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Endoscopic endonasal surgery at the Yaounde General Hospital-Cameroon: Case Study of 30 Operated Patients

International Journal of Otolaryngology and Head & Neck surgery 2021年第5期10卷 376-382页

作者： Yves Christian Andjock Nkouo Antoine Bola Siafa David Eko Mindja Dalil Asmaou Bouba Boda Hé lé ne Ngono Ateba Gladys Richard Njock Francois Djomou Department of ENT-Ophthalmology-Stomatology Faculty of Medicine and Biomedical Sciences University of Yaound&#233 I Yaound&#233 Cameroon ENT-Service Yaounde General Hospital Yaound&#233 Cameroon ENT-Service Yaounde Teaching Hospital Yaound&#233 Cameroon ENT-Service Yaounde Central Hospital Yaound&#233 Cameroon Department of surgery Faculty of Medicine and Biomedical Sciences University of Yaound&#233 I Yaound&#233 Cameroon ENT-Service Douala General Hospital Douala Cameroon

Introduction: Endoscopic endonasal surgery is currently a validated therapeutic modality in most nasal sinus disorders. In developed countries, this practice is common and sees the indications constantly reviewed;In sub-Saharan Africa, this surgical technique is popularized. The external pathways are morbid and not very functional. In our daily practice at the Yaounde General Hospital (YGH), this technique is still in its infancy. Gradually it’s entering our habits and sees its indications increases. Through this study, we are reporting readily available data from our experience. Objectives: The objective was to study the practice of endoscopic endonasal surgery in our setting. Patients and Method: This was a cross-sectional, descriptive, retrospective study. The site of study was the ear-nose and throat service of Yaounde General Hospital. The study was conducted from January 2013 to December 2020, for an 8 years basis. The sampling was consecutive. We included in this study all patients operated on for a nasal sinus disease by the endoscopic endonasal modality. We excluded patients with incomplete files, as well as those who had a complementary transfacial approach during the same operation. The data were collected on prepared questionnaire. Data analysis is done with ssps 23.0 software. Results: We recruited 30 cases, out of a total of 330 interventions carried out in our department. The prevalence of this surgery in our activity was 9%. Male and female had equal ratio of 50%. The most represented age group was 30 - 40 years (33.3%). All the patients had a facial sinus CT scan, we did not note any anatomical variant as risk. Two patients of our sample size had a history of sinus surgery, treated externally. Chronic maxillary sinusitis was the surgical indication in 36.7%, followed by Killian antro-choanal polyps in 13.3%, nasosinus polyposis in 13.3% and all performed under general anesthesia. Th

关键词： endonasal surgery Sinus Pathologies Yaounde

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Endoscopic endonasal approach to the craniovertebral junction

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World Journal of Otorhinolaryngology-Head and Neck surgery 2022年第1期8卷 16-24页

作者： Ashleigh A.Halderman Samuel L.Barnett Department of Otolaryngology Head and Neck surgery University of Texas Southwestern Medical CenterDallasTexasUSA Department of Neurological surgery University of Texas Southwestern Medical CenterDallasTexasUSA

The surgical approach to lesions of the ventral craniovertebral junction(CVJ)has evolved significantly in the last several years with the advent of endoscopic skull base *** pathologies of the CVJ can result in irreducible compression of the cervicomedullary *** endoscopic endonasal approach lends itself well to this region due to the ventral location,and while there is a steep learning curve,is a safe and effective way to perform decompression of the cervicomedullary ***,we discuss the anatomy of the CVJ,preoperative evaluation and surgical considerations,our surgical approach,complications,and outcomes.

关键词： basilar invagination craniovertebral junction endonasal surgery endoscopic skull base surgery odontoidectomy

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