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.
Images library
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Title
Legend
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Image A
CT Scan 30/3/99
Showing extreme pleural thickening and 2 small cavities at apex of left lung.
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A 43 year old with smoking related emphysema was admitted to hospital with two separate episodes of haemoptysis. He had been in good health up to 1989, when he was diagnosed as having bilateral pulmonary tuberculosis. At that time a CT scan revealed a cavity in the left upper lobe (20.8cm2) with adjacent confluent infiltrates and pleural thickening. On bronchoscopic examination no abnormalities were noted and endobronchial biopsies did not reveal hyphae.
Over the next 4 years his condition deteriorated and a CT scan showed the left upper lobe cavity had increased to 40cm2. Itraconazole 400mg daily was prescribed. There was some clinical improvement on itraconazole but patient eventually deteriorated with breathlessness and with significant weight loss.
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