RESUMEN
OBJECTIVE: We report a rare case of an intralingual ranula. The differential diagnosis, etiology, diagnostic features, and management are discussed. CASE REPORT: An 18-year-old man presented with a mass that extended along the ventral surface of the tongue and up to the tip. The computed tomography scan clearly defined the extent of a cystic lesion. The pathologic diagnosis of an intralingual ranula was made. CONCLUSION: Lingual cysts have a varied etiology. Diagnosis hinges on histological examination of the cyst wall. Conservative resection and histological examination is the standard of care.
Asunto(s)
Disección/métodos , Ránula , Glándulas Salivales/diagnóstico por imagen , Enfermedades de la Lengua , Lengua , Adolescente , Biopsia/métodos , Diagnóstico Diferencial , Humanos , Masculino , Ránula/patología , Ránula/fisiopatología , Ránula/cirugía , Tomografía Computarizada por Rayos X/métodos , Lengua/diagnóstico por imagen , Lengua/patología , Lengua/cirugía , Enfermedades de la Lengua/patología , Enfermedades de la Lengua/fisiopatología , Enfermedades de la Lengua/cirugía , Resultado del TratamientoRESUMEN
BACKGROUND: There is an extreme shortage of head and neck surgeons in Africa. Fourteen head and neck surgeons have completed fellowships in Cape Town and Cameroon. This study determines whether such Africa-based fellowships are a good model for developing countries by making a sustainable impact on head and neck cancer care. METHODS: An observational study was conducted by emailing questionnaires to past fellows. RESULTS: All fellows had returned to teaching hospitals in their counties. Seven established new multidisciplinary cancer teams. Head and neck operations had increased by >335%, as had complexity of the surgery. There was effective transfer of surgical skills to trainees. All considered head and neck fellowships to be the best model to grow head and neck care. CONCLUSION: Head and neck fellowships in developing countries are effective models for establishing training programs and for increasing provision of specialized surgical services in a sustainable fashion.
Asunto(s)
Actitud del Personal de Salud , Países en Desarrollo , Becas/organización & administración , Neoplasias de Cabeza y Cuello/terapia , Internado y Residencia/organización & administración , Otolaringología/educación , África , Selección de Profesión , Humanos , Encuestas y CuestionariosRESUMEN
Foreign bodies lodged in the nasopharynx are rare. We report a case of an unusual foreign body in the nasopharynx: a hooked iron rod. The patient was a 5-year-old girl. The foreign body had to be removed under general anesthesia. To the best of our knowledge, there has been no similar published report of a hooked iron rod in the nasopharynx.
