Papilloma nasal polyposis

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Inverted papilloma nasal cavity histology. Transcranian endoscopic approach in a frontal polyposis

Frontal sinus osteoma — case report Polipoză de sinus frontal operată prin abord endoscopic transcranian Frontal sinus osteoma — case report Inverted papilloma nasal cavity histology The endoscopic approach was performed through a small bone window inverted papilloma nasal polyp the midline of the glabella, with the inverted papilloma nasal polyp of the bone support at the end of the surgery using a titanium mesh.

Frontal sinus osteoma — case report Although the surgical staff has a lot of experience in doing the endoscopic transnasal approach, there are some cases where the transnasal route cannot safely solve certain pathologies.

This is the reason why the authors wish to illustrate the need of using an approach inverted papilloma nasal cavity histology will ensure a proper management of any kind of complications that can occur during surgery, specific to these tumors bleeding, cerebrospinal fluid leak. In this case, the transcranial endoscopic approach was the best solution. Keywords frontal sinus, inverted papilloma nasal cavity histology, external endoscopic approach Rezumat Prezentăm cazul unui pacient, în vârstă de 62 de ani, cu o formaţiune tumorală voluminoasă de sinus frontal bilateral, cu sindrom cefalalgic sever şi distrucţia parcelară a laminei papiracee stângi şi a peretelui posterior al sinusului frontal drept.

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Abordul endoscopic s-a efectuat printr-o fereastră intersprâncenoasă de mici dimensiuni, cu refacerea suportului osos la finalul intervenţiei utilizând o plasă din titan. Deşi echipa chirurgicală are o experienţă îndelungată în abordul transnazal endoscopic, există cazuri în inverted papilloma nasal cavity histology parcursul trans­nazal nu poate rezolva în deplină siguranţă anumite pato­lo­gii.

Autorii doresc să sublinieze necesitatea utilizării unui abord care să asigure managementul corespunzător al unor eventuale complicaţii intraoperatorii specifice acestor tumori sângerări, fistulă de lichid cefalorahidianiar în cazul de faţă abordul endoscopic transcranian a reprezentat cea mai bună soluţie.

Cuvinte cheie sinus frontal vaccino x papilloma virus abord endoscopic extern A year-old patient, S. Three years ago Mayin another ENT service, the patient underwent a curative inverted papilloma nasal polyp for bilateral fronto-ethmoido-sphenoidal rhinosinusitis.

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According to the medical discharge presented by the patient, the frontal sinus approach used was of the Draf I kind, without exploring the frontal sinus cavity. The prolonged evolution inverted papilloma nasal polyp to a lysis of a wall caused by a decubitus injury.

This explained the intimate tumoral contact with the dura mater through inverted papilloma nasal cavity histology 8-mm bone breach in the posterior wall of the right frontal sinus.

Also, the tumor protruded through the left orbit by an erosion of the left inverted papilloma nasal cavity histology papyracea, with the appearance of a discrete inferior and external exo­phthalmia in the left eye. The MRI revealed that the dura mater was integral and the orbital periosteum was apparently free Figure 1.

Inverted papilloma nasal polyp 1. Hpv tem utero Down: partial destruction of the left eye lamina papyracea, bone breach to anterior cerebral fossa The apparent origin located at the posterior wall of the bilateral frontal sinus, the partial exposure of the dura mater and the destruction of the lamina papyracea with the penetration of the tumor into the inverted papilloma nasal cavity histology orbit led to the decision of an external endoscopic approach.

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We underwent the surgery using general anesthesia with OT intubation. Skin incision: 20 mm, bone fenestration with 13 mm horizontal inverted papilloma nasal polyp and 10 mm vertical diameter. Polipoză de sinus frontal operată prin abord endoscopic transcranian A hard tumor was shown inverted papilloma nasal polyp palpation, with a macroscopic aspect of an inverted papilloma, well-vascularized, that occupied both frontal sinuses and dived through the nasofrontal ducts in the anterior ethmoidal cells.

The apparent origin of the tumor was located at the junction between the posterior wall of the left frontal sinus and the intersinusal septum, in the upper floor of the sinus cavity. Figure 5.

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Drainage tube through the frontal recess The histopathologic examination confirmed inverted papilloma nasal polyp diagnosis of left frontal sinus osteoma.

The postoperative evolution was favorable. The patient received i.

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Daily dressing change was performed, as well as aspiration through and around the drainage tube. There was a partial exposure of the dura mater and the left orbital periosteum, but there was no signs of penetration at their level.

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A Draf II transnasal endoscopic approach was performed for the restoration of ventilation in both frontal sinuses. Radiofrequency hemostasis — fulfuration 10 W.

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Efficient hemostasis; did not require nasal package. The integrity of the papiloma fibroepitelial benigno support was restored using a titanium mesh fixed with biocompatible screws Figure 2. Intradermal skin suture Vicryl 5. Figure 2.

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Intraoperative macroscopic aspect — optics. Restoration of bone support using titanium mesh A CT scan using a contrast substance was performed at the end of the surgery Figure 3.

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It confirmed the complete macroscopic resection of inverted papilloma nasal cavity histology tumor and a wide ventilation of both frontal sinuses. Figure 3.

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Up: postoperative CT aspect — axial, sagital. IHC revealed the diagnosis of a glandular subtype of sinus inflammatory polyp.

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Frontal sinus osteoma — case report We presented this case to point out that there are many situations when the pathology of the frontal sinuses still requires inverted papilloma nasal polyp external approach, even when we consider that the inverted papilloma nasal polyp team has a strong experience in transnasal endoscopic surgery.