{"id":80034,"date":"2020-05-07T11:00:24","date_gmt":"2020-05-07T08:00:24","guid":{"rendered":"https:\/\/sanatate.md\/?p=80034"},"modified":"2020-05-07T11:03:01","modified_gmt":"2020-05-07T08:03:01","slug":"alexandru-sandul-scr","status":"publish","type":"post","link":"https:\/\/sanatate.md\/ro\/alexandru-sandul-scr\/","title":{"rendered":"Alexandru Sandul. SCR"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div id=\"tdi_1\" class=\"tdc-row\"><div class=\"vc_row tdi_2  wpb_row td-pb-row\" >\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_2,\r\n                .tdi_2 .tdc-columns{\r\n                    min-height: 0;\r\n                }.tdi_2,\r\n\t\t\t\t.tdi_2 .tdc-columns{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_2 .tdc-columns{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_2:before,\r\n\t\t\t\t.tdi_2:after{\r\n\t\t\t\t    display: table;\r\n\t\t\t\t}\n<\/style><div class=\"vc_column tdi_4  wpb_column vc_column_container tdc-column td-pb-span12\">\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_4{\r\n                    vertical-align: baseline;\r\n                }.tdi_4 > .wpb_wrapper,\r\n\t\t\t\t.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .vc_row_inner{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t    height: auto;\r\n\t\t\t\t}\n<\/style><div class=\"wpb_wrapper\" >[vc_column_text]<\/p>\n<figure id=\"attachment_32352\" aria-describedby=\"caption-attachment-32352\" style=\"width: 250px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-32352\" title=\"\u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440 \u0421\u0410\u041d\u0414\u0423\u041b \u0434\u0438\u0440\u0435\u043a\u0442\u043e\u0440 \u043a\u043b\u0438\u043d\u0438\u043a\u0438 \u043b\u043e\u0440-\u0431\u043e\u043b\u0435\u0437\u043d\u0435\u0439 \u0420\u0435\u0441\u043f\u0443\u0431\u043b\u0438\u043a\u0430\u043d\u0441\u043a\u043e\u0439 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0431\u043e\u043b\u044c\u043d\u0438\u0446\u044b, \u0434\u043e\u043a\u0442\u043e\u0440 \u0445\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0442, \u043f\u0440\u043e\u0444\u0435\u0441\u0441\u043e\u0440;\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/doktor-Sandul.jpg\" alt=\"\u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440 \u0421\u0430\u043d\u0434\u0443\u043b\" width=\"250\" height=\"393\" srcset=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/doktor-Sandul.jpg 700w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/doktor-Sandul-191x300.jpg 191w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/doktor-Sandul-651x1024.jpg 651w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/doktor-Sandul-696x1095.jpg 696w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/doktor-Sandul-267x420.jpg 267w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><figcaption id=\"caption-attachment-32352\" class=\"wp-caption-text\"><a href=\"https:\/\/sanatate.md\/ro\/specialist\/listing\/alexandru-sandul\/\">Alexandru Sandul<\/a><br \/>Directorul Clinicii ORL al Spitalului Clinic Republican, doctor habilitat<br \/>profesor<\/figcaption><\/figure>\n<p>\u201eDr. Sandul\u201d este o expresie familiar\u0103 pentru pacien\u021bii de diferite genera\u021bii. Pentru c\u0103 \u201eDr. Sandul\u201d nu e o singur\u0103 persoan\u0103, ci o de medici din Moldova.<br \/>\nFondatorul dinastiei e Mihail G. Sandul. A activat la Catedra de ORL \u0219i era professor universitar care \u015fi opera. Fiul &#8211; Alexandru Sandul a mers pe urmele tat\u0103lui s\u0103u \u0219i s-a dedicat nobilei profesii de medic. Doctor \u00een \u0219tiin\u021be medicale, profesor, a \u00eenceput ca medic rezident \u00een departamentul ORL, ajung\u00e2nd \u0219ef al clinicii la SCR. Fiul acestuia, Genadie, e otorinolaringolog \u00een genera\u021bia a treia, lucreaz\u0103 \u0219i el aici.<\/p>\n<h3>D-le Alexandru, care e profilul clinicii Dvs? Vorbi\u0163i-ne despre principalele direc\u021bii ale activit\u0103\u021bii pe care o desf\u0103\u015fura\u0163i.<\/h3>\n<p>\u00cen Clinica noastr\u0103 din incinta Spitalului Clinic Republican se trateaz\u0103 aproape toate patologiile urechii, g\u00e2tului \u0219i nasului. Am concentrat aici cele mai avansate tehnologii \u0219i metode de tratament chirurgical.<\/p>\n<p>Cu c\u00e2\u021biva ani \u00een urm\u0103, la SCR cu sprijinul financiar de la b\u0103ncile din Europa \u0219i Japonia, a fost deschis\u0103 o nou\u0103 unitate chirurgical\u0103. Aici este cel mai modern echipament: microscoape noi, tehnic\u0103 laser, bisturiuri cu argon-plasm\u0103, instrumente cu ultrasunete \u015f.a. Pe scurt, scopul e de a \u00eembun\u0103t\u0103\u021bi calitatea asisten\u021bei medicale chirurgicale pentru pacien\u021bii cu afec\u021biuni ale g\u00e2tului, urechilor \u0219i nasului.<br \/>\nMedicii de \u00eenalt\u0103 calificare opereaz\u0103 cu succes sub microscop pacien\u021bii cu patologie purulent\u0103 \u0219i nepurulent\u0103 a urechii medii. Pentru prima dat\u0103 \u00een republic\u0103, au fost efectuate opera\u021bii de implantare cohlear\u0103 pentru copiii care sufer\u0103 de surditate congenital\u0103. Cu ajutorul laserului \u0219i opticii se efectueaz\u0103 interven\u0163ii pentru eliminarea sfor\u0103itului \u0219i a \u00eembun\u0103t\u0103\u021bi respira\u021bia nazal\u0103. Pacien\u021bilor cu polipi ai nasului \u0219i sinusurile paranazale, precum \u0219i cu chisturi ale sinusurilor maxilare, li se efectueaz\u0103 cu succes opera\u021bii endoscopice, folosind ecranul unui monitor mare.<\/p>\n<p>Microchirurgia cu laser este, de asemenea, utilizat\u0103 pentru boli ale laringelui. Pacien\u021bii cu dificult\u0103\u021bi de respira\u021bie nazal\u0103 sunt examina\u021bi cu ajutorul unui rinomanometru unic. Practic\u0103m cu succes rinoplastia la deformarea nasului extern, otoplastie.<\/p>\n<h3>Spune\u021bi-ne mai multe despre rinoplastie.<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-32386 \" title=\"\u0420\u0438\u043d\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0430 \u0432 \u0420\u041a\u0411\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul4-300x219.jpg\" alt=\"\u0420\u0438\u043d\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0430\" width=\"361\" height=\"264\" srcset=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul4-300x219.jpg 300w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul4-768x561.jpg 768w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul4-80x60.jpg 80w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul4-696x508.jpg 696w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul4-575x420.jpg 575w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul4.jpg 1000w\" sizes=\"auto, (max-width: 361px) 100vw, 361px\" \/>Acestea sunt opera\u021bii foarte complexe. Mul\u021bi medici le fac, dar a opera nasul extern, f\u0103r\u0103 a avea suficient\u0103 experien\u021b\u0103, e riscant. \u00cen opinia mea, doar un otorinolaringolog trebuie s\u0103 se ocupe de rinoplastie. El cunoa\u0219te mai bine anatomia clinic\u0103 a nasului interior, starea septului nazal. O bun\u0103 cunoa\u0219tere a structurilor anatomice permite ob\u021binerea rezultatelor pozitive \u015fi \u00een perioada postoperatorie.<\/p>\n<p>Dar, uneori, pacien\u021bii, ajung\u00e2nd la medicul care nu e specializat \u00een acest domeniu, pot avea mai apoi anumite probleme.<br \/>\n\u00cen clinica noastr\u0103 efectu\u0103m concomitent toate etapele opera\u021biei ce \u0163in de func\u021bionare \u0219i estetic. Adesea pentru a \u00eembun\u0103t\u0103\u021bi respira\u021bia nazal\u0103 la noi vin pacien\u021bii care au suportat rinoplastie \u00een alte clinici.<br \/>\nDin p\u0103cate, se adreseaz\u0103 \u015fi pacien\u021bii, care se pl\u00e2ng de modific\u0103rile formei nasului dup\u0103 interven\u021biile chirurgicale ale septului nazal.<\/p>\n<h3>Care sunt cele mai rare \u0219i grave cazuri din practica Dvs tratate cu succes?<\/h3>\n<p>Interven\u0163iile repetate sunt \u00eentotdeauna dificile, deoarece procesele cicatriciale-adezive sunt sub piele iar tabloul anatomic normal al cartilajului nasului este deranjat, \u015fi uneori este necesar s\u0103 se corecteze erorile chirurgului anterior. \u00cen cazurile \u00een care cadrul nasului este \u00eenl\u0103turat excesiv, el \u00ee\u0219i modific\u0103 forma sub propria sa greutate &#8211; iar acest lucru duce la schimb\u0103ri estetice nepl\u0103cute sub forma unui v\u00e2rf cobor\u00e2t al nasului, retragerea spatelui acestuia sau apari\u021bia unei cocoa\u0219e a nasului extern.<\/p>\n<p>Pentru a elimina aceste deform\u0103ri postoperatorii e necesar de \u00eent\u0103rit cadrului osos-cartilaj. Deci, sunt necesare transplanturi. \u00cen unele clinici \u00een acest scop se folosesc materiale polimerice (din plastic). Cu toate acestea, ele sunt adesea respinse.<\/p>\n<p>\u00cen clinica noastr\u0103, materialul pentru transplant \u00eel lu\u0103m din cartilajul auriculei sau cartilajului costal al pacientului, adic\u0103 materialul propriu, care supravie\u021buie\u0219te perfect \u00een cavitatea nazal\u0103 \u0219i nu este respins.<\/p>\n<h3>Sf\u0103tui\u0163i unii pacien\u021bi s\u0103 renun\u0163e la opera\u0163ie, dac\u0103 v\u0103 da\u021bi seama c\u0103 nu e o necesitate ci doar un capriciu al lor?<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-32383\" title=\"\u0434\u043e\u043a\u0442\u043e\u0440 \u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440 \u0421\u0430\u043d\u0434\u0443\u043b\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul1.jpg\" alt=\"\u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440 \u0421\u0430\u043d\u0434\u0443\u043b\" width=\"250\" height=\"360\" srcset=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul1.jpg 800w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul1-208x300.jpg 208w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul1-768x1106.jpg 768w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul1-711x1024.jpg 711w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul1-696x1002.jpg 696w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul1-292x420.jpg 292w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/>Da, uneori vin pacien\u021bi care vor s\u0103-\u015fi schimbe forma nasului ca s\u0103 semene cu actori celebri, prezent\u00e2nd fotografiile acestora. Majoritatea rinologilor se conduc de o regul\u0103: acestor pacien\u021bi li se refuz\u0103 interven\u021bia chirurgical\u0103. Deoarece oric\u00e2t de mult nu s-ar str\u0103dui chirurgul, nu reu\u015fe\u015fte s\u0103 fac\u0103 o copie exact\u0103 a persoanei de pe fotografie.<br \/>\n\u00cen orice caz, pacientul nu ob\u021bine rezultatul dorit \u0219i va fi nefericit. Prin urmare, un medic bun ar trebui s\u0103 cunoasc\u0103 starea mental\u0103 a pacientului, pentru ca mai t\u00e2rziu s\u0103 nu apar\u0103 ne\u00een\u021belegeri.<\/p>\n<p>Odat\u0103 s-a adresat un pacient, care dorea s\u0103 fie mai frumos. I-am spus la figurat: \u201eVei fi ca Alain Delon!\u201d Am spus \u0219i am uitat. \u00cens\u0103 pacientul m-a urm\u0103rit \u00eenc\u0103 mult timp cu o poz\u0103 de a lui Alain Delon \u0219i \u00eencerca s\u0103 g\u0103seasc\u0103 asem\u0103n\u0103ri.<\/p>\n<p>Mul\u021bi pacien\u021bi, \u00een special fetele, \u00ee\u0219i doresc un nas micu\u0163, frumos. Dar nasul ar trebui s\u0103 fie \u00een armonie cu alte tr\u0103s\u0103turi faciale. Pentru tr\u0103s\u0103turile unei fe\u0163e mari, un nas mic nu se potrive\u0219te. Unii \u00ee\u0219i doresc un nas cu o ad\u00e2ncitur\u0103, al\u021bii &#8211; \u00een\u0103l\u021bat sau &#8211; foarte sub\u021bire \u0219i \u00eengust. \u00cen clinica noastr\u0103 se realizeaz\u0103 un design computerizat minu\u021bios. Pe ecran afi\u0219\u0103m o versiune aproximativ\u0103 a nasului pe care \u015fi-l dore\u015fte pacientul.<br \/>\nDar rezultatul nu se \u00eent\u00e2mpl\u0103 imediat dup\u0103 \u00eendep\u0103rtarea ghipsului. Poate trece un an sau chiar doi. Prin urmare, medicul \u00eenainte de opera\u021bie trebuie s\u0103 duc\u0103 \u00een mod repetat discu\u0163ii cu pacientul \u0219i s\u0103-l avertizeze cu privire la toate complica\u021biile posibile.<\/p>\n<h3>Se \u00eent\u00e2mpl\u0103 ca peste un timp fostul pacient s\u0103 v\u0103 spun\u0103: \u201eMul\u021bumesc, acum via\u021ba mea s-a schimbat \u00een bine\u201d?<\/h3>\n<p>Sunt asemenea cazuri. \u00centr-adev\u0103r, pentru mul\u021bi via\u021ba se schimb\u0103 \u00een bine. Exist\u0103 \u00eens\u0103 o alt\u0103 categorie de oameni, care asociaz\u0103 nevoia de opera\u021bii estetice cu faptul c\u0103 nu se \u00eencadreaz\u0103 \u00een colectivul de munc\u0103, nici \u00een via\u021ba personal\u0103 nu le merge, datorit\u0103 faptului c\u0103 nasul lor, de exemplu, are o cocoa\u0219\u0103. Cu toate acestea, eliminarea unui defect al nasului nu adaug\u0103 la fericirea lor \u00een via\u021b\u0103 \u0219i nu le rezolv\u0103 problemele. Pentru a fi fericit, e nevoie de calit\u0103\u021bi personale.<\/p>\n<h3>Duce\u0163i contul c\u00e2tor oameni le-a\u0163i ajutat?<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-32385 alignright\" title=\"\u043e\u0442\u043e\u0440\u0438\u043d\u043e\u043b\u0430\u0440\u0438\u043d\u0433\u043e\u043b\u043e\u0433 \u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440 \u0421\u0430\u043d\u0434\u0443\u043b\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul3.jpg\" alt=\"\u041b\u041e\u0420\" width=\"294\" height=\"361\" srcset=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul3.jpg 497w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul3-244x300.jpg 244w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul3-342x420.jpg 342w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/>Operez de la sf\u00e2r\u0219itul anilor 80. \u00cen acest timp am operat c\u00e2teva mii de persoane. Acum condi\u021biile s-au schimbat, datorit\u0103 noilor tehnologii \u0219i a unui diagnostic mai performant, interven\u0163iile sunt efectuate mai competent, abordarea este mai rafinat\u0103. Dar principiile umanismului, decen\u021bei \u0219i responsabilit\u0103\u021bii r\u0103m\u00e2n la fel de importante.<\/p>\n<h3>Cum se efectueaz\u0103 otoplastia?<\/h3>\n<p>Otoplastia este o modificare chirurgical\u0103 a formei auriculelor. Prea mul\u021bi oameni au complexe c\u0103 sunt c\u0103pl\u0103ugi . Astfel de opera\u021bii se fac pentru a exclude disconfortul psihologic.\u00a0Dar sunt efectuate \u0219i opera\u021bii reconstructive legate de leziunile auriculelor \u2013 consecin\u0163\u0103 a unei traume. Opera\u021bia se efectueaz\u0103 cu anestezie.<\/p>\n<p>\u00cen orice caz, indiferent dac\u0103 corect\u0103m defectele la nivelul urechilor sau al nasului, noi lucr\u0103m f\u0103r\u0103 dreptul de a gre\u0219i. La urma urmei, nu e o liposuc\u021bie, al c\u0103rei rezultat nefericit poate fi ascuns sub haine \u2013 ci este o interven\u0163ie pe fa\u021b\u0103 \u015fi totul este la vedere. Prin urmare, f\u0103r\u0103 exagerare, mult depinde de profesionalismul \u0219i responsabilitatea noastr\u0103.<\/p>\n<h3>Sfor\u0103itul poate fi \u00eenl\u0103turat prin opera\u0163ie?<\/h3>\n<p>Sfor\u0103itul este o boal\u0103 grav\u0103, care poate fi asociat at\u00e2t cu sistemul nervos central, cu patologia pl\u0103m\u00e2nilor, cu modific\u0103ri cardiovasculare, obezitate precum \u0219i patologia organelor ORL (dificultate \u00een respira\u021bia nazal\u0103 din cauza unui sept curbat, polipi nazali, rinit\u0103 cronic\u0103 hipertrofic\u0103, precum \u0219i sl\u0103biciunea muscular\u0103 a palatului moale, o cre\u0219tere a limbii mici a palatului moale, hipertrofia amigdalelor linguale).<\/p>\n<p>Este imposibil\u0103 vindecarea sfor\u0103itului, dac\u0103 pacientul nu respir\u0103 prin nas sau dac\u0103 are modific\u0103ri ale faringelui, precum \u0219i obezitate. Este necesar\u0103 o abordare cuprinz\u0103toare pentru a elimina aceast\u0103 problem\u0103, \u00een solu\u021bia c\u0103reia folosim pe larg fasciculul laser.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-32389 alignright\" title=\"\u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440 \u041c\u0438\u0445\u0430\u0439\u043b\u043e\u0432\u0438\u0447 \u0421\u0430\u043d\u0434\u0443\u043b\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul2-1.jpg\" alt=\"\u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440 \u0421\u0430\u043d\u0434\u0443\u043b\" width=\"284\" height=\"387\" srcset=\"https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul2-1.jpg 800w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul2-1-221x300.jpg 221w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul2-1-768x1044.jpg 768w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul2-1-753x1024.jpg 753w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul2-1-696x947.jpg 696w, https:\/\/sanatate.md\/wp-content\/uploads\/2017\/05\/alexandr-sandul2-1-309x420.jpg 309w\" sizes=\"auto, (max-width: 284px) 100vw, 284px\" \/><\/p>\n<h3>Anestezia<\/h3>\n<p>O serie de opera\u021bii ORL sunt efectuate sub anestezie local\u0103, dar combina\u021bia de anestezie local\u0103 cu sedare intravenoas\u0103 continu\u0103 sunt utilizate adesea. \u00cen timpul oric\u0103rei anestezii, anestezistul monitorizeaz\u0103 func\u021biile vitale ale pacientului. Gra\u0163ie unei anestezii locale sau generale corecte, opera\u021bia e complet nedureroas\u0103.<\/p>\n<h3>Rinoplastia<\/h3>\n<p>Opera\u021biile de rinoplastie trebuie se efectueaz\u0103 sub anestezie general\u0103 \u00een clinici bine dotate cu echipamente de \u00eenalt\u0103 calitate. Rinoplastia de succes pe l\u00e2ng\u0103 un anestezist cu experien\u021b\u0103 necesit\u0103 \u015fi un examen micro-rinoscopic adecvat (\u00eenainte \u0219i \u00een timpul opera\u021biei), controlul rinomanometric \u0219i, desigur, chirurgi competen\u021bi, experementa\u0163i.<\/p>\n<h3>Rinoseptoplastica<\/h3>\n<p>Profesorul A. Sandul efectueaz\u0103 cu succes rinoseptoplastica deschis\u0103 din anul 1988 fiind adeptul implement\u0103rii simultane a etapelor func\u021bionale \u0219i estetice atunci c\u00e2nd sunt indica\u021bii pentru rinoseptoplastie.<\/p>\n<h3>Dou\u0103 metode<\/h3>\n<p>Chirurgul, aleg\u00e2nd \u00eentre metodele rinoplastiei deschise \u0219i \u00eenchise, porne\u015fte de la problemele pacientului \u0219i combin\u0103 adesea ambele metode. Rinoplastia deschis\u0103 ofer\u0103 mai multe manevre, dar \u015fi cea \u00eenchis\u0103 are avantajele sale.[\/vc_column_text]<div class=\"wpb_wrapper td_block_empty_space td_block_wrap vc_empty_space tdi_6 \"  style=\"height: 15px\"><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_column_text] Alexandru SandulDirectorul Clinicii ORL al Spitalului Clinic Republican, doctor habilitatprofesor \u201eDr. Sandul\u201d este o expresie familiar\u0103 pentru pacien\u021bii de diferite genera\u021bii. Pentru c\u0103 \u201eDr. Sandul\u201d nu e o singur\u0103 persoan\u0103, ci o de medici din Moldova. Fondatorul dinastiei e Mihail G. Sandul. A activat la Catedra de ORL \u0219i era professor universitar care \u015fi [...]","protected":false},"author":594,"featured_media":80038,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1307],"tags":[5641,1453,5642],"class_list":{"0":"post-80034","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-interviuri","8":"tag-alexandru-sandul","9":"tag-interviu","10":"tag-scr"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Alexandru Sandul. 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