標題: says Dr. 87 [打印本頁] 作者: kbxhefgm 時間: 2016-4-14 23:29 標題: says Dr. 87
Infection of the sponge similar to parotid gland is uncomfortable but temporary, says Dr. Christine H. Gourin, otolaryngologist at the Medical College regarding Georgia.
But when the glandular develops cancerous or noncancerous tumors or stones this interfere with saliva flow, a fairly tricky surgery to remove component or all of the gland is necessary.
Surgical removal is delicate because parotid sits between the cheekbone and jawbone along with the facial nerve runs right through it, Dr. Gourin says in the gland which contributes a watery fluid to the spit mix that helps lubricate your mouth and tongue as well as digest food.
The standard approach is making an incision in the skin fold in front of the head that runs back into the hairline the same as for a facelift next using surgical scissors to get rid of the gland and medical ties or electrocautery to stop swelling.
A small pilot study released in Otolaryngology Head and Neck Surgery around Adidas Js Leopard 2004 described how the harmonic device Jeremy Scott X Adidas Australia could reduce operative serious amounts of blood loss in patients that had benign disease and required only a portion of their gland removed.
The new expanded analysis, published in the June problem of Laryngoscope, compared a larger mixture of patients: Christian Louboutin Australia Stockists 41 patients whom underwent conventional surgery and 44 who underwent harmonic device parotidectomy for benign or dangerous disease and required light or total gland treatment.
In the superficial group, the actual Adidas Jeremy Scott Asap Rocky harmonic scalpel reduced blood loss through Buy Ghd surgery, drainage afterward as well as facial nerve trauma, affirms Dr.
In the 13 sufferers who needed total parotidectomy, no significant differences were documented between the four who had typical surgery and the nine who'd harmonic scalpel parotidectomy. Researchers say Adidas Jeremy Scott Wings his or her findings warrant further research of the scalpel potential throughout patients with malignancies who are required their entire gland removed.
combined our data and considered patients with all kinds of malignancies and more extensive surgery found that the harmonic scalpel was just when effective when it was used with regard to malignant disease, says Physician. Gourin. malignant disease involves the deeply lobe of the parotid gland underneath the cosmetic nerve, there is more Mont Blanc Pens Perth Australia possibility from the surgery but the harmonic device appears to be safe for use in this area. the number of patients with heavy lobe disease was small, the research showed the harmonic scalpel did wonders as well as the standard approach and also suggested a trend when it comes to some of the same improvements seen with less extensive medical procedures, Dr. Gourin says.
The makeup nerve is the main reason Dr .. Gourin Replica Christian Louboutin Australia sought better surgery possibilities. we use in the parotid glandular to cut tissue or halt bleeding cannot harm this nerve. Standard electrocautery is not a great choice because there is a rim regarding thermal injury around the tip of the cautery blade that can on paper injure facial nerve limbs, Dr. Gourin says. The harmonic scalpel, which uses ultrasonic vibrations rather than electricity to coagulate tissue, doesn include this potential for collateral harm.
Facial nerve injury, resulting in paralysis including a droopy smile as well as inability to completely close the interest, is the biggest risk of parotidectomy. A different consequence can be a sunken look where the parotid is removed. Dr. Gourin as well as her MCG colleagues moved to fat from the abdomen to help fill the deficit. are going to do it more and more, even with many forms of cancer because the fat will not impact follow up treatment, she affirms.
She noted that in relation to 80 percent of parotid tumors are usually benign but must be taken out because they keep growing and chance becoming malignant.
The harmonic knife came into use in 1993 and is also widely used for other head and neck surgeries, such as thyroid surgery, where it been shown to scale back surgery time, and tonsillectomy, wherever it reduces postoperative pain. Patients as part of the parotid gland study were treated at MCG Medical Center and also the Veterans Affairs Medical Center throughout Augusta from 1999 2004.
