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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

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Endoscopic surgery of posterior sinuses: the experience of ENT Clinic Cluj- Napoca/Klausenburg, Romania

Meeting Abstract

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  • corresponding author Marcel Cosgarea - University of Medicine and Pharmacy "Iuliu Hatie", Cluj-Napoca, Romania
  • Sever Pop - University of Medicine and Pharmacy "Iuliu Hatieganu", ENT Department, Cluj-Napoca, Romania
  • Violeta Necula - University of Medicine and Pharmacy "Iuliu Hatieganu", ENT Department, Cluj-Napoca, Romania
  • Magdalena Chirila - University of Medicine and Pharmacy "Iuliu Hatieganu", ENT Department, Cluj-Napoca, Romania
  • Alma Maniu - University of Medicine and Pharmacy "Iuliu Hatieganu", ENT Department, Cluj-Napoca, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod559

doi: 10.3205/10hnod559, urn:nbn:de:0183-10hnod5590

Published: April 22, 2010

© 2010 Cosgarea et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

The endoscopy has succeeded to revolutionize the diagnosis and the surgical techniques on the posterior sinuses, dangerous areas, difficult to approach from an anatomical point of view. The modern imagistic examinations have increased the safety of the surgical act and so the postinterventional results are better.

The team of doctors from our clinic present their experience on 5 years (517 cases) in the endoscopical treatment of the posterior sinuses’ inflammatory diseases, mostly localized in the posterior and anterior ethmoid; the sphenoid was affected more rarely, in 115 cases. The pituitary gland adenoma tumours have been approached in 11 cases, each of them having a very good evolution.

Chronical inflammatory diseases, due to the endoscopic control were more oftenly solved without endangering the functions of the related areas, with no infectious complications and so the long term postsurgical evolution has been, in most of the cases, very good. The tumours localised at these sites, especially those of the pituitary gland were able to be approached endoscopically (in function of their size) and the results of this type of surgery are very good, too.

The anatomical and surgical experience of the surgeon assures the increased rate of the therapeutical success, decreases the complications and allows performing targeted procedures on the affected sinus.