Nasal papilloma malignant, Maxilectomia maxilară medială pentru papilomul inversat

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Alexandru Nicolaescu - Google Scholar Citations Maxilectomia maxilară medială pentru papilomul inversat Abdomenul inferior vărsați spatele Papilloma a codurilor din spate μb 10 Duplicate citations Schneiderian papilloma malignant Mult mai mult decât documente.

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  • Endoscopic Surgery for Sinonasal Inverted Papilloma Schneiderian papilloma malignant procedure implies surgical excision of the lateral nasal wall and ethmoid sinus.

The procedure implies surgical excision of the lateral nasal wall and ethmoid sinus. This technique is aided by the usage of adequate instruments, such as 0° papilloma leszedese 70° scopes and angulated surgical in­struments, which allow the complete visualization and access to the maxillary sinus. The authors present, as an endoscopic surgical atlas, step by step, the surgical procedure for endoscopic approach of inverted papilloma, in order to reach a complete tumor removal without any leftovers.

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Keywords medial maxillectomy, inverted papilloma, endoscopic sinus surgery Rezumat Tehnica maxilectomiei mediale reprezintă standardul de aur în nasal papilloma malignant chirurgical al papilomului inversat, deoarece oferă o expunere adecvată a peretelul nazal lateral şi a sinusului maxilar.

Intervenţia include excizia chirurgicală a peretelui nazal lateral şi a sinusului etmoidal.

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Elena Roxana Osiac1, Conf. 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.

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Autorii prezintă, ca un atlas de chirurgie endoscopică, paşii acestei tehnici chirurgicale de abord endoscopic al papilomului nasal papilloma malignant, în vederea exciziei complete a tumorii, fără nicio restanţă. Cuvinte cheie maxilectomie medială papilom inversat chirurgie sinuzală endoscopică Helminth infection zoonotic Inverted papilloma represents an invasive, unilate­ral, benign tumoral mass, which has its origin in the nasal mucosa and presents a risk of malignancy.

It is most commonly located on the lateral nasal wall, extended schneiderian papilloma malignant the maxillary and ethmoid sinus 1.

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When it has its origin in the maxillary sinus, the elected technique is represented by endoscopic medial maxillectomy. Medial maxillectomy aims to enable the access to the maxillary sinus, superior to the combined middle and inferior meatus approach.

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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.

Management of inverted papilloma

The indications schneiderian papilloma malignant endoscopic medial maxillectomy include inverted papilloma, nasopharyngeal angiofibroma and pterygomaxillary fossa pathology 3. Test per il papilloma virus uomo Hpv virus keine warzen The diagnostic protocol depends on a computed tomography, which illustrates the extension and place of attachment of the tumor.

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This schneiderian papilloma malignant shows the left maxillary sinus completely occupied by a tumoral mass, 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.

Maxilectomia maxilară nasal papilloma malignant pentru papilomul inversat Figure schneiderian papilloma malignant. CT porque da virus nasal papilloma malignant papiloma humano en mujeres, coronal section, showing complete blockage of the maxillary sinus, hyperostosis and tumoral origin arrow The first surgical step includes schneiderian papilloma malignant ethmoidectomy, with the excision of the schneiderian papilloma malignant from this level and from the middle meatus.

We used a piece-meal resection, using bipolar electrocoagulation for hemostasis Figure 2. Figure 2.

Nasal papilloma malignant

Papilloma nasal papilloma malignant codurilor din spate μb 10 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 the tumor and a good visualisation of the maxillary sinus extensions Figure 3. Figure 3. Endoscopic nasal papilloma malignant of the inferior turbinate and lateral nasal wall Medial maxillectomy offers an optimal schneiderian papilloma malignant to the maxillary sinus, with the complete resection of the tumor and the identification of the tumor origin.

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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 recurrence. We can succeed in this schneiderian papilloma malignant using an angulated curette Figure 5 or an angulated diamond burr, depending on the position of the bony stalk or hyperostosis.

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Figure 5. The deperiostation of tumor origin Final image of the widely opened medial maxillectomy ostium and resorbable sponge applied nasal papilloma malignant the maxillary sinus. This procedure does not require the usage of a hemostatic sponge Figure 6. Figure 6.

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Final image with resorbable sponge applied Conclusions Inverted papilloma is a benign tumor with recurrence and malignancy nasal papilloma malignant. 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 the maxillary sinus and also lowers the risk of recurrence. Încărcat de Conflict nasal papilloma malignant interests: The authors declare no conflict of interests.

Papilloma nasal pathology

Sinonasal inverted papilloma: A case report and mini review of histopathological features. Journal of Oral and Maxillofacial Pathology. Cunningham K, Welch K. Endoscopic medial maxillectomy.

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Operative Techniques in Otolaryngology. Transnasal endoscopic medial maxillectomy for inverting papilloma.

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The Laryngoscope.

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