Four hands surgery in endoscopic sinus surgery – our experience
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 1
Abstract
Endoscopic surgery in chronic sinusitis became a gold standard since Stammberger and Kennedy describe there technique in ’80 s. During last 20 years an enormous progress has been done in that field. Tumors of the nose and paranasal sinuses became a target for endonasal surgery, alternatively to open approaches. This surgery is more bloody, needs more tools, so the next step was to introduce the second surgeon into endoscopic sinus surgery and the four hands technique has born. Three models of four hands technique are present in the literature. Since November 2006 at the ENT department at Medical University in Poznań 24 patients have been operated on with this technique out of wich 12 suffered from tumors and 12 patients have been diagnosed with chronic sinusitis. This paper describe the surgical technique and our experience based on this 24 operations.
Authors and Affiliations
Witold Szyfter, Łukasz Borucki, Maciej Wróbel
tylko w jezyku polskim
tylko w jezyku polskim
The role of functional nasal surgery in the treatment of obstructive sleep apnea syndrome
Introduction: Nasal obstruction is widely mentioned among the factors influencing pathophysiology of obstructed breathing disorders during sleep. However numerous observations confirms such relation, influence of nasal s...
Sphenoid sinus mucocele penetrating to the orbit, anterior and middle cranial fossae and parapharyngeal space: a case report
Mucocele, though is a common lesion, rarely penetrates to the surrounding intra- and extracranial spaces. We describe the case of 45-year-old male with 2 years history of a chronic left nasal obstruction and a concentric...
Efferent suppression test – sensitivity and specifi city
Introduction. The amplitude of click evoked otoacoustic emissions can be suppressed (reduced) with contralateral acoustic stimulation (CAS). This is thought to be due to the inhibitory control that the medial efferent au...
Wartość oznaczeń wybranych parametrów diagnostycznych: ferrytyny, ultraczułego CRP i rozpuszczalnych fragmentów cytokeratyny 18. (TPS) w ocenie skuteczności terapii chorych z polipami nosa
Background: Chronic rhinosinusitis with nasal polyps is social, clinical and cost-effective problem, by reason of bothersome symptoms, chronic nature of the disease, tendency to recur and lack of satisfying treatment. Ai...