Method for treating the cases of sinusitis
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 .
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 .
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 .
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 .
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.
FIELD: medicine, in particular bioactive complex for organogenesis.
SUBSTANCE: claimed complex represents multicomponent, bulk, three-dimensional structure, containing human allogene mesenchyme and epithelial cells and at least one layer of biocompatible polymer in form of collagen structure on network matrix. Biological complex of present invention is useful in regenerative and reparative reconstruction of any biological structures of mesemchyme-epothelial or mesodermal and ectodermal origin. Also disclosed are unified method for rebuilding of three-dimensional tissue defects and effective method for treatment of various gullet, urinary bladder parries, skin, gorge, eardrum, kidney, etc. defects. Complex also may be used in production of donor tissue equivalent bank.
EFFECT: active complexes for organogenesis useful in medicine.
3 ex, 1 dwg, 24 cl
FIELD: medicine, cosmetology.
SUBSTANCE: one should carry out therapy including 3 stages, moreover, at the first 1-2-mo-long stage one should interrupt acute acne process and treatment of urogenital infection due to applying sanitation and antibacterial skin protection, at the second 3-5-mo-long stage it is necessary to conduct hygienic care for patient's skin by applying methods of ultrasound and chemical peeling to remove neoplasms caused by human papilloma virus, remove nevuses in operational area, perform treatment of keloid cicatrices to remove vaginal dysbiosis and urogenital diseases, at the third stage one should fulfill mechanic dermabrasion followed by post-operational 1-2-mo-long care, moreover, as antibacterial preparations during sanitation one should apply butol, after sanitation - butol and baneocin, and after epithelization of acne foci and vaginal epithelium - butol and butolol applied in pre-menstrual period not combining the use of the preparations mentioned with treating surface with alcohol- and metal-containing solutions. The present innovation provides decreased number of relapses due to interrupting inflammatory processes and normalizing diybiosis.
EFFECT: higher efficiency of therapy.
1 ex, 1 tbl
FIELD: medical equipment; surgical tools.
SUBSTANCE: device can be used for weight-reducing treatment. Device for miniaturizing stomach has retaining envelope inside which the working container made of elastic material is disposed. Working container has aid for endoscopic extraction, check valve and connecting member for plug-type connection with pipeline. Pipeline is connected with excess pressure source. Aid for endoscopic extraction is made in form of rib which has thickness being equal or bigger than 2/3 thickness of wall of working container and it is disposed inside recess. Any wall of recess equals at least to thickness of wall of working container. The aid can be also made in form flexible loop fastened to rib. Rib has thickness being equal or bigger than 2/3 thickness of wall of working container and it is disposed in recess. Each wall of the recess equals at least to thickness of wall of working container.
EFFECT: improved reliability of operation; simplified design; optimal way of interaction of walls of working container with adjacent tissues.
5 cl, 6 dwg
SUBSTANCE: method involves mobilizing the duodenum after having stated tumor resectability. Retrocaval, laterocaval, precaval, interaortic, preaortic lymphatic viae are dissected. The removable region and intramesenteric lymph collector are immobilized with additional iliocolic and middle colic artery ligation and skeletonization of a. mesemterica superior and right ureter. Retroperitoneal cellular tissue is withdrawn within the limits of right lumbar muscle. The preparation is excised in doing right-side hemicolonectomy.
EFFECT: enhanced effectiveness of treatment; radically removed tumor dissemination collectors.
FIELD: medicine, surgery.
SUBSTANCE: before operation one should detect the type of patient's constitution. Patient should be put onto his/her left side, in case of dolichomorphous type of constitution at the angle of 70°. In case of mesomorphous type - at the angle of 60°. And at brachymorphous type - at the angle of 50° against horizontal plane of operation table, moreover, the angle is open to anterior surface of patient's body. Then one should introduce trocars for desired manipulations, perform videothoracoscopic esophageal extirpation or resection. The innovation suggested enables to improve objective criteria for accessibility of the organ under removal.
EFFECT: higher efficiency of therapy.
3 dwg, 3 ex
SUBSTANCE: method involves setting two thoracoports into pleural cavity after determining fistula position using bronchoscope. Conducting thread is introduced through fibrobronchoscope canal. Draining tube is introduced through manipulation thoracoport and connected to suction unit. Fistula canal is catheterized along the conducting thread to a depth of 1.0 cm and glue suspension is supplied through it.
EFFECT: enhanced effectiveness of treatment; longer extent of fistula glue treatment.
FIELD: medicine, thoracic surgery, phthisiology, pulmonology.
SUBSTANCE: the present innovation deals with carrying out urgent and planned curative aid. For this purpose, one should pre-conduct puncturing of anterior tracheal wall along its median line being caudally against thyroid isthmus; then one should introduce a catheter with, at least, one lateral foramen at its working end into tracheal lumen to apply it into the main bronchus of affected lung to be installed so that its working end to be at the level of the upper-lobar bronchus mouth and its lateral foramen facing towards its side. Then comes the occlusion of the main bronchus of affected lung due to applying an obturator into corresponding bronchus followed by sanitation of tracheobronchial tree through the catheter - evacuation, washing and introduction of medicinal preparations. The innovation enables to decrease traumatism, provide reliable protection of healthy department of tracheobronchial tree.
EFFECT: higher efficiency of sanitation in case of different pulmonary diseases.
FIELD: medical equipment.
SUBSTANCE: apparatus intends for surgical cure of children with inborn or acquired defects of pollex. Distraction apparatus has oval ring with holes, needles and profiled bracket with two lobes, provided with holes for needles. Bracket is fastened to distraction bar by nuts. Distraction bar passes through support plank, which is made to have working surface's slope of 25°. Plank is fixed in holes of oval ring by means of two bars and nuts to provide movement along those bars. Needles are fixed in holes of oval ring and lobes by means of screws. Distraction bar has flat side surface to match the hole in support plank for preventing rotation.
EFFECT: elongation of III middle metacarpal bone and proximal phalanx of pollex; adjustment of speed of distraction; reduced weight and size of construction.
FIELD: medicine, orthopedics, traumatology.
SUBSTANCE: one should perform correcting osteotomy of the middle third of radius at simultaneously cutting a periosteal fragment that continue the tendon of round pronator in distal direction to separate it against cortical part of radius not dissecting it against the site of fixation to replace it through developed defect in radius from volar side onto its rear side by simultaneously lengthening the muscle's power action lever due to osteotomic level that decreases traumatism of operation, prevents possibility for damaging inter-osseous membrane, excludes the necessity in destructing the integrity of round pronator and dissecting it against the tendon and improves its subsequent function as a supinator due to increased power action lever.
EFFECT: higher efficiency of therapy.
3 dwg, 1 ex