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Trattamento mini-invasivo dell'ipertrofia dei turbinati e della rinite allergica |
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mercoledì, 05 novembre 2008 |
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L’ipertrofia dei turbinati è una condizione oggi molto diffusa legata all’inalazione di sostanze irritanti le più diverse e mal tollerate da chi le respira, soprattutto presenti nelle aree industrializzate ed inquinate.
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Protocollo personale per la Terapia Chirurgica Microinvasiva Coblator-Assistita delle Adenoidi |
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domenica, 26 ottobre 2008 |
Protocollo personale per la Terapia Chirurgica Microinvasiva Coblator-Assistita delle Adenoidi in videoendoscopia trans-nasale
- Strumentario ottico sottile pediatrico per osservazione trans-nasale del cavo adenoideo collegato a video
- Apribocca autostatico pediatrico
- Manipolo Coblator Procise malleabile modellato opportunamente per raggiungere in maniera selettiva e precisa i recessi adenoidei rinofaringei e periturbarici
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Psychological aspects abd treatment of patients with nasal septal perforation due to cocaine inhalat |
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venerdì, 17 ottobre 2008 |
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Nowadays in Western Countries
the use of cocaine by inhalation is
increasing and its use is superseding heroin in rising generation.
Young people of third millennium use narcotics to keep them away from
negative conditions of daily life and to refuge themselves in
“unreal” trips as it happened in the ‘60s and ‘70s for heroin
addicted.
Today, on the contrary, people addicted to cocaine
want to be more competitive and “winner” and believe that cocaine
can help them to reach this goal. 104 patients have been observed for
2 years, aged between 16 and 54, (75 male and 29 female), all
habitual inhaling cocaine users (≥10 times per month). Among them,
11 (10.5%) had nasal septal perforation, which is a frequent
complication related to cocaine use. Amomg these 11 patients, 8
patients (72.7%) had nasal septal perforation of the quadrangular
cartilage, while fot the other 3 (27.3%) the perforation involved
also the bony tract (vomer-perpendicular ethmoidal lamina).
Psychological analysis of all 104 patients reported: 62 patients
(59.6%) answered that they inhaled cocaine to improve endurance and
to feel stronger and less tired; 34 patients (32.7%) to enjoy
themselves more during parties and to communicate more effectively
with other people; 5 patients (4.8%) to gain confidence and to
overcome their shyness, 2 patients (1.9%) to improve their sexual
performance and 1 patients (1%) to drink more alcoholic drinks for
longer time without feeling sleepy. All the patients have been
undergone a psychotherapeutic treatment, but the swinging compliance
and constancy in following the scheduled follow-up visits consented
to carry through the therapy only for 16 patients (15.3%). All the
patients with nasal septal perforation underwent at T0 to
rhino-endoscopy with 0°, 45° endoscopes, CT scan of nose and
paranasal sinuses and biopsy. At the moment of the observational
period none of the 11 patients who presented nasal septal perforation
consented to stop abuse of cocaine; therefore a temporary solution
has been offered all the patients (accepted by 3 of them), i.e. the
positioning of a silicone button to close the perforation and, so,
improve the air flux in the nose and reduce the progression of local
necrosis. Is described the positioning under local anaesthesia
together with the button of two layer per septal side of hyaluronic
acid at different level of esterification, kept in site by the button
as a “sandwich” in order to obtain a better re-grow of mucosa and
less crusts and bleeding
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Otite media secretiva ed allergia: analisi retrospettiva della nostra casistica |
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martedì, 30 settembre 2008 |
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La reale incidenza della patologia allergica nell’otite media secretiva (OMS) è in letteratura ancora oggi dibattuta. Riteniamo pertanto utile riportare la nostra esperienza sull’incidenza delle allergopatie respiratorie in un gruppo di pazienti affetti da OMS.
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