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81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

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

Veröffentlicht: 22. April 2010

© 2010 Cosgarea et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.

Gliederung

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.