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protocoale terapeutice in otorinolaringologie si chirurgia capului

protocoale terapeutice in otorinolaringologie si chirurgia capului

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CHIRURGIA ENDOSCOPICA FUNCTIONALA SINUSALA<br />

- endoscopie rigida cu fibra optica<br />

- <strong>in</strong>terventii chirurgicale precise <strong>si</strong> limitate cu <strong>in</strong>strumente microchirurgicale<br />

I.13. COMPLICATIILE SINUSITELOR<br />

Complicatii orbitare, osteomielita, complicatii <strong>in</strong>tracraniene, descendente, de focar<br />

Terapie:<br />

a) medical<br />

- antibioterapie pe cale <strong>si</strong>stemica <strong>in</strong> doze mari<br />

b) chirurgical<br />

- drenajul abcesului<br />

- abordul chirurgical al s<strong>in</strong>usurilor implicate ( etmoidectomie, trepanarea s<strong>in</strong>usului<br />

frontal, frontoetmoidectomie)<br />

I.14. TUMORILE CAVITATII NAZALE<br />

TUMORI BENIGNE<br />

Papilomul scuamos<br />

Terapie:<br />

- Excizie locala cu cauterizarea bazei<br />

- Criochirurgie, laser<br />

Papilomul <strong>in</strong>versat (tumora R<strong>in</strong>gertz)<br />

Terapie: Excizie larga pr<strong>in</strong> r<strong>in</strong>otomie laterala sau maxilectomie mediala <strong>si</strong><br />

etmoidectomie <strong>in</strong> bloc<br />

Adenom pleomorf<br />

Terapie: Excizie larga<br />

Schwannom <strong>si</strong> men<strong>in</strong>giom<br />

Terapie: Excizie chirurgicala pr<strong>in</strong> r<strong>in</strong>otomie laterala<br />

HEMANGIOM<br />

Hemangiom capilar<br />

Terapie: excizie locala cu tamponarea mucopericondrului <strong>in</strong>conjurator<br />

Hemangiom cavernos<br />

Terapie: crioterapie prelim<strong>in</strong>ara urmata de excizie chirurgicala<br />

Condrom<br />

38

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