curettage
The curettage (also in the original French spelling: the curetage ; literally: the scraping, scraping ) is a medical term that describes the surgical removal of a tissue by scraping . The scraping or scraping of the uterine lining is also called abrasio uteri ( synonymous short form: abrasio ).
Applications
- In dentistry, depending on the depth of the gingival pockets, open or closed curettage is an intervention to treat periodontal disease . This procedure is called subgingival calculus removal . Root surfaces and tooth necks are exposed, cleaned and smoothed, tartar , bacterial layers and tissue residues are removed using a curette . If necessary, special ultrasound instruments are also used.
- In gynecology, in most cases this means scraping the uterus with removal of the uterine lining ( endometrium ) after prior dilatation (widening) of the cervix . It is used for diagnostic purposes (for example in the case of menstrual disorders or suspected neoplasia ) and for therapeutic purposes (for example when a pregnancy is terminated or after a miscarriage ). In cases of special diagnostic needs, fractional curettage can be performed.
- In dermatology , curettage is used, for example, to remove seborrheic warts or to take samples to examine for dermatophytoses .
- In ear, nose and throat medicine, curettage is performed in the case of hyperplasia of the pharynx (see adenoids ). The adenotomy is the surgical removal of the pharynx. Furthermore, particularly solidified ear deposits, ear wax , are removed using an ear curette .
- In spinal surgery, the intervertebral discs and vertebral body cover plates and base plates are curetted during spondylodesis (e.g. spondylolisthesis , scoliosis surgery) in preparation for the mostly subsequent cancellous plastic surgery .
execution
A hand instrument - the curette - is used to carry it out . Depending on the area of application, curettes differ in shape, size and tip. For example, an ear curette has a drop-shaped or spoon-shaped tip, while in dentistry, sometimes multiple angled, pointed ends are used to remove periodontitis in order to be able to reach all areas of the mouth. This curette is similar to a scaler , but should not be confused with it. The tip of a ring curette resembles a ring and, due to the mostly circular opening, offers a good field of vision of the object to be treated.
See also
Web links
Individual evidence
- ↑ Periodontics: Treatment of Periodontitis
- ^ Dental Lexicon: Curettage
- ↑ Pharyngeal tonsil hyperplasia: adenotomy - surgical removal of the pharyngeal tonsil ( memento of the original from March 26, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
