RESUMEN
Fourteen patients with lateral neck branchial cysts treated over an 18 year term were reviewed to analyze the authors' method of diagnosis and management. The possibility of an embryologic rest in the neck should therefore be kept in mind with all clinically evident neck masses. Histopathological examination revealed that cysts were lined with a stratified squamous epithelium. Computed tomography and fine-needle-aspiration currently are essential diagnostic methods in the study protocol of these lesions. Traditional surgical techniques for the management of branchial remnants rely on simple excision of the structures associated with the sinus tract, with dissection carried out in the plane between the branchial remnant and the normal anatomic structures of the neck. Initial surgery is crucial since the recurrence rate after incomplete surgery can be as high as 22%.
Asunto(s)
Región Branquial/diagnóstico por imagen , Quistes/diagnóstico por imagen , Adolescente , Adulto , Región Branquial/cirugía , Quistes/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Cuello , Estudios Retrospectivos , Tomografía Computarizada por Rayos XRESUMEN
Although the origin of granular cell tumor (GCT) is no totally clarified, a neurogenic source is generally accepted. Some think its forerunners are the Schwann cells. Despite the tongue's localisation is frequently seen, few are the papers dealing with this topic. We report the case of a patient suffering a granular cell tumor of the tongue and profit the opportunity to reconsider the followings items: clinical findings, examination, diagnosis, histology and management and course of these growths. Literature's review of the theme.
Asunto(s)
Tumor de Células Granulares/patología , Neoplasias de la Lengua/patología , Adulto , Tumor de Células Granulares/cirugía , Humanos , Neoplasias de la Lengua/cirugíaRESUMEN
Osteoid osteoma of the temporal bone is an infrequent benign bone tumor. The suspected diagnosis is based on clinical findings (occasionally pain, cosmetic deformities, repeated external otitis and conductive hearing loss), otoscopy, the radionuclide bone scan, and computerized tomography. Histopathology confirms the diagnosis of osteoma. Pain responds to acetylsalicyclic acid. Treatment is surgical excision by curettage and eburnation of the bone margins using an endaurul approach. We report a complete obliteration of the outer ear canal by an osteoid osteoma in a 32-year-old patient. A postauricular approach was required because of the large size of the tumor.
Asunto(s)
Neoplasias Óseas/cirugía , Oído Externo/cirugía , Osteoma Osteoide/cirugía , Hueso Temporal/cirugía , Adulto , Neoplasias Óseas/diagnóstico por imagen , Humanos , Masculino , Osteoma Osteoide/diagnóstico por imagen , Hueso Temporal/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
A retrospective study was made of 43 patients diagnosed as chronic otitis media, with and without cholestatoma, who were treated with surgical tympanoplasty. Otoscopic and computed tomographic findings were analyzed and correlated with surgical findings in order to evaluate the diagnostic value of scans.
Asunto(s)
Colesteatoma del Oído Medio , Endoscopía/métodos , Otitis Media , Tomografía Computarizada por Rayos X , Adolescente , Adulto , Anciano , Colesteatoma del Oído Medio/complicaciones , Colesteatoma del Oído Medio/diagnóstico , Colesteatoma del Oído Medio/cirugía , Enfermedad Crónica , Técnicas de Diagnóstico Otológico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Otitis Media/complicaciones , Otitis Media/diagnóstico , Otitis Media/cirugía , Valor Predictivo de las Pruebas , Estudios RetrospectivosRESUMEN
The treatment of peritonsillar abscesses is debated. A retrospective study was made of 19 patients diagnosed as peritonsillar abscess who were treated by incision, drainage, and intravenous antibiotics. The surgical, medical and diagnosis factors that affect the management of peritonsillar abscesses are discussed.
Asunto(s)
Absceso/terapia , Tonsilitis/terapia , Adolescente , Adulto , Anciano , Antibacterianos/uso terapéutico , Terapia Combinada , Femenino , Humanos , Inyecciones Intravenosas , Masculino , Tonsila Palatina/cirugía , Estudios Retrospectivos , Succión/métodosRESUMEN
Postoperative failures and complications detected in patients who undergo surgery for otosclerotic disease are not uncommon in stapes surgery. Prosthesis displacement and incus necrosis are the most common findings in review stapedectomy. We report the case of a patient who had tinnitus, vertigo, and non-recovery of air conduction thresholds without neurosensorial lesions after stapes surgery. The suspected diagnosis of excessive introduction of the prosthesis in the oval window was confirmed by computed tomography, which showed the radio-opaque image of the McGee metal prosthesis. The prosthesis replacement and literature review are discussed.
Asunto(s)
Otosclerosis/cirugía , Ventana Oval/cirugía , Complicaciones Posoperatorias/diagnóstico , Implantación de Prótesis , Cirugía del Estribo , Femenino , Humanos , Persona de Mediana Edad , Tomografía Computarizada por Rayos XRESUMEN
Although the incidence of Ludwig's angina has diminished, it still occurs. This disease can have life-threatening complications, including deep neck infection and mediastinitis. We report a case of Ludwig's angina with bilateral vocal cord paralysis secondary to cervical spread of infection.
Asunto(s)
Nervios Laríngeos/fisiopatología , Angina de Ludwig/complicaciones , Parálisis de los Pliegues Vocales/etiología , Parálisis de los Pliegues Vocales/fisiopatología , Absceso/complicaciones , Absceso/diagnóstico por imagen , Absceso/patología , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Mediastinitis/complicaciones , Cuello/diagnóstico por imagen , Cuello/patología , Radiografía , Recurrencia , Índice de Severidad de la Enfermedad , Parálisis de los Pliegues Vocales/diagnósticoRESUMEN
We present a one-year study describing the ENT pathology seen in a rural ENT clinic. The study included 1,516 patients whose characteristics are described (age, sex, diagnosis, and others).
Asunto(s)
Otolaringología , Atención Primaria de Salud/estadística & datos numéricos , Adulto , Anciano , Anciano de 80 o más Años , Humanos , Masculino , Persona de Mediana Edad , Derivación y Consulta , Población Rural/estadística & datos numéricos , EspañaRESUMEN
Cervical emphysema is rare and its diagnosis involves the ENT specialist. A case of cervical subcutaneous emphysema secondary to lower molar extraction is reported. The patient had no signs or symptoms other than cervical emphysema. Simple radiography and CT are recommended for early diagnosis. The etiopathogenic mechanisms of subcutaneous cervical emphysema are reviewed. Recent literature contains few cases of dental origin.
Asunto(s)
Vértebras Cervicales , Diente Molar/cirugía , Enfisema Subcutáneo/etiología , Extracción Dental/efectos adversos , Vértebras Cervicales/diagnóstico por imagen , Femenino , Humanos , Persona de Mediana Edad , Enfisema Subcutáneo/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
Cysts in the nasal septum are unusual, and the presence of a dental cyst is even rarer. A cyst of dental origin was produced by dental root fracture in the nasal septum. The differential diagnosis and management are discussed.
Asunto(s)
Enfermedades Maxilares/diagnóstico por imagen , Tabique Nasal/diagnóstico por imagen , Quistes Odontogénicos/diagnóstico por imagen , Adulto , Diagnóstico Diferencial , Humanos , Masculino , Enfermedades Maxilares/cirugía , Tabique Nasal/cirugía , Quistes Odontogénicos/cirugía , Tomografía Computarizada por Rayos XRESUMEN
The position of the jugular bulb varies greatly. A high jugular bulb procident from the temporal bone is not uncommon. Most people with this anatomic variation remain asymptomatic. We report seven cases of high jugular bulb with clinical manifestations. The anatomy, clinical manifestations, diagnosis, and management are reviewed.