4.Endoscopic surgery for nasal septal perforation.
Qian HUANG ; Bing ZHOU ; De-min HAN ; Hua-chao LIU ; Ming LIU ; Luo ZHANG ; Yong-jie ZHANG ; Dan-ni WANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2005;40(8):579-581
OBJECTIVETo describe the relevant factors of endoscopic surgery in patients with nasal septal perforation.
METHODSTwenty-three patients with nasal septal perforation were treated under nasal endoscope. Four kinds of reconstruction materials were used to accomplish the closure of perforation: residual osseous septum or temporalis fascia, inverting septal mucoperichondrial flap, autologous connective tissue insert overlaid with mucous flaps and turbinate flap. The reconstructed septum was packed by moist dressing with silicone or plastic splints.
RESULTSSeven patients underwent direct closure. Inverting flap repair for five cases, shifting flap closure for ten cases, and repair with turbinate flap in one case. During the follow-up ranging from four weeks to seven months, the successful reconstruction was achieved in 19 cases (82.6%). The problems in the remaining four cases were: mucosal flap displacement, fascia flap shrank and so caused reperforation, two perforations present with only the larger one repaired, the mucosal flap was smaller in size than the perforation.
CONCLUSIONSIntranasal endoscopic reconstruction surgery is a reasonable management for nasal septal perforation.
Endoscopy ; Female ; Humans ; Male ; Nasal Septum ; injuries ; Nose Diseases ; surgery ; Otorhinolaryngologic Surgical Procedures ; methods
10.Investigation of the surgical approach for resecting infratemporal fossa pterygomaxillary fossa-parapharyngeal space tumor.
Yanjun WANG ; Weijia KONG ; Chengzhang YANG ; Banghua LIU ; Jianxin YUE ; Lixin ZHU ; Xingao XIONG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2007;21(7):306-308
OBJECTIVE:
To investigate the optimal surgical approach for resecting infratemporal fossa-pterygomaxillary fossa-parapharyngeal space tumor. The aim of this study is to enhance therapeutic effect and reduce complications and sequelae.
METHOD:
Sixty-six patients with infratemporal fossa-pterygomaxillary fossa-parapharyngeal space tumor were analyzed retrospectively from 1998-2004, including complains, symptoms, physical signs; histodiagnosis, image examinations and surgical approaches.
RESULT:
No recurrence was found in fifty benign tumor cases after 2 to 5 years, while in 16 cases with malignant tumor, four patients died in one year, 8 cases died in 2 to 4 years, and only 4 patients' survival time exceeded 4 years.
CONCLUSION
Extended maxillectomy is suitable for resecting primary carcinoma of maxillary sinus invading pterygomaxillary fossa, infratemporal fossa and /or parapharyngeal space tumor. also midface degloving approach is suitable for nasal primary cavity, nasal sinuses, nasopharynx and/or pterygomaxillary fossa tumor and localized malignant tumor. Trans-cervical combining mandibular split swing approach is suitable for parapharyngeal space tumor invading pterygomaxillary fossa and/or infratemporal fossa tumor. Trans-cervical jaw combining mandibulotomy is suitable for resecting parapharyngeal space, infratemporal fossa tumor for invading lateral skull base and pterygomaxillary fossa tumor.
Adult
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Aged
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Craniotomy
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methods
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Female
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Humans
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Male
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Middle Aged
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Otorhinolaryngologic Surgical Procedures
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methods
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Retrospective Studies
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Skull Base Neoplasms
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surgery
Result Analysis
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