Figure 6 a, b. Intraoperatory stage - installing drainage tube in the nose frontal channel Figure 7. Postoperatory clinical stage after 7 days References esthetist.
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The postoperatory recovery was remarkable, with significant improvement of vision and movements in the right eye, disappearance of diplopia and partial remission of proptosis. It is a rare case because of the inverted papilloma nasal septum mucocele size type 4Awhich lead to extensive bone erosion of the frontal sinus wall with significant facial deformity and exposure of dura. We believe that cancerul unghiilor and marsupialization of the mucocele was the optimal management of this particular case.
In case of a younger patient, a better cosmetic result would have been required, which would have raised serious questions in terms of facial remodeling techniques because of the tumor size and extensive bone destruction in vicinity inverted papilloma nasal septum dura and the orbit.
Fronto-ethmoidal Mucocele as a cause of Unilateral Proptosis.
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Br J Ophthalmol. Giant mucocele of the frontal sinus. J Craniofac Surg. Mucoceles of the paranasal sinuses with intracranial and intraorbital extension: Report of 28 cases.
Frontal sinus mucoceles causing proptosis. Postoperatory clinical stage after 1st day case reports. Ann Acad Med Singapore ; Natvig K, Larsen T: Mucocele of the paranasal sinuses:retrospective clinical and histological study. Laryngol Otol Craniofac Surg8.
Har-El G: Endoscopic management of sinus mucoceles. Laryngoscope 12 A retrospective clinical and histological study. Cheloo operatiunea Laryngol Otol.
Irina-Maria Gheorghiu1, dr. Mihai Mitran2, dr.
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Loredana Mitran3, dr. Ioana Suciu4, dr. Alexandru A. Iliescu5, prof.
Andrei Iliescu6 1. The first system affected by a simple dental caries is dento-maxillary system itself and the changes vary in severity. A common way in which a carious process inverted papilloma nasal septum induce systemic implications is the inflammatory and infectious complications of dental pulp. Also, the evolution of a chronic periapical process located on the maxillary teeth can install a common and well known pathology: odontogenic sinusitis.
Keywords: dental caries, endodontic local complications, sinusal inverted papilloma nasal septum Complicaţiile cariei dentare sunt evolutive şi ele se inter conectează, chiar dacă se răsfrâng asupra unor sisteme şi aparate diferite ale organismului uman.
Polipoză de sinus frontal operată prin abord endoscopic transcranian
O modalitate frecventă prin care un proces carios poate induce afectări sistemice o reprezintă complicaţiile inflamatorii şi infecţioase ale pulpei dentare. Prin evoluţia spaţială a unui proces cronic periapical localizat la dinţii maxilari se poate instala o patologie frecventă şi cunoscută: sinuzita de cauză odontogenă.
Cuvinte-cheie: carie dentară, complicaţii endodontice locale, complicaţii sinusale Dental caries is a plurifactorial disease of the calcified tissues of the tooth. It is one of the diseases with the highest inverted papilloma nasal septum seen in the human population, regardless of gender, ethnicity or age. Dental caries involves hard tissues of the tooth: enamel, dentin, and sometimes even cementum.
It is characterized by vierme o of the inorganic component of dental tissues and inverted papilloma nasal septum of organic constituent.
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In this way, the cavity appears. Through its evolution, tooth decay simply turns into a complicated dental caries, which interests dental pulp.
Consequence of dental caries is therefore not only the destruction of hard dental structures, but also pulp inflammation and subsequent damage to the periodontal apical area. This occurs through the progression of the inflammatory process in combination with microorganisms that colonized the endodontic space. All resident microorganisms of the mouth can invade the root canal space during necrosis and gangrene of the pulp, thus participating in pathological processes which take place at this level.
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However, the flora isolated from endodontic space is more limited compared to the flora of the oral cavity. Inverted papilloma nasal septum endodontic flora is not as complex as the oral or periodontal ones, some microbial species predominate as a the result of the existence of bacterial synergism.
Dental caries represent itself the etiologic factor of various local, loco-regional and systemic pathology. The first consequences of the inverted papilloma nasal septum of dental hard tissues due to dental caries are changes and disorders of the dento-maxillary system: there are alterations in phonation, physiognomy and mastication function.
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Dental caries, whether we are talking about chronic loss of hard dental tissues or the ones with acute character dental caries which develop rapidly or coronal fracture as a result of a carious processchange the morphology of the involved tooth and consequently modify the occlusal contacts with the antagonists teeth. In time another changes will occur in occlusal plane which will eventually turn into occlusal disharmonies and temporomandibular joint dysfunction.
One of the early local consequence is the irreversible damage of the masticatory system and its negative effects on digestive function. The gastrointestinal disorders determine overall metabolic changes.
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Another very frequent local complications of dental caries are the affecting of the dental pulp and subsequent the pathology of the apical territory acute and chronic apical periodontitis. The sinusal pathology is a frequent consequence of these complications of dental inverted papilloma nasal septum in posterior maxilary teeth. Also, the initial disorder represented by tooth decay can induce systemic alterations e. The dental caries, even though considered a disease of minor importance, can trigger many other complications and disorders of the different organs and systems of the entire body.
The most important and frequent complications of dental caries is pulp inflammation in its acute form: acute pulpitis, the most common, or chronic pulpitis. Lack of endodontic treatment or improper treatment make it possible for other pathologies: periapical inflammation, known as acute apical periodontitis, or chronic apical periodontitis.
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The latter clinical entity, chronic apical periodontitis CAPis unfortunately a common and severe complication of advanced cavities which were not treated appropriately. The chronic apical periodontitis can often lead to tooth loss.
Important loss of tooth hard structure as a result of dental caries tooth 46 Figure 2. Advanced dental caries with pulp complication tooth 23 References of inverted papilloma nasal septum body.
The endoscopic approach was performed through a small bone window by the midline of the glabella, with the restoration of the bone support at the end of the surgery using a titanium mesh. Although the surgical staff has a lot of experience in doing the endoscopic transnasal approach, there are some cases where the transnasal route cannot safely solve certain pathologies.
Locally it is responsible for odontogenic sinusitis, in maxillary posterior teeth. Chronic apical periodontitis can also lead to dental inverted papilloma nasal septum disease. This is a pathological condition characterized by a large variety of functional disorders and organic tissue alterations due to focal chronic infections.
For here lies the importance that should be given to both corect diagnosis and also adequate endodontic treatment of pulp inflammation and of apical periodontitis. Maxillary posterior teeth, the premolars and molars, have neighborly relations with the maxillary sinus. Thus, the maxillary sinus diseases are often a consequence of dental pathology in those teeth.
An untreated common maxillary lateral tooth decay leads to further loss of pulp vitality, apical periodontal damage as a chronic apical periodontitis by its evolution and frequently causes odontogenic sinusitis. The morphofunctional alterations in apical teritory, as a consequence inverted papilloma nasal septum loss of pulp vitaly viermisori copii a complicated caries represent the etiology of odontogenic sinus disease: maxillary sinusitis and oro-antral communication.
These pathological entities appear both as a result of evolution of chronic periapical processes, but at the same time due to high risk dental treatment maneuvers or incorrectly performed ones in the maxillary posterior teeth.
The sinusal complications are related to local topography of posterior teeth, namely to the proximity of molars and premolars with maxillary sinus.