APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITIS
Objective: To assess the effectiveness of endoscopic transnasal access in the treatment of isolated sphenoiditis Methods: For the period 2015-2017, 8 patients with isolated sphenoiditis aged from 22 to 55 years (mean age – 38.5 years) were examined. Of these, 4 patients suffered from the chronic...
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| Format: | Article |
| Language: | English |
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Avicenna Tajik State Medical University
2017-09-01
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| Series: | Паёми Сино |
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| Online Access: | https://doi.org/10.25005/2074-0581-2017-19-3-354-357 |
| _version_ | 1797796990807965696 |
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| author | M.K. IKROMOV M.B. NAZIRMADOVA |
| author_facet | M.K. IKROMOV M.B. NAZIRMADOVA |
| author_sort | M.K. IKROMOV |
| collection | DOAJ |
| description | Objective: To assess the effectiveness of endoscopic transnasal access in the treatment of isolated sphenoiditis
Methods: For the period 2015-2017, 8 patients with isolated sphenoiditis aged from 22 to 55 years (mean age – 38.5 years) were examined. Of these, 4 patients suffered from the chronic exudative process, 1 – the proliferative form of sphenoiditis, and in 3 patients acute exudative sphenoiditis was diagnosed. The choice of method of treatment depended on the history of the disease, endoscopic and CT-examination data.
Results: Three patients with acute exudative and two with chronic exudative sphenoiditis are prescribed conservative treatment. In one observation, under the general endotracheal anaesthesia, sphenoidotomy was performed transseptal for the free clearance of the sinus cavity from pathologically proliferatively altered masses. Two patients with chronic exudative sphenoiditis underwent a minimally invasive endoscopic transnasal dissection of the anterior wall of the sphenoid sinus with a catheter inserted into the sphenoidal sinus cavity through this window to evacuate the pus, wash the sinus and introduction of the medicinal substances. There were no complications in the immediate postoperative period.
Conclusion: The current study shows that the use of minimally invasive transnasal endoscopic treatment with catheterization of sphenoid sinus in patients with isolated exudative sphenoiditis can be considered an optimal and relatively safe method. |
| first_indexed | 2024-03-13T03:41:22Z |
| format | Article |
| id | doaj.art-41ed8bccb4be49a791a03356803870c2 |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-13T03:41:22Z |
| publishDate | 2017-09-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-41ed8bccb4be49a791a03356803870c22023-06-23T07:39:08ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272017-09-0119335435710.25005/2074-0581-2017-19-3-354-357APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITISM.K. IKROMOV0M.B. NAZIRMADOVA1National Medical Center «Shifobakhsh», Dushanbe, TajikistanNational Medical Center «Shifobakhsh», Dushanbe, TajikistanObjective: To assess the effectiveness of endoscopic transnasal access in the treatment of isolated sphenoiditis Methods: For the period 2015-2017, 8 patients with isolated sphenoiditis aged from 22 to 55 years (mean age – 38.5 years) were examined. Of these, 4 patients suffered from the chronic exudative process, 1 – the proliferative form of sphenoiditis, and in 3 patients acute exudative sphenoiditis was diagnosed. The choice of method of treatment depended on the history of the disease, endoscopic and CT-examination data. Results: Three patients with acute exudative and two with chronic exudative sphenoiditis are prescribed conservative treatment. In one observation, under the general endotracheal anaesthesia, sphenoidotomy was performed transseptal for the free clearance of the sinus cavity from pathologically proliferatively altered masses. Two patients with chronic exudative sphenoiditis underwent a minimally invasive endoscopic transnasal dissection of the anterior wall of the sphenoid sinus with a catheter inserted into the sphenoidal sinus cavity through this window to evacuate the pus, wash the sinus and introduction of the medicinal substances. There were no complications in the immediate postoperative period. Conclusion: The current study shows that the use of minimally invasive transnasal endoscopic treatment with catheterization of sphenoid sinus in patients with isolated exudative sphenoiditis can be considered an optimal and relatively safe method.https://doi.org/10.25005/2074-0581-2017-19-3-354-357isolated sphenoiditisendoscopecomputed tomography.. |
| spellingShingle | M.K. IKROMOV M.B. NAZIRMADOVA APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITIS Паёми Сино isolated sphenoiditis endoscope computed tomography.. |
| title | APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITIS |
| title_full | APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITIS |
| title_fullStr | APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITIS |
| title_full_unstemmed | APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITIS |
| title_short | APPROACH OF TRANSNASAL ENDOSCOPIC TREATMENT OF ISOLATED SPHENOIDITIS |
| title_sort | approach of transnasal endoscopic treatment of isolated sphenoiditis |
| topic | isolated sphenoiditis endoscope computed tomography.. |
| url | https://doi.org/10.25005/2074-0581-2017-19-3-354-357 |
| work_keys_str_mv | AT mkikromov approachoftransnasalendoscopictreatmentofisolatedsphenoiditis AT mbnazirmadova approachoftransnasalendoscopictreatmentofisolatedsphenoiditis |