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ENT Operations - 2. page

Parotidectomy

’ is the intervention of parotidectomy partial or total removal of the Parotid gland.
Parotid gland tumors is made especially to remove both benign and malignant. Only rarely do the problems of Parotid salivary calculi (scialolitiasi) require ’ ’ gland excision and the intervention of parotidectomy.

incisioni_parotidectomia
In red: traditional engraving according to Redon In Blue: cosmetic incision with cervical extension from Rhytidectomy (facial lift)

Engraving
There are several types of engraving which can be used for ’ intervention of parotidectomy.
L ’ most common incision is that according to Redon: you make a cut before all ’ ear starting from the root of ’ elice, go down until dell ’ ear lobe and then climb going back all ’ ear then turn back and go l ’ incision in the neck.
A variant is one that combines the previous incision with removal of wrinkles (facial lift): you make a cut before all ’ ear starting from the root of ’ elice, go down until dell ’ ear lobe and then climb going back all ’ ear, Unlike the previous incision, the denomination takes up all ’ the base of the scalp and then descends while remaining adjacent to the ’ base of the scalp, in this way the hair will cover l ’ incision. Continue reading →

Neck, hypopharynx, larynx, thyroid and salivary glands ENT Operations Oncology ORL | adminpilolli |

Thyroidectomy

Thyroidectomy is removal of the thyroid gland surgery ’.
It is necessary in the event of:
-malignant tumor suspicion or ascertained
-goiter (or struma) whose volume is important and goes to cause cosmetic problems or deviation of the trachea or dyspnoea or dysphagia
-hyperthyroidism is no longer controllable with medical therapy
-graves ' disease with ophthalmopathy Continue reading →

Neck, hypopharynx, larynx, thyroid and salivary glands ENT Operations Oncology ORL Pathologies | adminpilolli |

Speaking after total laryngectomy

LASER surgery of the larynx, the laringectomie subtotals and improved radiotherapy allow many patients to treat cancers of the larynx without excise it completely.
Unfortunately still today many cancers of the larynx and pharynx can be carried out only with the intervention of ’ total laryngectomy (eventually extended to the pharynx: faringolaringectomia)
L ’ l ’ total laryngectomy speech expected removal of the entire larynx, l ’ interview of the trachea to the skin (full permanent tracheostomy) and the rebuilding of a new food away completely independent of the airway. At discharge, patients undergoing total laryngectomy eat normally through the mouth but breathe exclusively through the Trach (no longer from the mouth and nose).
Patients often see this intervention as very mutilating but actually you can live with it almost normally: tracheotomy can be easily hidden by a scarf or clothing with the neck slightly’ tall and you can retrieve your voice! Continue reading →

Neck, hypopharynx, larynx, thyroid and salivary glands ENT Operations Oncology ORL | adminpilolli |

Tonsillectomy

Hypertrophic tonsil, cryptic, of adult patient suffering from recurrent acute tonsillitis
Hypertrophic tonsil, cryptic, of adult patient suffering from recurrent acute tonsillitis

Tonsillectomy is surgery to remove ’ of the palatine tonsils. And’ a routine procedure, safe, that is currently being carried out under general anesthesia.
The tonsils are removed or infectious diseases (Recurrent acute tonsillitis) or for airway obstruction problems or suspected malignancy.
The criteria that lead to a correct indication for tonsillectomy differ substantially between children and adults.

Continue reading →

Oral cavity and oropharynx ENT Operations Pediatric ENT Pathologies | adminpilolli |

Rhinoplasty

profilirinoplasticaRhinoplasty is the surgery that allows ’ aesthetic nose correction.

The shape of the nose is determined by its skeleton consists of bones, fibroadipose tissue and cartilage. The surgeon as a sculptor is able with numerous techniques to modify the shape of the “skeleton of the nose” changing the appearance of the nasal pyramid ’. And’ a complex surgical procedure that requires a great surgical skill and a good experience. Is done either by Otolaryngologists who by plastic surgeons, the former can combine l ’ switching to procedures to improve nasal breathing by correcting the nasal septum (septoplasty), reducing the thickness of the inferior turbinate mucosa (turbinoplasty) and endoscopic procedures for sinusitis (FESS).

And’ a surgery lasting about 2 hours, requires 1 night's shelter after ’ surgery. At the San Raffaele di Milano the placement of nasal tampons is absolutely awesome.

The procedure, being an aesthetic procedure, is not covered by the health system; some insurance companies may partially repay the cost of the surgical steps to improve ’ intervention covering nasal breathing (settoturbinoplastica).

ENT Operations Nose, sinuses and nasopharynx | adminpilolli |

Settoturbinoplastica

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TC face without contrast showing left-convex deviation of nasal septum

Today we talk about settoturbinoplastica, l ’ intervention that is used to correct the deviations of the nasal septum (septoplasty) and to decongest the nasal turbinates (turbinoplasty)

First of all let's see some small hint of Anatomy: nasal septum divides the two nasal cavities by adjusting and optimizing ’ d ’ air flows that pass all inside of the nasal cavities, consists of a cartilage (the quadrangular cartilage of the nasal septum) and two bones (the vomer and perpendicular plate of ethmoid ’). Osteo-cartilaginous skeleton that is covered by a fibrous film (perichondrium and periosteum) in turn covered with mucosa.

The nasal septum as well as a functional role (optimize ’ nasal air flow d) also has a structural role holding the tip of the nose. The removal in toto of the nasal septum has so disastrous effects both for breathing that becomes extremely difficult for the formation of abundant crusts that from an aesthetic point of view, for the down fall of the tip of the nose.

To correct deviations of the nasal septum is appropriate to remove the portions of cartilage and bones representing the deviation, preserving the anterior portion of the nasal septum mucosa and that “supports” the tip of the nose. Continue reading →

ENT Operations Nose, sinuses and nasopharynx | adminpilolli |