Endoscopic removal of adenoids in children with ch

e707004304 · Wysłany: Wto 12:21, 15 Mar 2011

Endoscopic removal of adenoids in children with chronic sinusitis and treatment of otitis media with effusion in 27 cases

Disease occurred. RANGAE] so that adenoidal nasal ciliary clearance in children was significantly lower one month after adenoid normal ciliary clearance, nasal airway resistance decreased significantly. Xu G [] such that adenoidectomy in children with chronic sinusitis with medical treatment, a significant effect, while avoiding the endoscopic sinus surgery. Liu Yang Yun [] that the degree of adenoid hypertrophy and the incidence of secretory otitis media was positively correlated. Wang Xuemei [] such that adenoidectomy has become the treatment of secretory otitis media in general surgery, associated with adenoid hypertrophy in children with chronic sinusitis should also adenoidectomy early stage. The group of 13 patients complicated with chronic sinusitis in children, endoscopic surgery of adenoids through the mouth, the basic recovery with drug treatment of sinusitis; 14 cases (20 ears) associated with secretory otitis media in children, the adenoid surgery and simple tympanic membrane puncture fluid and excellent outcomes. Confirmed adenoidectomy is the treatment of sub-Southwest Medical in January 2006 Volume 8 l of JournalofMilitarySurgeoninSouthwestChina. Jan, 2006; 8 (1) Central Plateau region to remove the foreskin foreskin resection treatment of Tsering New Year Li Shaoyong Gong Yunbing CLC R699.8 Document code B Article ID 1672.7193 (2006), 01.0054-01 phimosis recurrent infections due to serious impact on the glans penis daily work life, but also to increase the prevalence of penile cancer. Present study was mainly to circumcision as a treatment. Our hospital in August 2004 to remove reference to South Korea GOODMEN foreskin ring (GD.CDS) line foreskin resection of 96 cases, and achieved satisfactory results, are as follows. 1 Clinical data of 96 patients in this group, aged l8 ~ 3O years, mean 22 years old. Previous lower urinary tract are the penis head or history of repeated infection. Adults with GD. CDS from the outer, inner ring and an elastic belts. How-to: General disinfection shop rfr, select the appropriate GD. CDS model, will be retained in the inner foreskin glans Coronal and between the outer ring left on the foreskin, but that alignment with the inner ring,[link widoczny dla zalogowanych], the outer ring a little step up,[link widoczny dla zalogowanych], upon request, to be in the commissioning of the length of the removal of the foreskin, which will stretch band ligation, the outer step. Operation is completed. Necrosis after 48h cut and remove the outer wrapping, 5 days later than elastic line and the inner ring. 96 patients operative average 5 ± 2min completed, there are 43 cases of intraoperative pain complaints, but may be able to, does not affect the surgical procedure. None of the patients with postoperative pain medication. 4 cases suffered from cutting surface tissue redness, swelling, pain and wound exudate and other infections, the body, local anti-infection and physical therapy were cured. 92 cases of patients without any complications. 2 discuss the use of GD. CDS foreskin resection line, the principle is fully resistance Author: Department of Urology, General Hospital of Tibet Military Region (Lhasa 850003) * 54 * off the foreskin of the blood supply to ischemic necrosis of the foreskin is too long. Our department with GD. CDS foreskin resection line,[link widoczny dla zalogowanych], has the following advantages: (1) simple, less demanding operating environment (door Jane surgery, for one person operation); (2) to completely avoid the pain of local anesthesia, and complications of local anesthesia; (3 ) without surgery, suturing, and therefore there is no bleeding, bleeding completely, does not appear hematoma and pain after circumcision; (4), compared with traditional surgery, surgery significantly reduced the time spent, GD. Circumcision is only 5 CDS soil 2min; (5) of surgery to the bladder during wound healing, erectile barrier-free and without pain; (6) circumcision wound neat and beautiful. The 4 cases that occurred in this group wound infection,[link widoczny dla zalogowanych], dehiscence, and tissue edema, we believe that the following main reasons: (1) removal of the inner surface of the foreskin is not enough; (2) under the plateau crust wound healing time is relatively long; (3 ) relatively poor local blood circulation on. In the plateau region by using GD. CDS when the circumcision line, note the following, can significantly reduce the edema in the foreskin wound dehiscence, infection and other complications: (1) the inner and outer foreskin clip the excess, must be long foreskin, smoothing out,[link widoczny dla zalogowanych], and cut the length of the inner surface of the foreskin to be adequate; (2) The high altitude, poor tissue healing, in the highlands with the GD. CDS proposes to extend the time line of circumcision, after 48h, except to take the inner ring and the elastic line. In summary, the use of GD. CDS foreskin resection line is a simple, easy, time-saving, safe, pain-free effective way to serious complications, especially for the grassroots level, a relatively high altitude places with poor medical conditions apply.