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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I.4. AFECTIUNI GRANULOMATOASE ALE NASULUI<br />
INFECTII BACTERIENE<br />
R<strong>in</strong>oscleromul<br />
Terapie:<br />
- streptomic<strong>in</strong>a 1g/zi <strong>si</strong> tetracicl<strong>in</strong>a 2g/zi, m<strong>in</strong>im 4-6 saptamani, repetat la o luna<br />
- steroizi pentru reducerea fibrozei<br />
- tratament chirurgical pentru refacerea caii aeriene <strong>si</strong> corectarea diformitatilor<br />
nazale<br />
Sifilisul<br />
Terapie:<br />
- penicil<strong>in</strong>a 2,4 mil. unitati i.m. saptamanal<br />
- <strong>in</strong>laturarea crustelor nazale cu solutii alcal<strong>in</strong>e<br />
- <strong>in</strong>laturarea sechestrelor osoase <strong>si</strong> cartilag<strong>in</strong>oase<br />
Tuberculoza<br />
Terapie:<br />
- isoniazida, rifampic<strong>in</strong>a, streptomic<strong>in</strong>a, ethambutol<br />
Lupusul vulgar<br />
Terapie:<br />
- tratament <strong>si</strong>milar tuberculozei<br />
Lepra<br />
Terapie:<br />
- dapsone, rifampic<strong>in</strong>a, isoniazida<br />
- <strong>in</strong>terventii chirurgicale reconstructive <strong>in</strong> fazele de <strong>in</strong>activitate ale bolii<br />
INFECTII FUNGICE<br />
Aspergiloza<br />
Terapie:<br />
- <strong>in</strong>laturare chirurgicala a bridelor<br />
- amfoteric<strong>in</strong>a-B<br />
- aplicatii locale de solutie de violet de gentiana<br />
Granulomatoza de etiologie nespecificata<br />
Granulomatoza Wegener<br />
Terapie:<br />
- steroizi <strong>si</strong>stemic<br />
- droguri citotoxice – ciclofosfamida, azathiopr<strong>in</strong>a<br />
Reticuloza polimorfa<br />
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