MD3223F1

MD3223F1 - Surgical method of craniofacial tumor treatment

Info

Publication number: MD3223F1
Application number: MDA20060079A
Authority: MD
Inventors: Corneliu Cojocaru; Gheorghe Tabarna; Valeriu Timirgaz
Original assignee: Corneliu Cojocaru; Gheorghe Tabarna; Valeriu Timirgaz
Priority date: 2006-03-06
Filing date: 2006-03-06
Publication date: 2007-01-31
Also published as: MD3223G2

Abstract

Inventia se refera la medicina, in special la oncologie. Esenta inventiei consta in aceea ca optional se ligatureaza artera carotida externa pe partea afectata pentru prevenirea hemoragiei, se efectueaza prelucrarea campului operator, ce include regiunea frontala, regiunea temporoorbitala, regiunealaterala a fetei de partea localizarii tumorii, nasul, buza superioara, mucoasa nazala si bucala. Apoi se efectueaza o incizie de la buza superioarain sus pe baza suprafetei laterale a nasului panala unghiul medial al ochiului si, in dependenta de raspandirea tumorii, se prelungeste pe spranceana sau pe mijlocul fruntii pe regiunile frontala sitemporala. Se pregateste un lambou cutanat deepidermizat, care include si periostul detasat din regiunea supraorbitala sau din regiunile frontala si temporala. Continutul orbitei se deplaseaza in jossi lateral si se descopera bolta orbitei, peretele lateral al osului etmoidal, peretele anterior alsinusului maxilar pana la fasciculul vasculonervos infraorbital, apoi se inlatura tumoarea prin rezectia placii orbitale cu celulele afectate ale osului etmoidal, lamelele afectate ale peretelui cavitatii nazale si ale peretelui superior al orbitei in caz de necesitate, apoi se efectueaza o tamponada a cavitatii formate cu o mesa cu unguent, a carei capat se scoate prin orificiul nazal. Ermetic se sutureaza dura mater, se efectueaza plastia defectului bazei craniului prin suturarea lamboului pregatit de dura mater si de periostul orbitei, dupacare pielea pe fata se sutureaza cu suturi atraumatice, iar restul plagii cu suturi cu fire separate.The invention relates to medicine, in particular to oncology. The essence of the invention consists in the fact that the external carotid artery is ligated on the affected part to prevent bleeding, it is performed the operation of the operative field, which includes the frontal region, the temporal-orbital region, the lateral region of the face from the location of the tumor, the nose, upper lip, nasal and buccal mucosa. . Then an incision is made from the upper upper lip based on the lateral surface of the nose of the panel, the medial angle of the eye and, depending on the spread of the tumor, it extends on the eyebrow or in the middle of the forehead on the frontal temporal regions. A deep-dermal cutaneous flap is prepared, which also includes the periosteum detached from the supraorbital region or from the frontal and temporal regions. The contents of the orbit move into the lateral jossi and the orbit vault, the lateral wall of the ethmoidal bone, the wall anterior to the maxillary alsinus up to the infraorbital vasculonervous bundle is discovered, and then the tumor is removed by resection of the orbital plate with the affected cells of the ethmoidal bone, the affected laminae of the affected cavity. and of the upper wall of the orbit in case of necessity, then a cavity tamponade formed with a mesh of ointment, the end of which is removed through the nasal orifice. Hermetically, the suture is hard sutured, the plastic is made of the defect of the skull base by suturing the flap prepared by the dura mater and the periosteum of the orbit, after the skin on the face is sutured with atraumatic sutures, and the rest of the wound with sutures with separate threads.