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  • Endoskopska kirurgija pri orbitalnih zapletih sinusitisov = Endoscopic surgery for orbital complications of sinusitis
    Podboj, Jernej
    Background. Sinusitis only rarely spreads to adjacent structures, but when it does, it produces mostly orbital complications. The characteristics of orbitalcomplications of sinusitis depend on the ... anatomy of orbital structures.According to Chandler's classification orbital complications fall into five groups. Patients with suspected orbital involvement should be placedon intensive drug therapy, which mostly proves effective if started in early stages of the disease. Emergency surgery is indicated in patients who fail to respond to conservative treatment shortly after its institution. Patients and results. During the period 1988-1997, 61 patients aged 1 to 51 years (mean age 6.8 yrs) were treated for orbital complications of sinusitis at the Department of Otorhinolaryngology and Cervicofacial Surgery. UniversityMedical Centre Ljubljana. In 95% of the patients complications occurred as a results of acute sinusitis, while in 5% they followed an exacerbation of chronic sinusitis. Conservative therapy proved successful in 51 patients, while 10 patients needed endoscopic surgery. There were no intra-or postopeative complications. Conclusions. In the management of orbitalcomplications of sinusitis, classical operations should be replaced by less invasive and more accurate endoscopic procedures, which afford better visualization and drainage, and allow for simultaneous correction of anatomicabnormalities of the nasal cavities. The disadvantage of endoscopy is that it is technically demanding because of increased bleeding and oedema due to acute inflammation of the mucous membrane.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 4, št. 8, apr. 1999, str. 5-9)
    Vrsta gradiva - članek, sestavni del
    Leto - 1999
    Jezik - slovenski
    COBISS.SI-ID - 9909721

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