The nose in children with unilateral cleft lip and palate

Surgeons and orthodontists are still challenged to achieve \xe2\x80\x98better\xe2\x80\x99 noses for children with a unilateral cleft or lip, alveolus and palate (UCLP). Various aspects are discussed: infant anatomy and later changes, developmental mechanics, cleft syndrome in animals with surgically produced facial clefts, untreated patients with congenital clefts, the radical primary correction of the UCLP nose, the unsolved problems in secondary rhinoplasty and suggestions for scientific communication

Resezione endoscopica di un fibroma ossificante interessante il seno etmoidale, l’orbita e il basicranio anteriore: case report e revisione della letteratura

Il fibroma ossificante è un tumore fibro-osseo benigno che solo raramente interessa il seno etmoidale e l’orbita. Viene classificato come una lesione fibro-ossea benigna, una dicitura che raggruppa una discreta varietà di lesioni riportate in letteratura. Una tendenza alla recidiva con importanti sequele ha rapresentato la spinta verso una resezione open en bloc nelle forme extramandibolari di questo tipo di lesione. La continua evoluzione delle tecniche di endoscopia endonasale ha reso possibile la resezione delle grandi lesioni benigne nasali e cefalo-nasali. Gli autori descrivono l’asportazione completa di un voluminoso fibroma ossificante interessante seno etmoidale, orbita e basicranio anteriore in una paziente di 65 anni in buone condizioni generali. La paziente non ha avuto complicanze postoperatorie ed è stata dimessa in sesta giornata. La paziente è al momento al quinto anno di follow-up e si presenta libera da malattia. L’asportazione endoscopica del fibroma ossificante endonasale è un’ottima scelta terapeutica nelle mani del chirurgo esperto. I vantaggi della tecnica includono la visualizzazione diretta della neoformazione e la sua maggiore magnificazione, che portano a una riduzione delle complicanze intra e postoperatorie. L’outcome estetico è ovviamente eccellente per l’assenza di cicatrici

Variations of endonasal anatomy: relevance for the endoscopic endonasal transsphenoidal approach

Contains fulltext : 87525.pdf (publisher's version ) (Closed access)BACKGROUND: The endoscopic endonasal transsphenoidal approach (EETA) to the pituitary is performed by ear, nose, and throat (ENT) surgeons in collaboration with neurosurgeons but also by neurosurgeons alone even though neurosurgeons have not been trained in rhinological surgery. PURPOSE: To register the frequency of endonasal anatomical variations and to evaluate whether these variations hinder the progress of EETA and require extra rhinological surgical skills. METHODS: A prospective cohort study of 185 consecutive patients receiving an EETA through a binostril approach was performed. All anatomical endonasal variations were noted and the relevance for the progress of surgery evaluated. RESULTS: In 48% of patients, anatomical variations were recognized, the majority of which were spinae septi and septum deviations. In 5% of patients, the planned binostril approach had to be converted into a mononostril approach; whereas in 18% of patients with an anatomical variation, a correction had to be performed. There was no difference between the ENT surgeon and the neurosurgeon performing the approach. Complications related to the endonasal phase of the surgery occurred in 3.8%. Fluoroscopy or electromagnetic navigation has been used during 6.5% of the surgeries. CONCLUSION: Although endonasal anatomical variations are frequent, they do not pose a relevant obstacle for EETA.1 juni 201

An international survey on the pragmatic management of epistaxis

Epistaxis is one of the most common ear, nose and throat emergencies. The management of epistaxis has evolved significantly in recent years, including the use of nasal cautery and packs. However, a correct treatment requires the knowledge of nasal anatomy, potential risks, and complications of treatment. Epistaxis is often a simple and readily treatable condition, even though a significant bleed may have potentially severe consequences. At present, there are very few guidelines concerning this topic. The current Survey explored the pragmatic approach in managing epistaxis. A questionnaire, including 7 practical questions has been used. The current International Survey on epistaxis management reported a relevant prevalence (21.7%), mainly during childhood and senescence, an important hospitalization rate (11.8%), the common use of anterior packing and electrocoagulation, and the popular prescription of a vitamin supplement and intranasal creams