[Possibilities and limitations of a trans-sinus approach in the management of fractures of the anterior cranial fossa with cerebrospinal rhinorrhea].
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Biomedical subjects
Publications and source records attributed to E Mozolewski.
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The technique and results of surgical reconstruction of different extent of the extratemporal part of the facial nerve after oncological operations and after accidental injuries are reported. Return of facial nerve function was observed in 15 out of 17 cases (87%) with follow-up over 1 year. An own modification of nerve suture is described. Attention is called to the possibility of perineural and endoneural spread of parotid malignant neoplasms.
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Fractures of the cranial basis in the anterior cranial fossa accounted in a ten-year period in the material of the authors for 2.6% of cranial traumas and 24.6% of cranial basis fractures. In the observed cases rhinorrhoea was present in only 16% of cases. Purulent meningitis as a complication was observed in only 1.8% of cases and only late after the trauma. In view of the low frequency of inflammatory complications evidencing a considerable tendency for spontaneous healing of fistulas the authors suggest restriction of indications to surgical treatment in early period after trauma to cases with visible wide fissure in the fractures bone, displacement of fractured fragments and their position at different levels.
The authors describe a case of osteoma of the paranasal sinuses growing into the anterior cranial fossa with liquorrhoea and aerocele treated successfully surgically from an osteoplastic transsinusal approach.
In 40 patients with carcinoma of the larynx transformation of lymphocytes under the influence of PHA was studied. In 20 patients, in addition, venous blood flowing from the tumor, collected during the operation was also examined. In 33 patients the index of blastic transformation was lowered as compared with that in the control group. In 15 of 20 patients, the lymphocytes of venous blood from the vicinity of the tumor showed significantly higher indices of blastic transformation in comparision with those from peripheral blood. It was assumed that difference was due to an increased participation of T-lymphocytes in venous blood flowing from the tumor area. T-lymphocytes might move into the blood from the lymphoid infiltrates which accompany the neoplastic tissue.