Humbert Massegur

Humbert Massegur
Hospital de la Santa Creu i Sant Pau · Otolaryngology Services

Senior consultant

About

61
Publications
45,115
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433
Citations
Additional affiliations
September 2012 - present
Girona School of Medicine
Position
  • Professor (Associate)
January 2012 - present
January 2004 - present

Publications

Publications (61)
Book
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Article
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Article about Endoscopic ear surgery with anatomical study published as early as 1997 and forgotten since now
Article
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Introduction: The aim of our study is to describe the prevalence of the accessory ethmoidal artery in endonasal endoscopic cadaver dissections and to identify its intraorbital origin. Material and Methods: From 2018 to 2020, thirty-four nasal dissections were performed in seventeen adult cadaveric heads. We performed a complete ethmoidectomy to ide...
Article
Objective: The aim of the authors' study is to show their surgical results in orbital decompression using different endonasal endoscopic techniques. These approaches are according to the degree of proptosis and the presence or not of sight threatening. Methods: The authors performed 31 orbital decompressions on 20 Graves orbitopathy patients. Av...
Article
Background and objective The spread of an infection from the paranasal sinuses is rare but severe. Between 4% and 20% of all rhinosinusitis can become complicated, orbital involvement being the most frequent (60–75%). Orbital complications are more common in children but more severe in adults. We aim to analyse the epidemiological characteristics o...
Article
Resumen Antecedentes y objetivo La propagación de una infección a partir de los senos paranasales es poco frecuente pero grave. Entre un 4 y un 20% de las rinosinusitis se pueden complicar; de ellas, las orbitarias (60-75%) son las más prevalentes. La gran mayoría se presentan en la edad pediátrica, si bien en la edad adulta son más graves. Nuestr...
Chapter
Study of the anatomy of the orbit is paramount for surgical planning. The orbit is a bony cavity in the shape of a quadrangular pyramid pointing posteriorly. It is formed by seven bones joined by tight sutures. It has posterior openings to the cranial cavity and to the infratemporal fossa. These openings serve as passage for the neural and vascular...
Article
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Introduction: Branches of the ophthalmic artery contribute to the irrigation of various territories of the nasal cavity and paranasal sinuses. Aim: The aim of our study is to describe the intraorbital course of the ethmoidal arteries and their relationship with the muscular and nervous structures. Material and method: We performed twenty nasal cavi...
Article
Background: The aim of this study is to demonstrate the effectiveness of the Endoscopic Medial Maxillectomy technique with the preservation of the nasal anatomy and function of the inferior turbinate. Methods: From January 2005 to December 2016, the authors performed 27 Endoscopic Medial Maxillectomy with preservation of inferior turbinate on 26...
Article
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Arteries that supply the nasal septum and the lateral nasal wall include vessels that originate from the external carotid artery and from the internal carotid artery. A variety of local endonasal pedicle flaps can be used in different anatomical areas for endoscopic skull base reconstruction. The main flaps are based on terminal branches of the sph...
Article
Introduction: Spontaneous cerebrospinal fluid (CSF) fistulas are infrequent and only 10 cases in the literature have been located in the clivus. We describe two new cases of CSF fistulas in this site and review the literature. Case report: The first patient was a 52-year-old woman referred to our centre for intermittent rhinorrhea that had been...
Article
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Objective We describe our experience for repair septal perforation with a septal flap and we analyse the route of the septal branch of the anterior ethmoidal artery (AEA) in the septum area with a radiological anatomy study in order to perform this flap. Study design We carry out a prospective analysis with computed tomography scan in the cadaver h...
Article
The fungus ball is the most frequent type of fungal rhino-sinusitis. The objective of this study is to analyse the clinical and surgical features of our patients.
Article
Objective The aim of our study is to present the anatomical landmarks to perform an endoscopic endonasal approach to the medial wall of the orbit (EEAMO). Material and Methods We performed 14 complete nasal and orbital endoscopic dissections in 7 adult cadaveric heads. Results The EEAMO provides a surgical corridor between the medial rectus muscle...
Article
Introduction and objectives: The fungus ball is the most frequent type of fungal rhino-sinusitis. The objective of this study is to analyze the clinical and surgical features of our patients. Methods: Retrospective analysis of 35 patients with fungus ball treated in our centre between 2006 and 2014. Results: Mean age was 55 years old. 49% were...
Article
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RESUMEN Introducción: Los mucoceles son formaciones benignas de lento crecimiento que pueden aparecer en cualquier seno paranasal, representando el seno esfenoidal menos del 10%. Objetivo: Presentamos nuestra experiencia de mucoceles en el seno esfenoidal. Material y método: Se obtuvieron los datos a partir de nuestra base de datos que recoge prosp...
Article
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The lacrimal system is closely related to nasal structures. Surgical approaches to the lacrimal sac and duct require precise knowledge of the anatomy of nasal structures and their variations. This chapter reviews the anatomy of the middle wall of the orbit and the lateral wall of the nasal cavity, with a clear focus in surgical landmarks. The proce...
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The aim of this study was to describe treatment results in patients with sinonasal mucosal melanomas (SMMs) and to compare three different classification staging systems. From 1988 to 2013, we performed a retrospective study of 20 patients with primary sinonasal melanomas. The median age at diagnosis was 71 years. There were 10 males and 10 females...
Article
Introduction: Mucoceles are slow-growing, benign lesions found in the paranasal sinuses that are locally destructive, causing bony resorption an displacement of adjacent structures. We present our experience in the surgical treatment of these lesions. Methods: This was a retrospective review of 58 paranasal sinus mucoceles in 54 patients between...
Article
Introduction Mucoceles are slow-growing, benign lesions found in the paranasal sinuses that are locally destructive, causing bony resorption an displacement of adjacent structures. We present our experience in the surgical treatment of these lesions. Methods This was a retrospective review of 58 paranasal sinus mucoceles in 54 patients between 198...
Article
Full-text available
Local pedicle flaps based on the sphenopalatine artery make it possible to reconstruct large defects of the skull base (SB). From January 2008 to January 2013, 64 lesions with involvement of SB were analysed. These lesions were treated using endoscopic endonasal approach and required a pedicle flap based on the sphenopalatine artery. In addition, m...
Article
Full-text available
Introduction Local pedicle flaps based on the sphenopalatine artery make it possible to reconstruct large defects of the skull base (SB). Material and methods From January 2008 to January 2013, 64 lesions with involvement of SB were analysed. These lesions were treated using endoscopic endonasal approach and required a pedicle flap based on the sp...
Article
Full-text available
The sphenopalatine artery gives off two main branches: the posterior lateral nasal branch and the posterior septal branch. From 2007 to 2012 17 patients were treated with cauterization and/or ligature of the sphenopalatine artery with endonasal endoscopic approach. 90 nasal dissections were performed in 45 adult cadaveric heads. We evaluated the nu...
Article
Introduction: A multidisciplinary team is essential to develop and expand the indications in endonasal endoscopic skull base surgery. The aim of this study was to present our experience in a group of patients with skull base lesions treated using endonasal endoscopic approach. Methods: From January 2008 to January 2012, 72 patients with skull ba...
Article
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Purpose. To compare the efficacy of endonasal endoscopic dacryocystorhinostomy and endocanalicular diode laser dacryocystorhinostomy. Materials and methods. A total of 126 dacryocystorhinostomies were performed in 111 patients with epiphora. In 55% of cases (69/126) we performed an endonasal endoscopic dacryocystorhinostomy and in 45% (57/126) we c...
Article
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The aim of this study was to compare the incidence of complications of endoscopic sinus surgery (ESS) to the incidence of complications of traditional and microscopic sinus surgery. A meta-analysis was carried out on 28 series of patients (a total of 13,405) who had undergone ESS, 8 series of patients (3,887 in total) who had undergone traditional...
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Objective We describe an unusual case of bilateral nasal inverted papilloma. Case report Inverted papilloma is a benign epithelial tumor that frequently occurs unilaterally. We report a 65-year-old male patient with a bilateral inverted papilloma located in the ethmoid and maxillary sinus. Functional endoscopic sinus surgery was performed in order...
Article
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The aim of this study was to describe the endoscopic medial maxillectomy technique with preservation of the inferior turbinate in patients affected by maxillary sinonasal inverted papilloma. We retrospectively reviewed the clinical charts and surgical technique in six patients with paranasal sinus inverted papilloma. There were five males and one f...
Chapter
The “stuffy” nose (also known as nasal blockage or nasal congestion) is the sensation of having difficulty breathing through the nose. It may be unilateral or bilateral, transient or permanent, usually caused by anatomic variations, tumours or changes in the function of the nasal mucosa, which narrow the nasal cavity and increase resistance to the...
Chapter
Messerklinger’s book Endoscopy of the Nose, written in the mid-seventies, explaining the assessment of the physiopathology of sinusitis endoscopic surgery of the nasal sinuses, has remained the standard of care for most inflammatory diseases of the sinuses. The extent of surgery for inflammatory disease has been a matter of controversy. Initially,...
Chapter
Since nasal endoscopy and CT were first introduced into general ENT practice, controversy has arisen over the terminology of the anatomical landmarks in the nasal cavities. Useful terminology for the rhinologist is sparse in the anatomical nomenclature, and the introduction of different terms by English and French authors has contributed to further...
Chapter
Prior to instrumental examination, the nasal pyramid and maxillae should be inspected and palpated. Nasal deformities of the dorsum, tip or columellae may indicate internal alterations. Crepitation or pain on palpation will disclose fractures of nasal bones. Skin colour and texture and scars or wounds should be assessed. Nasal flapping and alar col...
Article
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The aim of this study was to describe treatment results in patients with sinonasal inverted papilloma and to compare recent classification staging systems. We performed a retrospective study of 79 patients with primary paranasal sinus inverted papilloma from 1978 to 2008. The median age at diagnosis was 59 years. There were 68 men (86%) and 11 wome...
Article
The aim of this study was to describe the results of treatment in patients with ethmoid sinus carcinoma. We performed a retrospective study of 34 patients with carcinoma of the ethmoid sinus, and collected the following data: age, sex, employment, tobacco and alcohol consumption, tumour-node-metastasis stage, treatment, and survival. The mean patie...
Article
Surgery of the anterior skull base is the ideal scenario for collaboration between otorhinolaryngologists and neurosurgeons. A wide variety of neoplasms can occur in this region. Endonasal endoscopes can provide an additional route of access to these lesions, whether alone or combined with external approaches. The present article aims to describe t...
Article
Transsphenoidal approaches were used in the last century to resect pituitary or other sellar tumors. Recently, standard endonasal approaches have been extended to provide access to other parasellar lesions. With the incorporation of endoscopes, this expansion is potentially of great importance in the resection of skull base lesions. The anatomical...
Article
In otorhinolaryngology, endoscopic sinus surgery has become the standard treatment for inflammatory and neoplastic disease. Collaboration with neurosurgeons has allowed new advances in the resection of sellar and parasellar tumors. The existence of angled endoscopes and the development of new instruments have provided access to regions such as the...
Article
Transsphenoidal approaches were proposed at the beginning of the XX century by Halstead, Cushing, Hirsch and other authors. Although these approaches were abandoned and readopted on several occasions, the adaptation of endoscopes to endonasal surgery represented a breakthrough in gaining minimally aggressive access to the sellar region. The present...
Article
Major complications associated with endoscopic approaches are the same as those associated with traditional skull base approaches. The most frequent are cerebrospinal fluid leaks, tension pneumocephalus, bleeding, cerebrovascular accidents and, more rarely, infectious complications and osteoradionecrosis. These complications may be caused by techni...
Article
Background: Dacryocystorhinostomy (DCR) is a surgical technique that has been increasingly used by otolaryngologists in recent years due to the improved endonasal approach with endoscopes. Although it was first described in 1893 by Caldwell, it has been performed by ophthalmologists. Objectives: Even though permeability results are similar in lo...
Article
Full-text available
Functional endoscopic sinus surgery (FESS) differs in children and adults. The purpose of this article is to highlight the differences by focusing on the anatomical landmarks and diagnostic and surgical peculiarities present in children. We review the indications of FESS in children, partially based on our personal experience, in order to establish...
Article
Dacryocystorhinostomy (DCR) is a surgical technique which has been adopted by otolaryngologists in the last years, because of the improvement in the endonasal approach by means of endoscopes. Although the results with the different techniques regarding permeability of the lacrimal duct are similar, we present some modifications in the surgical tech...
Article
One hundred and ten adult patients suffering from peripheral vertigo were treated in a multifactorial double-blind randomized clinical trial with dotarizine (50 mg b.i.d.) or cinnarizine (75 mg b.i.d.). There was a 60 days clinical follow-up. Results showed that dotarizine was significantly active against the vertigo attacks and its associated symp...
Article
A system for grading nasosinusal polyposis treated by functional endoscopic sinus surgery is needed. We propose our CER system, which was designed for easy use and reliable classification of polyposis involvement. Four levels, from zero to four, are added as suffixes to three letters. These levels indicate increasing intensity and are used to categ...
Article
In terms of functional treatment of sinonasal pathologies, endoscopic surgery represents a spectacular advance, offering excellent illumination, views of areas previously impossible to monitor, and the ability to view the main reference points in the surgical field. Over a five-year period (1988-1993), the authors have performed 278 paranasal sinus...
Article
The middle turbinate and its anatomical variations (concha bullosa and paradoxically bent middle turbinate) may be the site of different pathologies due to the alteration of the sinus function at the key area of the osteomeatal complex. In the present work we study 4 cases of concha bullosa and 4 cases of paradoxically bent middle turbinates, assoc...
Article
The AA. expose their experience drawn out from 150 cases of naso-sinusal pathology, treated through endoscopic surgery after the Messerklinger-Stammberger technique. They emphasize either the advantages of the procedure, in comparison with the classic methods, and the postoperative pitfalls. This procedure call for an exact knowledge of the endosco...

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