ABSTRACT
The authors studied the age-related features of the vascular organization of the adenoid tissue. A total of 46 subjects (n=46) were examined; they were divided into two groups one of which included subjects at the age from 7 to 12 years (n=25) whereas the other group was comprised of 21 subjects at the age from 18 to 42 years (n=21). 29 participants of the study were men (63%) and 17 (37%) women. The histological examination of the adenoid tissue revealed the characteristic changes in the adenoid vasculature in the subjects of either age-group. The subjects above 18 years of age were shown to have developed sclerosis and hyalinosis of the vascular walls with the formation of cavernously dilated plethoric veins having the thickened rigid walls. The morphological changes in the connective tissue (basal) layer were documented responsible for the manifestation of the phenomenon of 'immersion' of the lymphoid tissue with the well developed microcirculatory bed. It is concluded that the results of the histological examination can serve as one of the indicators for the use of electrophysical methods to perform adenotomy in the patients older than 18 years.
Subject(s)
Adenoidectomy , Adenoids , Postoperative Complications/prevention & control , Regional Blood Flow/physiology , Adenoidectomy/adverse effects , Adenoidectomy/methods , Adenoids/blood supply , Adenoids/pathology , Adenoids/surgery , Adult , Age Factors , Child , Female , Humans , Hypertrophy/diagnosis , Hypertrophy/surgery , Male , Microcirculation/physiology , Patient Selection , Postoperative Complications/etiologyABSTRACT
In the clinic surgical interventions on the ENT-оgans were designed and improved, using electric welding technology, including bipolar electric instruments, which were elaborated, in team with the staff members of Institute of Paton Electric Welding. The elaborated operative interventions owe advantages in aspects of their enhanced quality and the duration reduction. Application of the elaborated bipolar electric instruments permits to reduce the intraoperative blood loss severity significantly.
Subject(s)
Adenoids/surgery , Blood Loss, Surgical/prevention & control , Electrocoagulation/methods , Pharynx/surgery , Tonsillitis/surgery , Adenoids/blood supply , Adenoids/pathology , Adolescent , Child , Child, Preschool , Electricity , Electrocoagulation/instrumentation , Equipment Design , Female , Hemostasis/physiology , Humans , Male , Operative Time , Pharynx/blood supply , Pharynx/pathology , Radio Waves , Surgical Instruments , Tonsillitis/pathology , Wound Healing/physiologyABSTRACT
A woman suffering from extended maxillary adenoid cystic carcinoma of mixed cribriform solid type was treated by selective intraarterial infusion of Cisplatinum using a new intraarterial infusion technique. Within four weeks--the entire dosage of Cisplatinum was 400 mg--the patient came into complete remission, clinically and histologically, suggesting that the adenoid cystic carcinoma may be more susceptible to chemotherapy than thought up to the present day. However, primary chemotherapy should be followed by radiotherapy or surgical treatment.