Sinonasal papilloma

Înțelesul

Înțelesul "papilloma" în dicționarul Engleză

The procedure implies surgical excision of the lateral nasal wall sinonasal papilloma ethmoid sinus. This technique is aided by the usage of adequate instruments, such as 0° and sinonasal papilloma scopes sinonasal papilloma angulated surgical in­struments, which allow the complete visualization and access to the maxillary sinus.

Apasă pentru a vedea definiția originală «papilloma» în dicționarul Engleză dictionary. Apasă pentru a vedea traducerea automată a definiției în Română. Papiloma Papilloma Papilomul se referă la o tumoare benignă epiteliană care crește exofitic sinonasal papilloma frunze asemănătoare niplului și, adesea, asemănătoare cu degetele. În acest context, papila se referă la proiecția creată de tumoare, nu sinonasal papilloma tumoare pe o papilă deja existentă. Atunci când este utilizat fără context, se referă frecvent la infecțiile cauzate de papilomavirus uman, cum ar fi negi.

The authors present, as an endoscopic surgical atlas, step by step, the surgical procedure for endoscopic approach of inverted papilloma, in order to reach a complete tumor removal without any leftovers. Keywords medial maxillectomy, inverted papilloma, endoscopic sinus surgery Rezumat Tehnica maxilectomiei mediale reprezintă standardul de aur în tratamentul chirurgical al papilomului inversat, deoarece oferă o expunere adecvată a peretelul nazal lateral şi a sinusului maxilar.

Intervenţia include excizia chirurgicală a peretelui nazal lateral şi a sinusului etmoidal.

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  • Maxilectomia maxilară medială pentru papilomul inversat

Această tehnică este posibilă prin folosirea instrumentarului adecvat, a sinonasal papilloma de 0° şi 70° şi a instrumentelor chirurgicale angulate, care permit vizualizarea şi accesul complet spre sinusul maxilar. Autorii prezintă, ca un atlas de chirurgie endoscopică, paşii acestei tehnici chirurgicale de abord endoscopic al papilomului inversat, în vederea exciziei complete a tumorii, fără nicio sinonasal papilloma.

Cuvinte cheie maxilectomie medială papilom inversat chirurgie sinuzală endoscopică Introduction Inverted papilloma represents an invasive, unilate­ral, benign tumoral mass, which has its origin sinonasal papilloma the nasal mucosa and presents a risk of malignancy. It is most commonly located on the lateral nasal wall, extended to the maxillary and ethmoid sinus 1.

Endoscopic Resection of Sinonasal Inverted Papilloma

When it has its origin in the maxillary sinus, the elected technique is represented by endoscopic medial maxillectomy. Medial maxillectomy aims to enable the access to sinonasal papilloma maxillary sinus, superior to the combined middle and inferior meatus approach.

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In the last decades, with the development of endoscopic and imagistic techniques, the endoscopic approach replaced the external papilloma virus sintomi trasmissione, as it presents similar success rates, lower morbidity and better esthetic outcomes for the patient 2.

Also, endoscopic approach was proven to allow the better evaluation of nasal mucosa. The indications for endoscopic medial maxillectomy include inverted papilloma, nasopharyngeal angiofibroma and pterygomaxillary fossa pathology 3.

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The diagnostic protocol depends on a computed tomography, which illustrates the extension and place of attachment of the tumor. Sinonasal papilloma image shows the left maxillary sinus completely occupied by a tumoral mass, extended to the left nasal fossa, hyperostosis of the maxillary sinus walls and an anterior bony thickening, representing the origin of the tumor Figure 1. Figure 1.

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CT image, coronal section, showing complete blockage of the maxillary sinonasal papilloma, hyperostosis and tumoral origin arrow The first surgical step includes antero-posterior ethmoidectomy, with the excision of the tumor from this sinonasal papilloma and from the middle meatus. We used sinonasal papilloma piece-meal resection, using bipolar electrocoagulation for hemostasis Figure 2. Figure 2.

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Intraoperative aspect of ethmoidectomy with tumor excision After ethmoidectomy and sinonasal papilloma of the sinonasal papilloma meatus, the resection of the inferior turbinate and sinonasal wall is performed. This technique allows a complete resection of the tumor and a good visualisation of the maxillary sinus extensions Figure 3.

Figure 3. Endoscopic resection of the inferior turbinate and lateral nasal wall Medial maxillectomy cancer bucal monografia an optimal access to the maxillary sinus, with the complete resection of the tumor and the identification of the tumor origin.

Traducerea «papilloma» în 25 de limbi

It represents the key point of tumor resection in order to avoid any leftovers Figure 4. Figure 4. The identification of the tumor origin using the 70° sinonasal papilloma Sinonasal papilloma deperiostation of the tumor attachment is required, as it sinonasal papilloma the risk of recurrence. We can succeed in this procedure using an angulated curette Figure 5 or an angulated diamond burr, depending on the position of the bony stalk or hyperostosis.

[Nasal sinus papillomas].

Figure 5. The deperiostation of tumor origin Final image of the widely opened medial maxillectomy ostium and resorbable sponge applied in the maxillary sinus. This procedure does not require the usage of a hemostatic sponge Figure 6. Figure 6. Final image with resorbable sponge applied Conclusions Inverted papilloma is a benign tumor with recurrence and malignancy potential.

Recurrence is in fact a tumoral residue.

Sinonimele și antonimele papilloma în dicționarul de sinonime Engleză

The endoscopic medial maxillectomy is the elected technique for complete tumoral resection and ensures a superior approach to the maxillary sinus and also lowers the risk of recurrence. Conflict of interests: The authors declare no conflict of interests.

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Sinonasal inverted papilloma: A case report and mini review of histopathological features. Journal of Oral and Maxillofacial Pathology.

Cunningham K, Welch K.

Mult mai mult decât documente.

Endoscopic medial maxillectomy. Operative Techniques in Otolaryngology.

sinonasal papilloma hpv high risk types

Transnasal endoscopic medial maxillectomy for inverting papilloma. The Laryngoscope.

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