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  • Features of surgery in the nasal cavity in patients with various types of skull structure

    Редакция | 2015, Original articles, Practical medicine 02 (15) Otolaryngology. Part 2 | 24 июня, 2015

    A.A. GRIGORYEVA1, A.I. PROSKURIN2, E.B. DORZHINOVA3

    1Astrakhan branch of Scientific-Clinical Center for Otorhinolaryngology of ФМБА of Russia, 2 Tatishchev Str, Astrakhan, Russian Federation, 414056

    2Astrakhan State Medical University, 121 Bakinskaya Str., Astrakhan, Russian Federation, 414000

    3Respublican Hospital named after P.P. Zhemchuyev, 52 Pushkin Str., Elista, Republic of Kalmykia, Russian Federation, 358009

    Grigorieva A.A. — PhD (Medicine), Senior Researcher, tel. +7-906-459-84-01, [email protected]

    Proskurin A.I. — PhD (Medicine), Associate Professor of the Department of Otolaryngology and Ophthalmology, tel. (8512) 26-02-90

    Dorzhinova E.B. — doctor-otolaryngologist, tel. (847) 223-78-41

    The article presents the results of pre-surgery study of intranasal arteries location in 128 patients with various types of skull structure. It was found that in patients with brachycephalia, the branches of the external carotid artery dominate — a. sphenopalatina (posterior nasal septal artery and lateral (aa. nasales posteriores laterales et septi), providing blood supply to the posterior sectors of the nasal cavity, both the lateral and medial walls of the nasal cavity. In patients with dolichocephalia, the branches of the internal carotid artery dominate, i.e. the front and rear lattice arteries (aa. ethmoidales anterior et posterior), which provide blood to the ethmoidal labyrinth and the front sections of the nasal cavity. No predominance of arterial blood flow type was observed in patients with mesocephalia. The obtained data allowed to elaborate a method of intraoperative nasal bleeding prediction. If a patient belongs to dolichocephalic type, the bleeding from the anterior sectors of nasal cavity can be expected. If the patient belongs to brachycephalic type, there is a risk of bleeding from the posterior sectors of nasal cavity. In patients with mesocephalia bleeding can occur from both the front and posterior sectors of nasal cavity.

    Key words: blood supply of a nose, cephalic indicator, epistaxis.

     

     

    REFERENCES

    1. Nakatis Ya.A., Ryazantsev S.V., Lopotko A.I. Comprehensive study of intranasal vascular disorders. ZhUNGB, 1984, no. 2, pp. 25-28 (in Russ.).
    2. Rosnagle R.S., Allen W.E., Kier E.L. Use of selective arteriography in the treatment of epistaxis. Arch.Otolaryn., 1980, vol. 106, no. 3, pp. 137-142.
    3. Soldatov I.B. Rukovodstvo po otorinolaringologii [Manual of Otorhinolaryngology]. Moscow: Meditsina, 1994. P. 204.
    4. Volkov A.G., Boyko N.V., Kiselev V.V. Nosovye krovotecheniya [Nosebleeds]. Moscow: Dzhangar, 2002. Pp. 96-110.
    5. Shevkunenko V.N., Geselevich A.M. Tipovaya anatomiya cheloveka [Typical human anatomy]. Leningrad: Biomedgiz, 1935. 232 p.
    6. Sinel’nikov R.D. Atlas anatomii cheloveka [Atlas of Human Anatomy]. Moscow: Meditsina, 1973. Vol. 2. Pp. 292-293.

     

    Метки: A.A. GRIGORYEVA, A.I. PROSKURIN, blood supply of a nose, cephalic indicator, E.B. DORZHINOVA, epistaxis, Practical medicine 02 (15) Otolaryngology. Part 2

    ‹ Analysis of the structure and immediate results of endosurgical treatment of tumors in paranasal sinuses and adjacent anatomical areas Removal of nasal polyps by a remote lasing action ›
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