1,721,161 research outputs found
[Endonasal dacryocystorhinostomy]
Dacryocystorhinostomy an endonasal approach is a surgical procedure which permits removal of symptoms related to chronic stenosis of the naso-lacrimal duct without leaving external scars and without presenting risk for the orbital structures. The Author describes the surgical technique employed in 12 surgical cases. Use of the frontal loupe and of the operating microscope allows the surgeon's hands to remain free while all the advantages of binocular vision are maintained. Pre-operative investigation must always include a dacryocystography, a CT of the paranasal sinuses and an endoscopic examination of the nasal cavities
Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
Traditional surgery for cholesteatoma of the middle ear is performed by microscopic approaches. However, in recent years endoscopic instrumentation, techniques and knowledge have greatly improved, and in our opinion endoscopic surgical techniques will gain increasing importance in otologic surgery in the future. The aim of this study was to focus on outcomes obtained using endoscopic surgery for the treatment of middle ear cholesteatoma. A systematic review of the literature was performed. A total of 7 articles comprising 515 patients treated exclusively with endoscope or with a combined technique were found. During post-surgical follow-up, 48 (9.3%) patients showed a residual or recurrent pathology. Despite the small number of patients analyzed in our review, the outcomes of this technique appear to be promising. In particular, concerning the rates of recurrences and residual disease, endoscopic middle ear surgery appears to guarantee similar results in comparison to classic microscopic approaches with the advantage of performing minimally invasive surgery
[Angiofibroma of the rhinopharynx: diagnostic and therapeutic considerations]
abstract brev
Basic and advanced endoscopic sinus surgery course: open and endoscopic cadaver dissection techniques and live surgery.
This course originates from the close collaboration
experienced and established over many years between the
three professionals most involved in the surgical treatment
of lesions of the anterior skull base. We believe, and the
results have proved us right, that the achievement of the best
treatment in such complex anatomical regions can be born
only from an accurate preoperative study, the realization of
several surgical procedures and the care of every detail during
the post-operative period carried out in a close collaboration
among Otolaryngologists, Maxilo-Facial surgeons and
Neurosurgeons. The relatively recent introduction of
endoscopic surgery and the huge expansion of the latter has
further expanded the possibilities of collaboration.
On the other hand those who want to approach to this type of
pathologies necessarily have to know not only the techniques
and possibilities of endoscopy but also the open techniques
which are essential to face certain situations or clinical
manifestations.
The experience of many years of shared work between two
surgical university schools with great traditions such as
Modena and Verona besides a personal friendship established
over time has enabled us both to joint the three specialties
and to create a group that is inspired by the same principles
Endoscopic Middle Ear Anatomy
The anatomy of the middle ear is very complex. The otologist must have a good knowledge of the structures comprising the tympanic cavity; a clear view of all the subsites of this region is essential to ensure the complete removal of all pathology. The development of endoscopic techniques to access the middle ear has offered the possibility to “look around corners” and explore hidden recesses the microscope cannot reach. Moreover, by leading to a better understanding of the different ventilation pathways of the tympanic cavity, alterations of which may cause pathologies such as cholesteatoma, endoscopy represents a surgical approach aimed toward restoring normal physiology as well as eradicating disease. In this article, we discuss the state of the art of middle ear endoscopic anatomy, describing the different subsites of this small but challenging region
In reference to A New Theory on the Pathogenesis of Acquired Cholesteatoma: Mucosal Traction
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Facial nerve grading scales: systematic review of the literature and suggestion for uniformity
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