cirugia endoscopica funcional endonasal
TRANSCRIPT
![Page 1: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/1.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 1/32
![Page 2: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/2.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 2/32
Senos Paranasales
Son espacios óseos cóncavos ubicadosdentro del cráneo en la parte frontal del
mismo. Producen secreción mucosa que
drena hacia la nariz.
![Page 3: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/3.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 3/32
Anatomía
de los
Senos Paranasales
Seno frontal
Seno maxilar
Cornete Inferior
Cornete medio
Celdas Etmoidales
![Page 4: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/4.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 4/32
Función.
Es producir resonancia en la voz, protección ydisminución del peso del cráneo, olfacción,
humidificación, regulación del moco y la presión
intranasal.
![Page 5: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/5.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 5/32
Rinosinusitis
la enfermedad rinosinusal se defineclínicamente
como como la inflamación de la mucosa
de la
cavidad nasal y senos paranasales.
![Page 6: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/6.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 6/32
Síntomas
•Obstrucción nasal
•Secreción mucopurulenta• Anosmia / perdida del olfato
•Cefalea o presión a nivel frontal y maxilar
•Hiperternia
![Page 7: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/7.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 7/32
Diagnósticos
Rayos X Convencional
Tomografía Axial Computarizada
Resonancia Magnética
![Page 8: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/8.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 8/32
Rayos X
Proyección de Caldwell
Proyección de waters
![Page 9: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/9.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 9/32
Tomografía Axial Computarizada
Imagen CoronalImagen Axial
![Page 10: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/10.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 10/32
Reconstrucción 3D en TAC
![Page 11: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/11.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 11/32
Resonancia Magnética
Imagen Coronal Por RMN
![Page 12: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/12.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 12/32
Tratamiento
En general es médico, el
objetivo del tratamiento es controlar la
infección, reducir el edema del tejido,facilitar el drenaje.
En la mayoría de los casos es
quirúrgico a fin de liberar el espacio,permitir el drenaje y mejorar la
permeabilidad aérea del paciente.
![Page 13: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/13.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 13/32
Quirúrgico
Coronal
Axial
![Page 14: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/14.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 14/32
Equipos Médicos
Equipo de Endoscopia
Navegador
![Page 15: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/15.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 15/32
Imagen de Navegador
![Page 16: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/16.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 16/32
Visualización de TAC 3D
por
Navegador
![Page 17: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/17.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 17/32
Ópticas
70º
45º
0º
![Page 18: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/18.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 18/32
Microdebridador
Pieza de mano
Motor
![Page 19: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/19.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 19/32
Puntas para microdebridarguiadas para navegación
Aspiradores guiados para navegación
![Page 20: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/20.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 20/32
Hydrodebrider
![Page 21: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/21.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 21/32
Unidad Electro quirúrgica
spirador cauterio
![Page 22: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/22.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 22/32
Calibración
![Page 23: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/23.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 23/32
Calibración
![Page 24: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/24.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 24/32
Proceso Quirúrgico
![Page 25: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/25.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 25/32
Intervención
![Page 26: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/26.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 26/32
Ubicación y material
![Page 27: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/27.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 27/32
![Page 28: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/28.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 28/32
Acto Quirúrgico
![Page 29: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/29.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 29/32
Visión Endoscópica
![Page 30: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/30.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 30/32
Acto Quirurgico
![Page 31: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/31.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 31/32
![Page 32: Cirugia Endoscopica Funcional Endonasal](https://reader030.vdocument.in/reader030/viewer/2022021313/577cc14d1a28aba71192b173/html5/thumbnails/32.jpg)
8/10/2019 Cirugia Endoscopica Funcional Endonasal
http://slidepdf.com/reader/full/cirugia-endoscopica-funcional-endonasal 32/32
Muchas Gracias…