Date: 3 May 2013
Yamik catheter for rinsing nasal and paranasal cavities. Image C
Copyright:
These images were kindly given by Andreas Neher of the Department of Otorhinolaryngology, Innsbruck Medical University, Anichstr. 35, Innsbruck, Austria. For further details of the procedure please refer to the PDF link above. (C) Fungal Research Trust
Notes:
Rinsing of the nasal and paranasal cavities applied via a novel catheter system (YAMIK). The cavities were rinsed with 10–20 ml of 1% aqueous N-Chlorotaurine (NCT) solution, treatment consisted of three lavages per week for 4 weeks. N-Chlorotaurine is a mild endogenous oxidant with broad-spectrum antimicrobial activity. The use of the catheter proved to be a successful way of rinsing the nasal and paranasal cavities. Link to PDF with further details.
C,D X-ray set up of a healthy volunteer rinsed with 10 ml of radio-opaque solution via YAMIK catheter demonstrating sufficient filling of the paranasal sinuses.
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Mr RM is 80 and an ex-coal miner.He developed pneumoconiosis from exposure to coal dust. He also developed rheumatoid arthritis and the combination of this disease and pneumoconiosis is called Caplan’s syndrome.
His chest Xray in early 2015 shows extensive bilateral pulmonary shadowing with solid looking nodules superimposed on abnormal lung fields, contraction of his left lung with an elevated diaphragm and a large left upper lobe aspergilloma, displaying a classic air crescent. His CT scan from mid 2014 demonstrates a large aspergilloma in a cavity on the left, with marked pleural thickening around it, which is partially ‘calcified’ towards its base. Inferiorly on other images,remarkable pleural thickening and fibrotic irregular and spiculated nodules are seen, most partially calcified.
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