Biomedical subjects
Publications and source records attributed to O Despotov.
The authors consider the nasal valve as an atomic particularity of the nose and its physiology. The nasal valve is formed by the caudal edge of the lateral cartilage and the septal cartilage. Each mutation in it leads to dyspnoea. The authors sugest operative methods for treatment of nasal valve's defects.
A number of cases with carcinoma of the auricular concha, carcinoma, cilindroma and sarcoma of the external acoustic meatus are analyzed after a thorough literature survey. The opinion is set forth that insatisfactory results in the treatment of malignant tumours of the external ear should be attributed to the delay of undertaking effective therapeutical measures. Operative menagement with subsequent radiation therapy is recommended in X-ray sensitive neoplasms.
The pleomorphism of the tussies taking part in the formation of oral cavity is basis for the great majority of benign and malignant tumors. They often have similar clinical manifestations macroscopic view. Histological investigations help us for exact diagnosis and adequate treatment. Authors present a clinical case of 67 years old female treated in II ORL clinic of a tumour, originating from the floor of oral cavity, displacing tongue to the left. First complaints of the pathient a dating from 23 years. During that period the tumour gradually increased its dimensions and obstructed swallowing. The weight of the pathient of the time of the admitance at the hospital was 47 Kg. After operative removal of the tumour, the woman was in very good condition. The histological result--fibrolipoma. At the control examination (3 and 6 months after operation) she had increase her weight by 17 and 21 Kg respectively. This case present the conclusion that even benign tumours should be removed in shortes possible terms after the diagnoses.
The authors have the aim to discuss their experience in the field of treatment of otogenic intracranial complications results of inflammatory process. A short reference of the spread of this kind of pathology is made. The up-to-date methods for diagnostics, behaviour, conservative and surgery treatment of these patients are examined. A case is represented as an illustration, that regardless of the big progress in the medical knowledge and the opportunities of the surgery technique nowadays, these complications continue to be a serious problem in the otorhinolaryngology and enforced close collaboration. The publication is a teamwork of otorhinolaryngologists and neurosurgeons.
The authors share their experience in the operation of the maxillary sinuses by using osteoplastic graft. This technique allows saving or reconstructing of the front sinus wall. It makes possible isolation of soft tissues from the upper maxilla and preventing infection and other complications. We didn't find any pathological changes in the 2 year follow-up period. We recommend and find this technique reliable.
The authors make short review on the one of most malignant neoplasms in human pathology--its incidence, ethiology, pathogenesis, clinical characteristics, diagnosis, treatment and prognostic features. We present a clinical case from our practice--a melanoma of the nasal cavity and paranasal sinuses--a rare localization. Melanocarcinomas of the mucous membranes of the nasal cavity and paranasal sinuses are almost uniformly fatal. Undoubtedly some of the contributory reasons for their grave prognosis are the delay in detection and in accurate histologic diagnosis, the frequent injudicious therapy, the difficulties in adequate operative removal. Melanomas o mucous membranes may arise in mucosa lined by either normally present, or metaplastic stratified squamous epithelium.
This is a report on a female patient with otogenic cerebellar abscess and symptomatic generalized convulsions, irresponsive to conventional diazepam and phenobarbital therapy. Fractionated propofol administration yields good effect without noteworthy changes in respiration and circulation.
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Rhinoseptoplasty, septoplasty in particular, is among the most commonly used operations in otorhinolaryngology. So far, over a long period of time, a variety of operative procedures successful for their time have been developed. The present report deals with a total of 4700 patients, operated on over an 18-year period (1977 through 1994). Pertinent physiological and anatomical data concerning the nasal septum are briefly outlined. A number of operative methods are analyzed. Proceeding from the postoperative results, preference is given to Cottle's procedure.
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