A Sinusotomy is a surgical procedure involving the deliberate opening of the paranasal sinuses, a network of air-filled cavities located within the bones of the skull. This intricate intervention is primarily employed to address various sinus-related complications, such as chronic sinusitis, nasal polyps, or sinus tumors. The surgeon typically performs the sinusotomy with the aim of improving ventilation, drainage, and overall function of the affected sinuses. The procedure involves making precise incisions in the nasal passages or sinus walls, allowing the surgeon access to the sinus cavities. This meticulous process requires a thorough understanding of the complex anatomy of the sinuses and demands a high level of surgical skill. Sinusotomy may be approached through different techniques, including endoscopic sinus surgery, a less invasive method utilizing a thin, flexible tube with a camera (endoscope) to guide the surgeon. The procedure aims to alleviate symptoms such as nasal congestion, facial pain, and headaches associated with sinus disorders. Post-operative care is crucial, involving meticulous follow-up to monitor healing and prevent complications. While sinusotomy has proven efficacy in managing various sinus conditions, it is not without risks, including infection, bleeding, or damage to surrounding structures. A comprehensive pre-operative assessment and a collaborative approach between the patient and medical team are essential to ensure the success of the sinusotomy and enhance the patient's overall well-being.
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John R Bach, Rutgers University, United States
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Title : The rare case of concurrent caecal volvulus and type IV hiatal hernia presenting simultaneously at distinct anatomical sites, laparoscopy turned into laparotomy
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