RESUMO
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%.
Assuntos
Região Branquial/diagnóstico por imagem , Cistos/diagnóstico por imagem , Adolescente , Adulto , Região Branquial/cirurgia , Cistos/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pescoço , Estudos Retrospectivos , Tomografia Computadorizada por Raios XRESUMO
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.
Assuntos
Colesteatoma da Orelha Média , Endoscopia/métodos , Otite Média , Tomografia Computadorizada por Raios X , Adolescente , Adulto , Idoso , Colesteatoma da Orelha Média/complicações , Colesteatoma da Orelha Média/diagnóstico , Colesteatoma da Orelha Média/cirurgia , Doença Crônica , Técnicas de Diagnóstico Otológico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Otite Média/complicações , Otite Média/diagnóstico , Otite Média/cirurgia , Valor Preditivo dos Testes , Estudos RetrospectivosRESUMO
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.
Assuntos
Abscesso/terapia , Tonsilite/terapia , Adolescente , Adulto , Idoso , Antibacterianos/uso terapêutico , Terapia Combinada , Feminino , Humanos , Injeções Intravenosas , Masculino , Tonsila Palatina/cirurgia , Estudos Retrospectivos , Sucção/métodosRESUMO
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.
Assuntos
Vértebras Cervicais , Dente Molar/cirurgia , Enfisema Subcutâneo/etiologia , Extração Dentária/efeitos adversos , Vértebras Cervicais/diagnóstico por imagem , Feminino , Humanos , Pessoa de Meia-Idade , Enfisema Subcutâneo/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
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.
Assuntos
Veias Jugulares/anormalidades , Testes de Impedância Acústica , Adulto , Idoso , Paralisia Facial/diagnóstico , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Zumbido/diagnósticoRESUMO
By means of the presentation of several cases of Stylohyoid Complex partially or totally ossified, the authors emphasize in the necessity to have in mind this diagnosis in every patient with craniofacial pains, although it is in sometimes a casual radiological finding in a asymptomatic patient. The normal exploration of the tonsillar area and the reproduction of the symptoms are the more secure and faster diagnosis methods which are, ratified by radiological systems.