RESUMEN
A review of the literature is devoted to the description of modern diagnostic methods that are directed at detecting lacrimal pathway obstruction. The presented analysis is based on the study of data from Russian and foreign literary sources on both routine and high-tech lacrimal system examination methods, as well as on authors' experience in studying the diagnostic efficiency of imaging methods such as lacrimal scintigraphy, computed tomography with lacrimal pathway contrasting, and also single photon emission computed tomography. The article gives information about the advantages and disadvantages of the presented methods, highlights the questions of the prospects of their usage in practical dacryology.
Asunto(s)
Dacriocistorrinostomía , Aparato Lagrimal , Humanos , Aparato Lagrimal/diagnóstico por imagen , Cintigrafía , Federación de Rusia , Tomografía Computarizada por Rayos XRESUMEN
A review of the literature is devoted to the description of modern methods in treatment of lacrimal system vertical part obliteration. Particular attention is paid to various aspects of the most common surgical intervention - endonasal endoscopic dacryocystorhinostomy.
Asunto(s)
Dacriocistorrinostomía , Aparato Lagrimal , Obstrucción del Conducto Lagrimal , Conducto Nasolagrimal , Endoscopía , Humanos , Aparato Lagrimal/cirugía , Obstrucción del Conducto Lagrimal/diagnóstico , Obstrucción del Conducto Lagrimal/terapia , Conducto Nasolagrimal/cirugía , Resultado del TratamientoRESUMEN
The primary objective of the present study was to highlight the current state of research on the pathology of the lacrimal organs based on the results of the analysis of the relevant publications in the domestic and foreign scientific literature. Special attention in this review is given to the problems of diagnostics, indications for the probing, the treatment and stenting strategies. The authors report their original observations contributing to the better understanding of the anatomical features of the nasolacrimal passages. In addition, the data on the principal pathogenic agents are presented together with certain peculiarities of the surgical treatment of the pathology under consideration.
Asunto(s)
Dacriocistorrinostomía/métodos , Enfermedades del Aparato Lagrimal , Grupo de Atención al Paciente , Endoscopía/métodos , Humanos , Aparato Lagrimal/patología , Aparato Lagrimal/fisiopatología , Enfermedades del Aparato Lagrimal/diagnóstico , Enfermedades del Aparato Lagrimal/cirugía , Resultado del TratamientoRESUMEN
The data of the literature are presented concerning the state of the mucous membrane of the nasal cavity, nasal turbinates, and maxillary sinus during the postoperative period following various surgical procedures.
Asunto(s)
Trastornos de la Motilidad Ciliar , Procedimientos Quirúrgicos Mínimamente Invasivos , Mucosa Nasal , Rinitis/cirugía , Sinusitis/cirugía , Enfermedad Crónica , Trastornos de la Motilidad Ciliar/etiología , Trastornos de la Motilidad Ciliar/patología , Trastornos de la Motilidad Ciliar/fisiopatología , Trastornos de la Motilidad Ciliar/prevención & control , Intervención Médica Temprana , Humanos , Procedimientos Quirúrgicos Mínimamente Invasivos/efectos adversos , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Depuración Mucociliar , Mucosa Nasal/patología , Mucosa Nasal/fisiopatología , Complicaciones Posoperatorias/patología , Complicaciones Posoperatorias/fisiopatología , Complicaciones Posoperatorias/prevención & control , Rinitis/fisiopatología , Sinusitis/fisiopatologíaRESUMEN
We have investigated the functional state of the mucous membrane of the nasal cavity and maxillary sinus after radical and minimally invasive surgical procedures during the log-term postoperative period, i.e. three and more months after the intervention. The materials for the study were brushings and histological biopsies; in addition, the functional parameters of the mucous membranes of the nose and maxillary sinuses were estimated before and after surgery. It has been found that the type of the surgical intervention on the inferior turbinate bones for the treatment of chronic rhinitis, such as gentle turbinotomy, has no significant influence on the state of the mucous membrane. The study has demonstrated that 48% of the patients presenting with the chronic maxilloethmoidal mixed form of sinusitis experience epithelial metaplasia resulting in atrophic scarring of the mucosa whereas in the remaining 52% the ciliary epithelium becomes either damaged or detached and the ciliary beat frequency (CBF) decreases. In the exudative form of the disease, CBF and some other functional characteristics are improved but the stromal oedema persists and ciliated epithelium integrity gets compromised.