Method for treating the cases of sinusitis

FIELD: medicine.

SUBSTANCE: method involves applying hydroxyapatite collagen material plate so that plate size is selected to be by 5-8 mm greater than trepanation opening.

EFFECT: enhanced effectiveness in making plastic repair of maxillary sinus; excluded allergic responses.

 

The method relates to the field of medicine, in particular to surgical otolaryngology.

There is a method of treatment of sinusitis by holding hamartoma with simultaneous grafting anastomosis of the oral cavity with maxillary sinus [1].

The disadvantage of this method is the increased invasiveness and loss of use for the treatment of children.

There is a method of surgical treatment of chronic sinusitis by radical hamartoma and plastics "patch" from the free bone graft and fixation of its suture material [2].

The disadvantage of this method is the low efficiency of treatment, the possibility of allergic reactions, rejection, increased complexity and invasiveness.

Also known is a method of treatment of diseases of the maxillary sinus through its opening, renovation and plastics defect "patch" from the bone matrix [3].

The disadvantage of this method is the low efficiency of treatment and the possibility of allergic reactions, rejection.

The aim of the invention is to increase the effectiveness of the treatment and elimination of the possibility of allergic reactions of rejection.

This goal is achieved by the fact that as a patch applied to the plate of hydroxiapatite-collagenous material "Litar", and the dimensions of the plate 5-8 mm more trepanation resp is rste, the fixation of the plate to produce a standard anchor absorbable threads.

Material "Litar" is hydroxiapatite-collagenous substance produced synthetically in the laboratory [4].

Comparison of proposed method with other known surgical otolaryngology demonstrated its compliance with the criteria of the invention.

The proposed method of treatment of diseases of the maxillary sinus is as follows.

Under endotracheal anesthesia an incision of the mucous membrane on the transition fold from the second to the fourth tooth to the bone. The periosteum stupidly usepreview. In the field of canine fossa produce trepanning the anterior wall of the sinus with a diameter of 15 mm. to Remove pathological content of the maxillary sinus. If necessary, impose fistula with the nasal cavity. With the two sides at a distance of 2 mm from the edge trepanation holes in the front wall using boron perform 2 through holes. Trepanation hole cover plate of hydroxiapatite-collagenous material "Litar", and its size 5-8 mm more trepanation hole, the fixation of the plate to produce a standard anchor absorbable threads. The wound is sutured.

Example: the patient M., aged 14. Diagnosis: chronic right-sided polypose-purulent, Sinai is, the aggravation. Performed radical surgery of the left maxillary sinus on Coldwell-Hatch with the plastic of the front wall plate of hydroxiapatite-collagenous material "Litar", size 6 mm more trepanation holes that were fixed with absorbable threads. The postoperative period without complications. On day 7 of edema in the soft tissues of the cheeks was not observed. Palpation of the anterior wall of moderately painful. Nasal breathing has improved. Complaints of a headache there. On the 9th day of the produced ultrasound and computed tomography (CT) of the paranasal sinuses: a graft density of 120 N is located in the area trepanation hole, covering it. The patient was discharged under observation at the place of residence.

Re-examination in one month: no complaints, the mucous membrane of the nose pink wet, nasal breathing is free. Palpation of the anterior wall of the maxillary sinus painless. Ultrasound and CT, the appearance of fabric weighing 200 N, the reduction trepanation holes 15 mm to 8 mm

Examination 45 days after surgery: no complaints. The soft tissue in the area of the maxillary sinus is not changed, palpation painless. Ultrasound and CT, the appearance of bone density 300 N. Trepanation hole was reduced to 4 mm

After two months on ultrasound trepanation hole not determine aetsa, which means a good osteoinductive effect of the proposed treatment method.

Qualitatively new positive effect from the use of the proposed method is expressed in the minor labor and morbidity, high osteoinductive effect, the exception of allergic reactions and transplant rejection, the possibility of its application in children.

Sources of information

1. USSR author's certificate No. 1560124, class. And 61 In 17/00, 1990

2. USSR author's certificate No. 1041098, class. And 61 In 17/00, 1988

3. USSR author's certificate No. 1635965, class. And 61 In 17/00, 1995

4. Registration certificate №29/13050501/3011-02, 2002.

A method of treatment of sinuitis, by trephination of the anterior wall of the maxillary sinuses sinus, rehabilitation sinus and plastics trepanation hole plate with fixing it to the edges of the holes, wherein said apply plate from hydroxiapatite-collagenous material "Mind"and the dimensions of the plate 5-8 mm more trepanation holes.



 

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