Назофарингеальные полипы: диагностика и хирургическое лечение

Diagnosis is based on history, physical examination. Oto-, Rhino-, laryngosco­py allows visualization of deep-seated tumors, perform a biopsy. Radiographical- ly determined blackout in the projection of nasal, frontal sinuses, tympanic cavity with the appropriate parties. The most informative with respect to this disease has an MRI. Using this method can accurately and in detail to determine the size, loca­tion, the prevalence of tumors, invasion of surrounding tissues, the severity of the inflammatory process, the spread of inflammation to the surrounding structures: the inner ear and brain. MRI allows you to plan the volume of surgical intervention, because the main treatment for this disease – surgical removal.

Type of surgical intervention for removal of nasopharyngeal polyps depends on their location. If a polyp grows from the middle ear and comes out in the NSP, then the tympanic cavity through a craniotomy ventrolaterlny access, removal of the polyp, curettage of the tympanic cavity. The outer part of the polyp (process) is removed through the NRS (the NRS is stored). In some cases (at relapse) have to remove part of the NSP and the bulls through the lateral approach.

With the localization of the polyp in the nasopharynx is made through the re­moval of the oral cavity (retrograde) or by trepanation nasal / frontal sinuses.

The histologic confirmation of the diagnosis «nasopharyngeal polyp» is always a good prognosis.

Подготовлено по материалам: «ТРУДЫ МОСКОВСКОГО МЕЖДУНАРОДНОГО ВЕТЕРИНАРНОГО КОНГРЕССА, 2012 г.» для webmvc.com

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