I-frontal sinus osteoma

Kukhona izicubu ezakhiwa ezivela emathanjeni amathanga, njengombuso, zizinhle. Ama-neoplasms anjalo afaka i-osteoma ye-sinus yangaphambili. Ukuthuthukiswa kwayo kwenzeka kancane kakhulu futhi isikhathi eside singakwazi ukungaqapheli, ikakhulukazi uma lesi sifo sitholakala engaphandle kwamathambo e-skull.

Izimbangela ze-osteoma yezono zangasese nezingakwesokunxele zangaphambili

Ayikho idatha eqondile kulezi zimbangela ezibangela ukukhula kwamathambo emathambo. Izinkolelo eziningana:

Izimpawu nokuxilongwa kwe-sinus osteoma yangaphambili

Ezimweni eziningi zomtholampilo, izibonakaliso zesisu aziqapheli ngenxa yendawo yayo - endaweni yangaphandle yamathambo amathambo. Ukuxilongwa kuleso simo kwenziwa ngemuva kokuhlolwa kwe-x-ray, okhethwe ngokuqondene nesinye isifo.

Ngaphansi kancane, i-osteoma itholakala ngaphakathi kwesinono sangaphambili futhi, njengoba ikhula, ivuselela izimpawu ezilandelayo:

Inkinga enkulu ekutholeni ukuthi ukubonakaliswa kwemitholampilo yesifo esibuzwayo kufana nezinye izinqubo zezinto eziphilayo, njenge-carcinoma, i-osteochondroma, i-fibroma, i-osteosarcoma. Futhi, i-osteoma ingafana ne-poliomyelitis engapheli.

I-diagnostics iqukethe ukuhlolwa kwe-radiographic yamathambo esitokisini endaweni ekhethiwe, i-computed tomography (CT).

Ukwelashwa kwe-sinal osteoma yangaphambili

Nge-tumor ekhula kancane esendaweni yangaphandle yethambo, ukuqapha njalo nge-CT Kunconywa. Uma i-neoplasm ingabangeli ubuhlungu nokungahambi kahle, ukwelashwa okukhethekile akudingeki.

Kulezo zimo lapho i-osteoma igcizelela ukuphela kwesibindi futhi ivuselela izimpawu ezingenhla noma ngaphezulu, ukungenelela kokuhlinzekwa kunqunywe. Ayikho yokwelapha izidakamizwa ezilondolozayo.

Ukusebenza ukususa i-ostoma sinus yangaphambili

Namuhla, kunezindlela ezimbili zokuqhuba imisebenzi enjalo: i-classical ne-endoscopic:

  1. Indlela yokuqala isetshenziselwa ubukhulu obunomthelela wokwakha-up futhi uthola ukufinyelela kwangaphandle ku-neoplasm. Lokhu kungenelela okuphazamisayo kuyinkimbinkimbi kakhulu futhi kudinga isikhathi eside sokubuyiselwa (cishe izinyanga ezingu-1-2), emva kwalo kukhona izibazi ezibonakalayo, futhi kungadingeka ukulungiswa kwepulasitiki.
  2. Indlela yesibili iyingxenye encane. Ama-punctures angu-2-3 ayenziwa endaweni ye-osteoma, lapho kusetshenzwa khona izinsimbi ezikhethekile eziguquguqukayo kanye nekhamera yevidiyo encane, okuvumela udokotela ohlinzayo ukuba aqaphe intuthuko yokusebenza ngesikhathi sangempela. Lokhu kuvunyelwa kangcono yiziguli, kuhlanganisa ukuphola ngokushesha nokuphulukiswa kwezicubu ezithambile, cishe kungashiyi izibazi.

Kubalulekile ukuthi uqaphele ukuthi uma wenza ukuhlinzwa okubili, kokubili okwesigaba esidala kanye ne-endoscopic, akukona nje ukuthi i-osteoma isusiwe kuphela, kodwa futhi ingxenye yezincuba zethambo eziphilile ezizungezile nangaphansi kwesisu. Lokhu kwenziwa ukuze kuqedwe ngokuphelele wonke amangqamuzana amathambo aguquguqukile, kanye nokugwema ukuphindaphinda kwesifo nokukhula okuphindaphindiwe kwe-neoplasm endaweni efanayo.

Zombili imisebenzi yenziwa ngaphansi kwe-anesthesia jikelele yamahora angu-1-2, kuye ngobukhulu nendawo ye-osteoma.