SAMENVATTING KNO –
MEDISCHE TECHNIEK
Amstel Academie, opleiding operatieassistent, TLP3
Nikki van der Lans
|
,Inhoudsopgave
Neusoperaties............................................................................................................................................... 4
Korte anatomie.....................................................................................................................................................4
Algemene informatie neuschirurgie.....................................................................................................................4
Soorten benaderingen.....................................................................................................................................6
Conchotomie........................................................................................................................................................6
Heelkunde........................................................................................................................................................7
OZT...................................................................................................................................................................7
Septumcorrectie. (SSC).........................................................................................................................................8
Heelkunde........................................................................................................................................................8
OZT...................................................................................................................................................................8
Rhinoplastiek: In- en uitwendige neuscorrectie.................................................................................................10
Heelkunde......................................................................................................................................................10
OZT.................................................................................................................................................................12
Neusbijholtes chirurgie.......................................................................................................................................13
Heelkunde......................................................................................................................................................13
OZT.................................................................................................................................................................14
FESS met navigatie.............................................................................................................................................15
Ooroperaties............................................................................................................................................... 16
Korte anatomie..................................................................................................................................................16
Algemene bijzonderheden..................................................................................................................................17
Aandachtspunten omloop.............................................................................................................................17
Aandachtspunten instrumenterende............................................................................................................18
Specifiek instrumentarium............................................................................................................................18
Soorten benaderingen...................................................................................................................................19
Mastoid operaties..............................................................................................................................................20
Mastoidectomie.............................................................................................................................................20
Attico – antrotomie........................................................................................................................................22
Cholesteatoom..............................................................................................................................................22
Mastoïditis.....................................................................................................................................................23
Myringoplastiek.................................................................................................................................................23
Heelkunde......................................................................................................................................................23
OZT.................................................................................................................................................................24
Tympanoplastiek................................................................................................................................................24
Ketenreconstructie.............................................................................................................................................25
OZT.................................................................................................................................................................26
Stapedotomie.....................................................................................................................................................27
Heelkunde......................................................................................................................................................27
OZT.................................................................................................................................................................29
Gehoortoestellen................................................................................................................................................29
BAHA = bone anchored hearing aid...............................................................................................................29
Oorprotheses.................................................................................................................................................30
Keeloperaties............................................................................................................................................... 31
Korte anatomie..................................................................................................................................................31
1
, Algemene informatie..........................................................................................................................................31
(Adeno)tonsillectomie........................................................................................................................................31
Heelkunde......................................................................................................................................................31
UPPP UvulaPalatoPharyngoPlastiek..............................................................................................................33
Microlarynxchirurgie..........................................................................................................................................34
Hemostase en sealing.................................................................................................................................. 36
Hemostase middelen..........................................................................................................................................38
Tisseel (tisucol)..............................................................................................................................................38
Floseal (surgiflo).............................................................................................................................................39
Hemopatch (tagosilk).....................................................................................................................................39
Geoxideerde cellulose: Traumastem.............................................................................................................40
KNO Oncologie............................................................................................................................................ 41
Algemene richtlijnen oncologische KNO-chirurgie.............................................................................................41
Panendoscopie...................................................................................................................................................42
Hoofd-hals carcinoom........................................................................................................................................42
Klachten.........................................................................................................................................................42
Work-up.........................................................................................................................................................42
Halsklierdissectie................................................................................................................................................43
Gemodificeerde radicale HKD........................................................................................................................44
Selectieve HKD...............................................................................................................................................44
Indicaties HKD................................................................................................................................................45
Incisies............................................................................................................................................................45
Peroperatieve fase.........................................................................................................................................45
Postoperatieve fase.......................................................................................................................................46
Tracheotomie.....................................................................................................................................................46
Peroperatieve fase.........................................................................................................................................47
Postoperatieve fase.......................................................................................................................................47
Larynxcarcinoom................................................................................................................................................47
Korte anatomie..............................................................................................................................................47
Subtypes larynxcarcinoom.............................................................................................................................48
Behandelingen...............................................................................................................................................48
Microlaryngoscopie............................................................................................................................................48
Totale laryngectomie.........................................................................................................................................48
Indicaties voor totale laryngectomie.............................................................................................................49
Preoperatieve fase.........................................................................................................................................50
Peroperatieve fase.........................................................................................................................................50
Postoperatieve zorg.......................................................................................................................................50
Orofarynxcarcinoom..........................................................................................................................................51
Behandeling oropharynx...............................................................................................................................52
Benaderingen.................................................................................................................................................52
Speekselklieren..............................................................................................................................................53
Mondholte carcinomen......................................................................................................................................53
Commandoresectie............................................................................................................................................53
Heelkunde......................................................................................................................................................53
OZT.................................................................................................................................................................55
Operatieverloop algemeen............................................................................................................................56
Preoperatieve fase........................................................................................................................................56
Peroperatieve fase.........................................................................................................................................57
2
, Postoperatieve fase.......................................................................................................................................59
Instrumentarium............................................................................................................................................60
Laser............................................................................................................................................................ 65
OZT.................................................................................................................................................................65
Medische techniek....................................................................................................................................... 67
Kleuren...............................................................................................................................................................67
Golflengte en golfhoogte...................................................................................................................................67
Zichtbaar licht....................................................................................................................................................67
Elektromagnetisch spectrum (EM).....................................................................................................................68
Werking van het oog..........................................................................................................................................68
Kegeltjes.............................................................................................................................................................68
Additieve kleurmenging.....................................................................................................................................69
Subtractieve menging........................................................................................................................................69
Kleurenkopie.......................................................................................................................................................69
Laserlicht............................................................................................................................................................69
Laserstralen........................................................................................................................................................70
Transport laserstralen........................................................................................................................................70
Laser soorten......................................................................................................................................................70
CO2-laser.......................................................................................................................................................70
Nd-YAG laser..................................................................................................................................................70
Argon laser.....................................................................................................................................................70
Combinatie He/Ne en Gallium-Arsenide laser..............................................................................................71
Gallium Arsenide met hoogvermogen...........................................................................................................71
Toepassing van lasers........................................................................................................................................72
Gevaren lasergebruik.........................................................................................................................................72
Effect laser op biologisch materiaal...................................................................................................................72
Gevaren voor de ogen........................................................................................................................................73
Veiligheidsmaatregelen.................................................................................................................................73
Veiligheidsbrillen...........................................................................................................................................73
Röntgenstraling..................................................................................................................................................73
Rode tekst of uitroepteken in de samenvatting is belangrijke theorie voor tentamen!
3
MEDISCHE TECHNIEK
Amstel Academie, opleiding operatieassistent, TLP3
Nikki van der Lans
|
,Inhoudsopgave
Neusoperaties............................................................................................................................................... 4
Korte anatomie.....................................................................................................................................................4
Algemene informatie neuschirurgie.....................................................................................................................4
Soorten benaderingen.....................................................................................................................................6
Conchotomie........................................................................................................................................................6
Heelkunde........................................................................................................................................................7
OZT...................................................................................................................................................................7
Septumcorrectie. (SSC).........................................................................................................................................8
Heelkunde........................................................................................................................................................8
OZT...................................................................................................................................................................8
Rhinoplastiek: In- en uitwendige neuscorrectie.................................................................................................10
Heelkunde......................................................................................................................................................10
OZT.................................................................................................................................................................12
Neusbijholtes chirurgie.......................................................................................................................................13
Heelkunde......................................................................................................................................................13
OZT.................................................................................................................................................................14
FESS met navigatie.............................................................................................................................................15
Ooroperaties............................................................................................................................................... 16
Korte anatomie..................................................................................................................................................16
Algemene bijzonderheden..................................................................................................................................17
Aandachtspunten omloop.............................................................................................................................17
Aandachtspunten instrumenterende............................................................................................................18
Specifiek instrumentarium............................................................................................................................18
Soorten benaderingen...................................................................................................................................19
Mastoid operaties..............................................................................................................................................20
Mastoidectomie.............................................................................................................................................20
Attico – antrotomie........................................................................................................................................22
Cholesteatoom..............................................................................................................................................22
Mastoïditis.....................................................................................................................................................23
Myringoplastiek.................................................................................................................................................23
Heelkunde......................................................................................................................................................23
OZT.................................................................................................................................................................24
Tympanoplastiek................................................................................................................................................24
Ketenreconstructie.............................................................................................................................................25
OZT.................................................................................................................................................................26
Stapedotomie.....................................................................................................................................................27
Heelkunde......................................................................................................................................................27
OZT.................................................................................................................................................................29
Gehoortoestellen................................................................................................................................................29
BAHA = bone anchored hearing aid...............................................................................................................29
Oorprotheses.................................................................................................................................................30
Keeloperaties............................................................................................................................................... 31
Korte anatomie..................................................................................................................................................31
1
, Algemene informatie..........................................................................................................................................31
(Adeno)tonsillectomie........................................................................................................................................31
Heelkunde......................................................................................................................................................31
UPPP UvulaPalatoPharyngoPlastiek..............................................................................................................33
Microlarynxchirurgie..........................................................................................................................................34
Hemostase en sealing.................................................................................................................................. 36
Hemostase middelen..........................................................................................................................................38
Tisseel (tisucol)..............................................................................................................................................38
Floseal (surgiflo).............................................................................................................................................39
Hemopatch (tagosilk).....................................................................................................................................39
Geoxideerde cellulose: Traumastem.............................................................................................................40
KNO Oncologie............................................................................................................................................ 41
Algemene richtlijnen oncologische KNO-chirurgie.............................................................................................41
Panendoscopie...................................................................................................................................................42
Hoofd-hals carcinoom........................................................................................................................................42
Klachten.........................................................................................................................................................42
Work-up.........................................................................................................................................................42
Halsklierdissectie................................................................................................................................................43
Gemodificeerde radicale HKD........................................................................................................................44
Selectieve HKD...............................................................................................................................................44
Indicaties HKD................................................................................................................................................45
Incisies............................................................................................................................................................45
Peroperatieve fase.........................................................................................................................................45
Postoperatieve fase.......................................................................................................................................46
Tracheotomie.....................................................................................................................................................46
Peroperatieve fase.........................................................................................................................................47
Postoperatieve fase.......................................................................................................................................47
Larynxcarcinoom................................................................................................................................................47
Korte anatomie..............................................................................................................................................47
Subtypes larynxcarcinoom.............................................................................................................................48
Behandelingen...............................................................................................................................................48
Microlaryngoscopie............................................................................................................................................48
Totale laryngectomie.........................................................................................................................................48
Indicaties voor totale laryngectomie.............................................................................................................49
Preoperatieve fase.........................................................................................................................................50
Peroperatieve fase.........................................................................................................................................50
Postoperatieve zorg.......................................................................................................................................50
Orofarynxcarcinoom..........................................................................................................................................51
Behandeling oropharynx...............................................................................................................................52
Benaderingen.................................................................................................................................................52
Speekselklieren..............................................................................................................................................53
Mondholte carcinomen......................................................................................................................................53
Commandoresectie............................................................................................................................................53
Heelkunde......................................................................................................................................................53
OZT.................................................................................................................................................................55
Operatieverloop algemeen............................................................................................................................56
Preoperatieve fase........................................................................................................................................56
Peroperatieve fase.........................................................................................................................................57
2
, Postoperatieve fase.......................................................................................................................................59
Instrumentarium............................................................................................................................................60
Laser............................................................................................................................................................ 65
OZT.................................................................................................................................................................65
Medische techniek....................................................................................................................................... 67
Kleuren...............................................................................................................................................................67
Golflengte en golfhoogte...................................................................................................................................67
Zichtbaar licht....................................................................................................................................................67
Elektromagnetisch spectrum (EM).....................................................................................................................68
Werking van het oog..........................................................................................................................................68
Kegeltjes.............................................................................................................................................................68
Additieve kleurmenging.....................................................................................................................................69
Subtractieve menging........................................................................................................................................69
Kleurenkopie.......................................................................................................................................................69
Laserlicht............................................................................................................................................................69
Laserstralen........................................................................................................................................................70
Transport laserstralen........................................................................................................................................70
Laser soorten......................................................................................................................................................70
CO2-laser.......................................................................................................................................................70
Nd-YAG laser..................................................................................................................................................70
Argon laser.....................................................................................................................................................70
Combinatie He/Ne en Gallium-Arsenide laser..............................................................................................71
Gallium Arsenide met hoogvermogen...........................................................................................................71
Toepassing van lasers........................................................................................................................................72
Gevaren lasergebruik.........................................................................................................................................72
Effect laser op biologisch materiaal...................................................................................................................72
Gevaren voor de ogen........................................................................................................................................73
Veiligheidsmaatregelen.................................................................................................................................73
Veiligheidsbrillen...........................................................................................................................................73
Röntgenstraling..................................................................................................................................................73
Rode tekst of uitroepteken in de samenvatting is belangrijke theorie voor tentamen!
3
