protocoale terapeutice in otorinolaringologie si chirurgia capului
protocoale terapeutice in otorinolaringologie si chirurgia capului
protocoale terapeutice in otorinolaringologie si chirurgia capului
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- tratarea cauzei<br />
- <strong>in</strong>stilatii nazale cu solutii alcal<strong>in</strong>e<br />
- decongestionante nazale<br />
- cura <strong>si</strong>stemica scurta de steroizi<br />
- antibioterapie<br />
R<strong>in</strong>ita hipertrofica<br />
Terapie:<br />
- reducerea dimen<strong>si</strong>unilor cornetelor nazale pr<strong>in</strong>:<br />
o cauterizare l<strong>in</strong>iara<br />
o diatermie submucoasa<br />
o crio<strong>chirurgia</strong> cornetelor<br />
o mucotomie totala sau partiala a cornetelor nazale <strong>in</strong>ferior sau mijlociu<br />
o rezectie submucoasa a osului cornetelor<br />
R<strong>in</strong>ita atrofica ( ozena )<br />
Terapie:<br />
a) tratament medical<br />
- <strong>in</strong>stilatii nazale <strong>si</strong> <strong>in</strong>laturarea crustelor, cu solutii nazale sal<strong>in</strong>e sau alcal<strong>in</strong>e<br />
- tamponarea foselor nazale cu solutie 25% glucoza-glicer<strong>in</strong>a<br />
- antibioterapie locala<br />
- spray cu oestradiol ??<br />
- extract de placenta <strong>in</strong>jectat submucos<br />
- streptomic<strong>in</strong>a <strong>in</strong> uz <strong>si</strong>stemic<br />
- potas<strong>si</strong>um iodide, oral<br />
b) tratament chirurgical<br />
* operatia Young – obstruarea vestibulului ambelor fose nazale cu lambouri<br />
pediculate, deschidere dupa 6 luni<br />
** reducerea lumenului foselor nazale pr<strong>in</strong>:<br />
<strong>in</strong>jectare submucoasa de pasta de teflon<br />
<strong>in</strong>sertie submucoperiostala <strong>si</strong> submucopericondrala de gra<strong>si</strong>me,<br />
cartilaj, os sau teflon<br />
dislocarea mediala a peretelui lateral nazal<br />
R<strong>in</strong>ita <strong>si</strong>cca<br />
Terapie:<br />
- <strong>in</strong>laturarea factorilor ocupationali predispozanti<br />
- aplicatii locale de unguent cu antibiotic <strong>si</strong> steroid pe partea afectata<br />
- evitarea <strong>in</strong>laturarii fortate a crustelor nazale<br />
- <strong>in</strong>stilatii nasale <strong>si</strong>milar, <strong>si</strong>milar ozenei<br />
R<strong>in</strong>ita cazeoasa<br />
Terapie:<br />
- <strong>in</strong>laturarea bridelor <strong>si</strong> granulatiilor tisulare<br />
- drenarea s<strong>in</strong>usului afectat.<br />
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