncinate process and the lamina papyracea in 218 sides (51.8%). According to the location of the frontal sinus ostium, we grouped the anatomic features of the frontal recess into 2 types. Type I was documented in 203 sides (48.2%) and type II was seen in 218 sides (51.8%).
CONCLUSIONS
The anatomic features of the frontal recess under nasoscope and their classification are very important and helpful for endoscopic frontal sinsus surgery. The upper part of the uncinate process is a dependable anatomic landmark for the localization of the frontal sinus ostium in CT scan and endoscopic frontal sinus surgery.
Topics: Adolescent; Adult; Cohort Studies; Endoscopy; Female; Frontal Bone; Frontal Sinusitis; Humans; Male; Middle Aged; Nasal Polyps; Predictive Value of Tests; Retrospective Studies; Tomography, X-Ray Computed
PubMed: 18408405
DOI: 10.1159/000114530 -
The Journal of Craniofacial Surgery Mar 2004The authors present a case of a previously healthy 8-year-old girl who presented with pain on the right side of the nose (bony part) radiating to the frontal and...
The authors present a case of a previously healthy 8-year-old girl who presented with pain on the right side of the nose (bony part) radiating to the frontal and temporal regions. Physical examination was normal, whereas magnetic resonance imaging (MRI) of the facial region revealed a tumor limited to the right ethmoidal sinus with a small extension to the medial wall and the upper part of the nasal septum. The tumor was removed by using a 5-degree nasoscope and sent for pathologic examination, which revealed a cemento-ossifying fibroma of the ethmoidal sinus. This is a rare condition, and MRI is a valuable tool in its detection because results of physical examination may be normal in patients reporting nasal pain. According to the World Health Organization classification, this tumor is a variant of cementifying fibromas, which represent a subgroup of cementomas, fibro-osseous lesions containing cementum. Cementifying fibromas are rare tumors. They are usually small, asymptomatic lesions, but although benign, they can develop into aggressive, expansible masses.
Topics: Cementoma; Child; Ethmoid Sinus; Facial Pain; Female; Humans; Magnetic Resonance Imaging; Paranasal Sinus Neoplasms
PubMed: 15167231
DOI: 10.1097/00001665-200403000-00006 -
Lin Chuang Er Bi Yan Hou Tou Jing Wai... Sep 2011To improve the cognition of fungal ball sinusitis (FB) for diagnosing and treatting it rightly, we retrospectively analyzed the hospitalization cases.
OBJECTIVE
To improve the cognition of fungal ball sinusitis (FB) for diagnosing and treatting it rightly, we retrospectively analyzed the hospitalization cases.
METHOD
We analyzed 98 cases FB patients' first symptom, acoustic rhinometry, CT manifestation, operation fashion.
RESULT
The first symptoms of FB include: 47.2% nosebleed, 38.8% snuffle, 28.6% headache and face-ache, 4.0% nasal peculiar smell, 2.0% excessive tear, 4.0% no symptom. Anterior nasoscope inspection include: 43.9% no significant abnormity, 13.3% nasoseptal deviation. 41.8% nasal cavity neoplasm (nasal polyp, nasoturbinal polyp, nasal meatus fugal ball etc), 25.5% secretion in nasal cavity. The parameters that conclude the nasal airway resistance (NAR), nasal cavity volume (NCV) and nasal minimal cross-section area (NMCA) have extremely difference (P<0.01) between FB and normal volunteers (NV): the NAR increase, but NCV and NMCA decrease; the Distance of the Minimal cross-sectional area from the nostril (DCAN) appear moving backword compared with NV. The CT manifestation: almost unilateral lesions, involved paranasal sinuses present asymmetric or symmetrical opacification: 60.2% with calcified area, 25.5% with local bone erosion, 74.5% with sinus wall sclerosis. 65.3% of the CT diagnoses as FB are accord with pathology diagnoses. The incidence of FB involve maxillary sinus most (54.1%), then sphenoid sinus (11.2%) and ethmoid sinus (5.1%), frontal sinus (2.0%), multi-sinus (32.7%). All cases operated functional endoscopy surgery: 13 cases with nasoseptal diorthosis, 4 cases with inferior meatus opening, 2 case with canine fossa opening; we clean up the fungal pathogen with different degree endoscope through different path.
CONCLUSION
The clinical symptom of FB is not representative; the acoustic rhinometry show that NAR increasing but NCV and NMCA decreasing maybe the reason of fungal infection; the CT examine is helpful for FB diagnosis; the functional endoscopy surgery is efficient therapy for FB.
Topics: Adult; Aged; Airway Resistance; Female; Fungi; Humans; Male; Middle Aged; Mycoses; Retrospective Studies; Rhinometry, Acoustic; Sinusitis; Young Adult
PubMed: 22070071
DOI: No ID Found -
Annals of Medicine and Surgery (2012) Oct 2021No case has been reported regarding esophago-gastrectomy due to caustic chemicals in the literature.
INTRODUCTION AND IMPORTANCE
No case has been reported regarding esophago-gastrectomy due to caustic chemicals in the literature.
CASE PRESENTATION
The first case was a 43-year-old woman with BMI 28.5. After one month of taking a weight loss drug called HERBAL, the patient experienced vomiting, and signs of progressive dysphagia, while being unable to eat any solid food. Endoscopy results revealed many scars causing the narrowing of the esophagus, starting from the upper third of the esophagus, 25cm from the dental arch. After 2 months, she lost 26kg (BMI 18.3). Endoscopic reexamination showed the esophagus's stricture, 25cm from the dental arch. X-ray also showed that the esophagus and stomach were completely narrow and atrophied. The second case was a 37-year-old woman who suffered from domestic violence and drunk about 50 ml of toilet detergents to commit suicide. After one month, the patient went through dysphagia and was unable to eat. Esophageal endoscopy showed that the esophagus was narrowed in the upper third part, 20cm from the dental arch, which led to the inaccessibility of the conventional insertion tube that required nasoscope instead.
CLINICAL DISCUSSION
The results demonstrated many ulcer scars, retraction inside the esophagus and stomach, abnormally small volume of stomach, narrowing cardia, and pyloric stenosis. In both cases, thoracoscopic surgery was performed for esophago-gastrectomy, and the upper gastrointestinal tract was subsequently reconstructed using the ileum-right colon.
CONCLUSIONS
The ileum-right colon segment is a part that can be used to reconstruct the upper gastrointestinal tract following esophago-gastrectomy.
PubMed: 34540223
DOI: 10.1016/j.amsu.2021.102846 -
Lin Chuang Er Bi Yan Hou Tou Jing Wai... Apr 2011To propose the concept of rhinogenic otitis media and explore its pathomechanism through analyzing the diagnosis and treatment on secretory otitis media caused by...
OBJECTIVE
To propose the concept of rhinogenic otitis media and explore its pathomechanism through analyzing the diagnosis and treatment on secretory otitis media caused by unhealthy nasal cavity structure.
METHOD
Conservative treatment and correlative operation under nasoscope were undertaken in 176 otitis media patients with unhealthy nasal cavity structure.
RESULT
Of 176 cases, 156 cases recovered completely (88.64%), 18 cases got effective treatment (10.23%), and 2 cases got ineffective treatment (1.14%).
CONCLUSION
One important cause of the secretory otitis media is unhealthy nasal cavity structure, so correcting the unhealthy nasal cavity structure is the main ways to treat rhinogenic otitis media.
Topics: Adolescent; Adult; Aged; Female; Humans; Male; Middle Aged; Nasal Cavity; Otitis Media with Effusion; Young Adult
PubMed: 21710716
DOI: No ID Found -
European Archives of... 1995Refined microsurgical techniques with the operating microscope have greatly facilitated removal of pituitary tumors by the trans-sphenoid approach. However, extensions...
Refined microsurgical techniques with the operating microscope have greatly facilitated removal of pituitary tumors by the trans-sphenoid approach. However, extensions of macroadenomas in presellar and parasellar regions and in the lateral recesses of the sphenoid sinuses can be partially hidden, resulting in their removal by relatively blind curettage. In 37 patients with pituitary macroadenomas, the rigid 30 degrees angled fiberoptic nasoscope fitted to a suction-irrigation sheath was found to be highly beneficial. Hidden areas could be visualized in 84% of the patients and tumor residues detected in 40.5%. In the majority of the patients with detected tumor residues, adenomatous remnants were safely removed by meticulous endoscopic dissection under optimum visual control after the main part of the tumor had been removed with the operating microscope.
Topics: Adenoma; Endoscopy; Humans; Microsurgery; Pituitary Neoplasms
PubMed: 7662356
DOI: 10.1007/BF00178110