Experience of transnasal endoscopic approach in excision of the frontal sinusosteomas

Balakina, L. V.; Naumenko, A. N.; Konoplev, O. I.; Gaidukov, S. S.; Naumenko, N. N.

doi:10.18692/1810-4800-2016-3-33-38

2016

DOI: 10.18692/1810-4800-2016-3-33-38

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Experience of transnasal endoscopic approach in excision of the frontal sinusosteomas

L. V. Balakina¹,

A. N. Naumenko²,

O. I. Konoplev³

et al.

Abstract: Osteoma is a benign neoplasm consisting of highly differentiated bone tissue cells. Frontal sinus is the most frequent localization of the bone neoplasms. The only treatment of the frontal sinus osteomas is surgical intervention. There are several surgical approaches to excision of frontal sinus osteomas. Transnasal endoscopic approach is applied rather seldom, however it has a number of advantages. The article describes the experience of transnasal endoscopic approach in excision of the frontal sinus osteomas. Show more

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2022

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Giant Frontoethmoidal Osteomas: A Rational Approach to the Surgical Removal and the Immediate Reconstruction of the Anterior Wall of the Frontal Sinus

IKROMOV¹

2022

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Objective: To develop an appropriate method for removing giant frontoethmoidal osteomas and the immediate reconstruction of the anterior wall of the frontal sinus. Methods: Between 2016 and 2020, five patients (4 men and 1 woman) were admitted with an osteoma of the paranasal sinuses, of which three (2 men and 1 woman) were diagnosed with giant osteomas of the frontal and ethmoid region. The patients were aged 28 to 49 years. Routine clinical examinations were carried out, including collecting patient history and a CT scan of the paranasal sinuses. The giant osteomas were removed by minimally invasive transnasal endoscopic surgery with a combined anterior wall approach to the frontal sinus. The tumour size was reduced by excision with a surgical drill before removal to minimise the defect in the frontal sinus's anterior wall. The procedure was completed with the immediate reconstruction of the anterior wall of the frontal sinus using titanium nickelide mesh. Results: The length of hospital stay was 10 days. Wound healing occurred by primary intention, and the sutures were removed on the 8th day. Followup periods were between 1 month and 1 year. Follow-up examinations were carried out 1 week, 1, 6 and 12 months after hospital discharge. On the follow-up CT scans performed a year after the operation, the implanted titanium nickelide mesh was stable, the aeration of the frontal sinus was normal, and satisfactory cosmetic outcomes were reported. Conclusion: CT is the gold standard in determining the size of the osteoma, its spread, and the state of the walls of the paranasal sinuses. A combined surgical approach and debulking of the giant osteomas using a surgical drill with the immediate reconstruction of the anterior wall of the frontal sinus by titanium nickelide mesh produce favourable outcomes. Keywords: Osteoma, benign tumour, frontal sinus, surgical treatment, frontal recess, titanium nickelide mesh.

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Giant Frontoethmoidal Osteomas: A Rational Approach to the Surgical Removal and the Immediate Reconstruction of the Anterior Wall of the Frontal Sinus

IKROMOV¹

2022

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The Latissimus Dorsi Muscle Flap Transfer in Surgical Correction of Post-Traumatic Upper Limb Dysfunction

MALIKOV¹,

DAVLATOV²,

DZHONONOV³

et al. 2022

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Objective: To improve the outcomes of surgical correction of upper limb dysfunction (ULD) using the latissimus dorsi flap (LDF). Methods: ULD occurred in 76 patients with Volkmann's ischemic contracture (VIC), post-traumatic soft tissue defects, and brachial plexitis in 57, 11, and 8 cases, respectively. Out of 57 patients with VIC, in 30 cases, a skin defect was observed along with severe degenerative changes in soft tissues, neurovascular bundles (NVBs) and tendons. Post-traumatic forearm defects (n=11) in 5 cases were accompanied by damage to the NVBs and tendons. In brachial plexitis, isolated injury to the musculocutaneous nerve occurred in 6 patients, and a combination of nerve lesions with radial nerve palsy – in 2 patients. Results: Transposition of LDF to the biceps brachii for the treatment of brachial plexitis, free muscle transplantation for the treatment of VIC and forearm soft tissue defects were performed in 8, 57, and 11 cases, respectively. Active forearm flexion after the muscle flap transposition was noted after 4 weeks. In contrast, after graft transplantation in VIC, the grip function restoration began after 6 months and improved within 1 year and beyond. Conclusion: Using the LDF in surgical correction of post-traumatic ULD allowed restoring the lost functions of the crushing grip and forearm flexion. For the forearm, only free flap transplantation with a relatively long period of limb function recovery is possible. In contrast, the traspositioned LDF to the biceps allows achieving the desired functional outcomes in the shortest possible time. Keywords: Upper limb, latissimus dorsi flap, Volkmann's contracture, soft-tissue defect, brachial plexitis.

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Experience of transnasal endoscopic approach in excision of the frontal sinusosteomas

Cited by 2 publications

References 0 publications

Giant Frontoethmoidal Osteomas: A Rational Approach to the Surgical Removal and the Immediate Reconstruction of the Anterior Wall of the Frontal Sinus

Giant Frontoethmoidal Osteomas: A Rational Approach to the Surgical Removal and the Immediate Reconstruction of the Anterior Wall of the Frontal Sinus

The Latissimus Dorsi Muscle Flap Transfer in Surgical Correction of Post-Traumatic Upper Limb Dysfunction

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