RESUMEN
The Authors report their experience in the surgical treatment of nasal liquorrhea in transphenoidal surgery. They suggest the use of clotting substances like the adhesive Tissucol in order to prevent this complication.
Asunto(s)
Adenoma/cirugía , Rinorrea de Líquido Cefalorraquídeo/prevención & control , Neoplasias Hipofisarias/cirugía , Combinación de Medicamentos/administración & dosificación , Duramadre/cirugía , Factor XIII/administración & dosificación , Adhesivo de Tejido de Fibrina , Fibrinógeno/administración & dosificación , Humanos , Complicaciones Posoperatorias/prevención & control , Seno Esfenoidal/cirugía , Trombina/administración & dosificación , Adhesivos Tisulares/administración & dosificaciónRESUMEN
The authors describe their experience in the surgical treatment of acute cervical fracture-dislocation by reporting the results obtained after the observation and follow-up examination of 53 cases. The surgical procedure adopted, after realignment of bone segments was obtained, depended on type of fracture. Posterior fixation with wire or wire and acrylic was performed in 31 cases. The anterior route was chosen in 19 cases, performing a ventral subtotal resection of the vertebral body with the use of acrylic. Three patients were treated by both procedures (anterior plus posterior approach). The authors describe the surgical technique and recommend the rapid mobilization of the patient, so as to avoid complications which could impede his recovery.
Asunto(s)
Vértebras Cervicales/lesiones , Fracturas Óseas/cirugía , Luxaciones Articulares/cirugía , Resinas Acrílicas , Enfermedad Aguda , Artrodesis/métodos , Trasplante Óseo , Estudios de Seguimiento , Fijación Interna de Fracturas/métodos , Humanos , TracciónRESUMEN
A case of hypertensive endoventricular pneumocephalus associated with rhinoliquorrea raised after about 2 years from the application of ventriculo-peritoneal shunt for hydrocephalus by stenosis of aqueduct is presented. The causes of such complication and diagnostic possibilities to point out the fistula by CT and ventricular cisternography are to talk over. Even the indication of external CSF drainage or to the repairing treatment will be discussed. Finally, literature is reviewed.