OUR DIAGNOSTIC AND THEARAPEUTIC SURGICAL APPROACHES TO MEDIASTINAL MASSES
Journal Title: Journal of International Dental and Medical Research - Year 2010, Vol 3, Issue 2
Abstract
The mediastinum is defined as the thoracic space that lies between the two pleural layers. It extends from the thoracic inlet to the superior surface of the diaphragm. It is bordered anteriorly by the internal surface of the sternum and posteriorly by the longitudinal spinal ligaments. The mediastinum comprises of important anatomical structures. Surgical treatments and the results of patients who had a pre-diagnosis of mediastinal masses were examined. A total of 93 patients who underwent surgery for a pre-diagnosis of mediastinal masses between June 2003 and June 2008 were retrospectively reviewed. Preoperative evaluations, operative procedures and results of the patients were examined. Of the 93 patients, 47 were females and 46 were males. The age range was 5-76 years, while the mean age was 46.5 years. Mediastinal lesions were mostly located in the anterior mediastinum. Cough and chest pain were observed as the two main symptoms in symptomatic patients. The surgical procedures performed were mediastinoscopy, posterolateral thoracotomy, median sternotomy, and anterior mediastinotomy. Post-operative histopathological examination of collected specimens resulted in a variety of pathologic diagnoses. Two patients developed incision wound infection, whereas one patient, known to have thymoma, died on the 16th post-operative day as a result of respiratory muscle insufficiency. Two patients diagnosed with osteosarcoma and chondrosarcoma metastasis died four months after surgery due to primary pathologies. The surgical procedure used in the diagnosis and treatment of mediastinal masses is very important. The surgical approach is determined according to localization. Operative mortality is very low. Surgical management of mediastinal masses is suggested to be the most appropriate approach since histopathological diagnosis and treatment can be achieved synchronously in many patients.
Authors and Affiliations
Cemil Yorgancilar, Ozgur Karakurt, Osman Tilkan, Sedat Demircan
Keywords
Related Articles
- EP ID EP129282
- DOI -
- Views 116
- Downloads 0
FIRST IDENTIFICATION OF A NOVEL PROBIOTIC BACTERIUM STREPTOCOCCUS PHOCAE AND IT’S BENEFICIAL ROLE IN DISEASES CONTROL
The strain PI80 which showed promising antimicrobial effect on different shrimp and fish pathogens was isolated from gut of shrimp Penaeus indicus. Based on 16Sr RNA gene sequence similarities and phenotypic characteriza...
RESTORATION OF POSTERIOR EDENTULOUS SPACES AFTER MAXILLARY MOLAR INTRUSION WITH FIXED APPLIANCES (CASE REPORT)
This case report includes the mini screw supported intrusion of the extruded teeth due to the absence of its antagonist and fixed prosthetic rehabilitation supported with osseointegrated implants. Four mini-screws with...
INFLAMMATORY BIOMARKERS AS POTENTIAL MEDIATORS FOR THE ASSOCIATION BETWEEN PERIODONTAL AND SYSTEMIC DISEASE IN KOSOVO
The possibility of a connection between oral cavity and systemic diseases has been intensively researched in recent years. The aim of this study was to compare the serum levels of highsensitivity C reactive prote...
CERAMAGE – A CERAMO POLYMER RESTORATION TO BE USED AS AN ALTERNATIVE TO CERAMICS; AS AN INDIRECT RESTORATIVE MATERIAL IN A MINIMALLY INVASIVE COSMETIC DENTISTRY PROTOCOL - A CASE REPORT
Tooth wear and discoloration is a normal process in the life time of an individual. Severe wear and discoloration can result in cosmetic concern and loss of vertical dimension. These problems can best be treated by...
TNF-α, IL-1β AND IL-8 LEVELS IN TOOTH EARLY LEVELLING MOVEMENT ORTHODONTIC TREATMENT
During orthodontic treatment, the early response of periodontal tissues to mechanical stress involves several metabolic changes that allow tooth movement. The aim of the present study was to determine tumor necrosis fac...