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 Posted: Sat 13:14, 12 Mar 2011 Post subject: new balance outlet Conical cauda equina ependymoma |
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Conical cauda equina ependymoma diagnosis and treatment of
e: treatmentandprognosticfactorsinaseriesof28cases [J]. ActaNeurochir, 1993,124:99 a lO3 ◆ ◆ ◆ · towel ◆ ◆ reports; 0 ◆ E. ◆ Ⅲ ◆ _. ● The small incision forehead. Fenestration combined with endoscopic frontal recess approach for treatment of frontal sinus after craniotomy abscess Dong Jianping, Liu Yan,[link widoczny dla zalogowanych], Luo Zhiwei, Dongqing Han, Dong-hui ('Yuxi City, Yunnan Province, 653100 People's Hospital Department of Neurosurgery; of Neurosurgery, Huashan Hospital, Fudan University, 200040 ) from 2000-2005, our department and the ENT collaboration, using a small incision through the forehead endoscopic frontal recess approach for the treatment window after craniotomy combined with simple sinus abscess, 5 cases reported below. Materials and Methods Clinical data: The group of 5 patients, 3 males and 2 females. Aged 32-58 years, mean 47.5 years old. Both side of the forehead and frontal craniotomy Open history. Duration of 6 months to 2 years, the performance side of the forehead, bridge of the nose above the frontal surface projection of the Ministry of Foreign Department, mass, diameter l ~ 3cm, tenderness, pus or even manifested as skin ulceration, fistula formation. Disease Type: Head injury in 2 cases, 2 cases of pituitary adenoma, meningioma l cases. Surgical methods and results: Before nasal drip furosemide Solution in 3d. Department of surgery at the amount of mass at the line of lidocaine anesthesia,[link widoczny dla zalogowanych], a long transverse incision 2cm, after the cut capsule puncture see pus, pus lesions cleared within the frontal sinus, inflammatory tissue and bone wax, repeated use of hydrogen peroxide, Qing Great ADM saline wash; iodophor disinfection 30min. Intraoperative exploration, especially sinus openings can be closed a few,[link widoczny dla zalogowanych], no drainage effect. Placed by the ENT doctors after nasal endoscopy, nasal probe to find the fenestration of frontal recess disease underwent a diameter of about 0.5-0.8cm, into iodoform gauze, and nasal sinus disease confirmed interlinked, but not with intracranial not connected. Frontal suture the skin incision, end of surgery. Within 1 month after a week reviewing the nose of Clinical Neuroscience Volume 2006 l4 5 【91 Liu Wei,[link widoczny dla zalogowanych], Qu Yuan and Ming, Lai Jianjun. Intramedullary ependymoma of the surgical treatment 【J1. Chinese Journal of Clinical Oncology ,200532:292-294 (Received 2006-08-04 Revised 2006-07-26) 1, replacement of drainage section, and then every 3 months, 1 review, to keep open the window at the drainage open. Following the above treatment, 5 cases were cured, no cerebrospinal fluid leakage occurred, followed up for 1-5 years without recurrence. Purulent discharge after culture without bacterial growth. Discuss the case of frontal sinus usually open craniotomy, even after conventional treatment, patients can still complicated frontal sinus abscess. If handled properly, can cause poor recurrence or multiple surgery, severe cases can lead to intracranial infection ¨ '. Once the frontal sinus abscess formation, often simply by the amount of surgery can not solve the problem】. It has been reported that endoscopic sinus surgery alone is an effective treatment, but long-term effect needs further evaluation. ... The small cut forehead endoscopic frontal recess 13 of a combined approach can open the window to clear the frontal sinus drainage in inflammatory lesions and the establishment of clear role. Frontal sinus abscess prevention is the key to correctly handle the open frontal sinus surgery. ① try to keep the integrity of the frontal sinus mucosa. When the case of frontal craniotomy, anterior frontal sinus should be opened carefully, carefully peel to maintain the integrity of the frontal sinus mucosa, the mucosa into the sinuses. Hydrogen peroxide, gentamicin repeatedly washed with normal saline and gelatin sponge containing gentamicin stuff, a little bone wax, bone fragments membrane,[link widoczny dla zalogowanych], bone chip sealing opening, and finally covered with a periosteal forehead, brain glue ear. ② If the surgery damaged the integrity of the frontal sinus mucosa, mucous membrane should be completely clear, then the above approach to frontal sinus.
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