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CLINICA: il trattamento delle sinusiti conseguenti a rialzo del seno mascellare","ricerca-clinica-trattamento-sinusiti-conseguenti-rialzo-seno","Sebbene rare, le complicanze infettive conseguenti all’intervento di rialzo del seno mascellare possono verificarsi con una prevalenza introno al 3% sotto forma di sinusite e\u002Fo infezione del…","\u003Cp>Sebbene rare, le complicanze infettive conseguenti all’intervento di rialzo del seno mascellare possono verificarsi con una prevalenza introno al 3% sotto forma di sinusite e\u002Fo infezione del materiale da innesto talvolta associata alla formazione di fistole oro-sinusali, in particolare nei casi inverterati. \u003C\u002Fp>\u003Cp>Nel lavoro pubblicato su Il Dentista Moderno (2012;07:76-85) viene presentata una casistica rilevante di complicanze infettive inveterate\u002Fcronicizzate conseguenti a rialzo del seno mascellare attraverso uno studio prospettico sulla gestione delle complicanze infettive conseguenti a rialzo del seno mascellare mediante un approccio combinato costituito da chirurgia endoscopica funzionale sinusale (FESS-Functional Endoscopic SinusSurgery) e da un approccio chirurgico per via intraorale.\u003C\u002Fp>\u003Cp>Lo studio è stato realizzato su 20 pazienti visitati dal gennaio 2005 al dicembre 2009 che si erano rivolti agli Autori per complicanze sinusitiche oramai cronicizzate, refrattarie alla sola terapia medica e secondarie a interventi di elevazione del seno mascellare con approccio laterale in associazione a innesto di osso autologo particolato o di materiali non autologhi. In tutti i pazienti è stato eseguito un intervento combinato con approccio endoscopico transnasale (FESS) associato a un trattamento endorale, eseguiti rispettivamente da un chirurgo otorinolaringoiatra e da uno maxillo-facciale in una stessa seduta in anestesia generale.\u003C\u002Fp>\u003Cp>16 pazienti su 20 il controllo a 4 settimane dall’intervento dimostrava una perfetta guarigione clinica con recupero di una normale funzione di ventilazione e drenaggio sinusale. In 2 la persistenza di sinusite a 4 settimane dall’intervento è stata risolta entro l’ottava settimana post operatoria con una nuova terapia antibiotica basata sull’antibiogramma realizzato sulla coltura microbiologica dell’aspirato sinusale. In 1 soggetto la persistenza disinusite a 3 mesi dall’intervento è stata risolta con una aspirazione del materiale purulento endomascellare. In un paziente, infine, è stato necessario eseguire un secondo intervento combinato per risolvere la persistenza di sinusite a tre mesi dall’intervento.\u003C\u002Fp>\u003Cp>Per la prima volta, per quanto ne sanno gli Autori, viene proposto un protocollo di trattamento ben codificato basato su un approccio chirurgico combinato costituito da FESS e da un approccio intraorale. 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Il Master…","2009-10-23T00:00:00+00:00",[241],{"categories":242,"category_id":26},{"name":27,"path":28,"slug":28},{"title":9,"last_name":9,"first_name":232},{"id":245,"title":246,"slug":247,"category_prefix":28,"excerpt":248,"cover_image_url":9,"access_level":220,"published_at":249,"article_categories":250,"authors":253},"d46f103e-bad1-480f-ab38-bb97eb4582f8","Pubblicità sanitaria: come comportarsi","pubblicita-sanitaria-comportarsi","L'avv. Silvia Stefanelli spiega la normativa sulla pubblicità sanitaria. 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