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PROBLEME DE TERAPIE
REZUMAT
Autorii prezint conduita terapeutic pe care clinica noastr o urmeaz n cazul pacienilor care prezint
vestigii embrionare cervicofaciale. Anomaliile branchiale pe care le vom lua n consideraie sunt coloboma
auris, bursa lui Boyer, chisturile branchiale i chisturile de tract tireoglos. Metoda de tratament de elecie este
cea chirurgical, constnd n ablaia n ntregime a formaiunii. Cnd apare suprainfecia, se impun temporizarea
interveniei chirurgicale i antibioterapia.
Cuvinte cheie: anomalii branchiale, malformaii congenitale cervicofaciale, chist de tract
tireoglos, CTTG, chisturi branchiale, coloboma auris, bursa lui Boyer
ABSTRACT
The authors present the therapeutic conduct that our clinic applies in the cases of pacients with congenital
malformations of the head and neck. The branchial malformations that we will consider are coloboma auris,
Boyers bursa, branchial cysts, thyroglossal duct cysts. The main method of treatment is surgery, consisting in
total removal of the anomaly. When infection occurs, the delay of the operation and antibiotics are recommended.
Key words: branchial malformations, congenital malformations of the head and neck,
thyroglossal duct cysts, TGDC, branchial cysts, coloboma auris, Boyers bursa
incizie drenatorie) i numai la minimum 4-6 sptmni de la dispariia acestora se va practica ablaia.
n ceea ce privete investigaiile preoperatorii,
pe lng cele uzuale chirurgicale (hemoleucograma, TS, TC, glicemie, probe hepatice, uree,
creatinin, radiografie pulmonar, ECG) se recomand ecografia cervical, dar uneori sunt utile i
tomografia computerizat i rezonana magnetic
nuclear. Scintigrafia tiroidian este obligatorie la
pacienii diagnosticai cu ducte de tract tireoglos
Bochdaleck, pentru a descoperi prezena unor eventuale glande tiroide ectopice sau aberante. Puncionarea preoperatorie n scop diagnostic trebuie proscris, deoarece nu aduce date diagnostice suplimentare i impieteaz asupra decolrii intraoperatorii.
n situaia colobomei auris, introducerea n tra-
Adres de coresponden:
Dr. Monica Muu, IFACF-ORL Prof. Dr. Hociot, Str. Mihail Ciobanu Nr. 21, Sector 5, Bucureti
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