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Endoscopic-assisted laser therapy for extensive rhinoscleroma
En Background Scleroma is a granuloma affecting mainly the nose, and may extend to affect the pharynx, the larynx, the lacrimal apparatus, and many soft tissue structures surrounding the nose. In Egypt, as in many other Eastern countries, scleroma is the most common nasal granuloma diagnosed clinica...
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| Published in: | The Egyptian journal of otolaryngology 2012-05, Vol.28 (2), p.89-94 |
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| Language: | English |
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| container_end_page | 94 |
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| container_title | The Egyptian journal of otolaryngology |
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| creator | Nassim, Nassim Talaat |
| description | En
Background
Scleroma is a granuloma affecting mainly the nose, and may extend to affect the pharynx, the larynx, the lacrimal apparatus, and many soft tissue structures surrounding the nose. In Egypt, as in many other Eastern countries, scleroma is the most common nasal granuloma diagnosed clinically and pathologically. Although it mainly affects the anterior part of the nose, it is not uncommon to find cases with extensive lesions that extend to occupy the entire nasal cavity, and also to the sinuses and the orbit. Active rhinoscleroma is usually treated medically, and surgical intervention is carried out in the fibrotic stage.
Theory
The aim of this study was to determine the role of CO
2
laser in the management of extensive active rhinoscleroma.
Materials and methods
This is a prospective study that included 24 patients with extensive rhinoscleroma in the active phase, that is, patients had almost complete nasal obstruction with mouth breathing. Patients were divided into two groups: group A (12 cases), who were managed only with medical treatment, and group B (12 cases), who were managed with CO
2
laser debulking, concurrently with medical treatment.
Results
Patients were followed up clinically for nasal blockage and histologically to assess the activity of the disease; group B showed earlier relief of nasal obstruction and needed less medical treatment to reach the inactive stage.
Conclusion
CO
2
laser debulking is a good option in treating extensive rhinoscleroma, even in the active stage, as it provides rapid relief of nasal blockage and decreases the time needed for medical treatment, reducing the possible side effects of antibiotics. |
| doi_str_mv | 10.7123/01.EJO.0000413431.49513.c2 |
| format | article |
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Background
Scleroma is a granuloma affecting mainly the nose, and may extend to affect the pharynx, the larynx, the lacrimal apparatus, and many soft tissue structures surrounding the nose. In Egypt, as in many other Eastern countries, scleroma is the most common nasal granuloma diagnosed clinically and pathologically. Although it mainly affects the anterior part of the nose, it is not uncommon to find cases with extensive lesions that extend to occupy the entire nasal cavity, and also to the sinuses and the orbit. Active rhinoscleroma is usually treated medically, and surgical intervention is carried out in the fibrotic stage.
Theory
The aim of this study was to determine the role of CO
2
laser in the management of extensive active rhinoscleroma.
Materials and methods
This is a prospective study that included 24 patients with extensive rhinoscleroma in the active phase, that is, patients had almost complete nasal obstruction with mouth breathing. Patients were divided into two groups: group A (12 cases), who were managed only with medical treatment, and group B (12 cases), who were managed with CO
2
laser debulking, concurrently with medical treatment.
Results
Patients were followed up clinically for nasal blockage and histologically to assess the activity of the disease; group B showed earlier relief of nasal obstruction and needed less medical treatment to reach the inactive stage.
Conclusion
CO
2
laser debulking is a good option in treating extensive rhinoscleroma, even in the active stage, as it provides rapid relief of nasal blockage and decreases the time needed for medical treatment, reducing the possible side effects of antibiotics.</description><identifier>ISSN: 1012-5574</identifier><identifier>EISSN: 2090-8539</identifier><identifier>DOI: 10.7123/01.EJO.0000413431.49513.c2</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Granulomas ; Lasers ; Medical treatment ; Medicine & Public Health ; Nose ; Original Article ; Surgery</subject><ispartof>The Egyptian journal of otolaryngology, 2012-05, Vol.28 (2), p.89-94</ispartof><rights>The Egyptian Oto - Rhino - Laryngological Society 2012</rights><rights>The Egyptian Oto - Rhino - Laryngological Society 2012. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c338t-3d0f020c9f6cb0523d76106a63c92225fe70cf392b2b6c9eace1e096950c88d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2786130188/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2786130188?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,25753,27924,27925,37012,44590,75126</link.rule.ids></links><search><creatorcontrib>Nassim, Nassim Talaat</creatorcontrib><title>Endoscopic-assisted laser therapy for extensive rhinoscleroma</title><title>The Egyptian journal of otolaryngology</title><addtitle>Egypt J Otolaryngol</addtitle><description>En
Background
Scleroma is a granuloma affecting mainly the nose, and may extend to affect the pharynx, the larynx, the lacrimal apparatus, and many soft tissue structures surrounding the nose. In Egypt, as in many other Eastern countries, scleroma is the most common nasal granuloma diagnosed clinically and pathologically. Although it mainly affects the anterior part of the nose, it is not uncommon to find cases with extensive lesions that extend to occupy the entire nasal cavity, and also to the sinuses and the orbit. Active rhinoscleroma is usually treated medically, and surgical intervention is carried out in the fibrotic stage.
Theory
The aim of this study was to determine the role of CO
2
laser in the management of extensive active rhinoscleroma.
Materials and methods
This is a prospective study that included 24 patients with extensive rhinoscleroma in the active phase, that is, patients had almost complete nasal obstruction with mouth breathing. Patients were divided into two groups: group A (12 cases), who were managed only with medical treatment, and group B (12 cases), who were managed with CO
2
laser debulking, concurrently with medical treatment.
Results
Patients were followed up clinically for nasal blockage and histologically to assess the activity of the disease; group B showed earlier relief of nasal obstruction and needed less medical treatment to reach the inactive stage.
Conclusion
CO
2
laser debulking is a good option in treating extensive rhinoscleroma, even in the active stage, as it provides rapid relief of nasal blockage and decreases the time needed for medical treatment, reducing the possible side effects of antibiotics.</description><subject>Granulomas</subject><subject>Lasers</subject><subject>Medical treatment</subject><subject>Medicine & Public Health</subject><subject>Nose</subject><subject>Original Article</subject><subject>Surgery</subject><issn>1012-5574</issn><issn>2090-8539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqNkMtOwzAQRS0EEhX0HyJYJ8zYiRODWKCqvFSpG1hbrjOmqdok2Cmif49LkbplNrO5517pMHaFkJXIxQ1gNn2dZxAvR5ELzHJVoMgsP2EjDgrSqhDqlI0QkKdFUebnbBzCag-UOXCBI3Y_besu2K5vbGpCaMJAdbI2gXwyLMmbfpe4zif0PVAbmi9K_LJpI7Am323MJTtzZh1o_Pcv2Pvj9G3ynM7mTy-Th1lqhaiGVNTggINVTtoFFFzUpUSQRgqrOOeFoxKsE4ov-EJaRcYSEiipCrBVVUtxwa4Pvb3vPrcUBr3qtr6Nk5qXlUQBWFUxdXtIWd-F4Mnp3jcb43caQe-NaUAdjemjMf1rTFse4bsDHCLUfpA_TvyD_gFr63DL</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Nassim, Nassim Talaat</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20120501</creationdate><title>Endoscopic-assisted laser therapy for extensive rhinoscleroma</title><author>Nassim, Nassim Talaat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-3d0f020c9f6cb0523d76106a63c92225fe70cf392b2b6c9eace1e096950c88d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Granulomas</topic><topic>Lasers</topic><topic>Medical treatment</topic><topic>Medicine & Public Health</topic><topic>Nose</topic><topic>Original Article</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nassim, Nassim Talaat</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>The Egyptian journal of otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nassim, Nassim Talaat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic-assisted laser therapy for extensive rhinoscleroma</atitle><jtitle>The Egyptian journal of otolaryngology</jtitle><stitle>Egypt J Otolaryngol</stitle><date>2012-05-01</date><risdate>2012</risdate><volume>28</volume><issue>2</issue><spage>89</spage><epage>94</epage><pages>89-94</pages><issn>1012-5574</issn><eissn>2090-8539</eissn><abstract>En
Background
Scleroma is a granuloma affecting mainly the nose, and may extend to affect the pharynx, the larynx, the lacrimal apparatus, and many soft tissue structures surrounding the nose. In Egypt, as in many other Eastern countries, scleroma is the most common nasal granuloma diagnosed clinically and pathologically. Although it mainly affects the anterior part of the nose, it is not uncommon to find cases with extensive lesions that extend to occupy the entire nasal cavity, and also to the sinuses and the orbit. Active rhinoscleroma is usually treated medically, and surgical intervention is carried out in the fibrotic stage.
Theory
The aim of this study was to determine the role of CO
2
laser in the management of extensive active rhinoscleroma.
Materials and methods
This is a prospective study that included 24 patients with extensive rhinoscleroma in the active phase, that is, patients had almost complete nasal obstruction with mouth breathing. Patients were divided into two groups: group A (12 cases), who were managed only with medical treatment, and group B (12 cases), who were managed with CO
2
laser debulking, concurrently with medical treatment.
Results
Patients were followed up clinically for nasal blockage and histologically to assess the activity of the disease; group B showed earlier relief of nasal obstruction and needed less medical treatment to reach the inactive stage.
Conclusion
CO
2
laser debulking is a good option in treating extensive rhinoscleroma, even in the active stage, as it provides rapid relief of nasal blockage and decreases the time needed for medical treatment, reducing the possible side effects of antibiotics.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.7123/01.EJO.0000413431.49513.c2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Egyptian journal of otolaryngology, 2012-05, Vol.28 (2), p.89-94 |
| issn | 1012-5574 2090-8539 |
| language | eng |
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| source | Publicly Available Content Database; Springer Nature - SpringerLink Journals - Fully Open Access |
| subjects | Granulomas Lasers Medical treatment Medicine & Public Health Nose Original Article Surgery |
| title | Endoscopic-assisted laser therapy for extensive rhinoscleroma |
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