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Pharyngeal cancer is the second most common cancer of the upper aerodigestive tract, predominately affecting the male sex, especially those with a history of alcoholism and chronic smoking. Although a high diversity of malignant tumors is present at this level, squamous cell carcinomas account for more than 90% of all of them. The authors aim to discuss the case of a 68-year-old patient admitted in our clinic for a giant infiltro-vegetative malignant tumor that included the tongue base, the bilateral vallecules, the lingual face of the epiglottis and the left free edge of the epiglottis, which produced an important mechanical obstruction of the upper aerodigestive tract, with the impossibility of visualizing the laryngotracheal axis and the hypopharynx. The elements of therapeutic management applied in this case are presented and commented, emphasizing the particularities of the surgical treatment, the problems encountered and their resolution. The success of a complete tumor resection, as well as preserving the functionality of the pharyngo-laryngeal region as much as possible contribute to the improvement of the results in the medium and long term, as well as assuring a superior quality of life for these patients. [ABSTRACT FROM AUTHOR]

Cancerul laringian constituie un capitol redutabil de patologie în cadrul specialității ORL, cu o incidență în continuă creștere, reprezentând la ora actuală aproape 50% din toate neoplasmele sferei ORL și 3% din totalitatea tumorilor maligne la bărbați în Europa. Managementul terapeutic al cancerului laringian, din punct de vedere chirurgical, se poate realiza pe două căi: transoral, prin chirurgie endoscopică, sau prin chirurgie deschisă, printr-un abord extern al regiunii cervicale. Se observă în ultimele decenii o creștere a numărului intervențiilor chirurgicale efectuate pe cale transorală pentru neoplasmele laringiene, iar în cadrul acestui tip de abord cea mai utilizată tehnologie chirurgicală este laserul, și în special laserul CO2. Lucrarea de față își propune să realizeze un review de literatură în ceea ce privește microchirurgia transorală laser CO2 în tumorile maligne laringiene. Sunt prezentate, comentate și subliniate particularitățile pe care le prezintă utilizarea laserului în chirurgia oncologică laringiană, avantajele și dezavantajele acestei tehnologii chirurgicale, atât în stadiile incipiente, cât și în stadiile avansate de boală. Printr-o indicație terapeutică exactă și cu o tehnică chirurgicală corect efectuată, respectând atât principiul oncologic al rezecției complete tumorale, cât și realizarea unui procedeu minim invaziv care să păstreze cât mai mult din structurile anatomice și din funcțiile laringelui, se pot obține rezultate foarte bune pe termen scurt, mediu și lung, care să ducă la creșterea supraviețuirii și la îmbunătățirea calității vieții pacienților. [ABSTRACT FROM AUTHOR]

Rhinosinusitis, in its various forms of clinical manifestation, is one of the most common and important diseases of recent decades, with serious implications, affecting the quality of life of patients and with socioeconomic costs involved. If in the past, only the external approach was used to address rhinosinusal disorders, now, with the development and improvement of endoscopic surgical techniques, the endonasal endoscopic approach is increasingly used. Rhinosinusal infectious-inflammatory pathology currently represents an indication of choice for endoscopic surgery. The classic external approach retains its usefulness in certain specific situations, especially related to complicated sinusitis, mainly frontal, endoscopy failure or complications of endoscopic surgery. The authors aim to discuss the main clinical situations we may encounter, to debate and summarize the surgical indications and approaches depending on the particularities of cases, as well as the advantages or disadvantages of the two types of surgery. [ABSTRACT FROM AUTHOR]

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Vascular tumors of the head and neck are a heterogenous group of conditions that raise numerous problems re garding diagnosis and optimal therapeutic strategy. Heman gio mas are benign vascular tumors which are only exceptionally found in the nasal cavity and paranasal si nuses. His tologically, the mixed type is extremely rarely found in the lite rature. The authors present a series of particular aspects regarding the approach of such tumors, exem pli fying with a case of sinonasal giant hemangioma from the author’s own casuistry. Problems found in the diag nostic process, difficulties encountered during the treat ment of large vascular sinonasal tumors, as well as particular elements regarding the succesfull total intravenous anesthesia are presented. Total intravenous anes thesia (TIVA) allowed the adequate hemodynamic stability, facilitating a superior intraoperative hemostasis, there fore leading to the complete endoscopic ablation of the sinonasal hemagioma. [ABSTRACT FROM AUTHOR]