RESUMEN
A 22-year-old male presented with spontaneous unilateral hemolacria and was found to have complete opacification of the ipsilateral nasolacrimal sac and duct. Endoscopic biopsy with histopathologic analysis revealed the diagnosis of nasolacrimal lymphangioma. Additional management included nasolacrimal stenting, and there was no hemolacria recurrence or epiphora. This is the first report of a nasolacrimal lymphangioma and describes the vascular malformation as a potential cause of bloody tearing.
Asunto(s)
Dacriocistorrinostomía , Enfermedades del Aparato Lagrimal , Obstrucción del Conducto Lagrimal , Linfangioma , Conducto Nasolagrimal , Adulto , Humanos , Enfermedades del Aparato Lagrimal/diagnóstico , Enfermedades del Aparato Lagrimal/etiología , Enfermedades del Aparato Lagrimal/cirugía , Linfangioma/complicaciones , Linfangioma/diagnóstico , Masculino , Recurrencia Local de Neoplasia , Adulto JovenRESUMEN
Periorbital scarring with eyelid retraction can have serious visual effects and can lead to loss of vision or even loss of the eye. Understanding of eyelid anatomy and the delicate balance of its structural supports is critical for the identification of the eyelid disorder responsible for the cicatrix and helps to guide treatment. The 2-finger test and lateral distraction of the lid can also be of significant help in proper diagnosis of the underlying disorder. Proper reconstruction with respect to the anterior and posterior lamellae helps to ensure a favorable outcome.
Asunto(s)
Blefaroplastia/métodos , Cicatriz/cirugía , Párpados/cirugía , Antimetabolitos/uso terapéutico , Cicatriz/tratamiento farmacológico , Cicatriz/patología , Cicatriz/fisiopatología , Ectropión/etiología , Ectropión/cirugía , Entropión/etiología , Entropión/cirugía , Párpados/anatomía & histología , Párpados/patología , Párpados/fisiopatología , Fluorouracilo/uso terapéutico , HumanosAsunto(s)
Pérdida de Líquido Cefalorraquídeo/cirugía , Endoscopía/efectos adversos , Neumocéfalo/etiología , Neumocéfalo/cirugía , Rinitis/cirugía , Sinusitis/cirugía , Anciano de 80 o más Años , Pérdida de Líquido Cefalorraquídeo/diagnóstico por imagen , Pérdida de Líquido Cefalorraquídeo/etiología , Enfermedad Crónica , Urgencias Médicas , Endoscopios , Endoscopía/métodos , Estudios de Seguimiento , Humanos , Masculino , Neumocéfalo/diagnóstico por imagen , Complicaciones Posoperatorias/diagnóstico por imagen , Complicaciones Posoperatorias/fisiopatología , Complicaciones Posoperatorias/cirugía , Reoperación , Rinitis/diagnóstico , Medición de Riesgo , Sinusitis/diagnóstico , Base del Cráneo/cirugía , Tomografía Computarizada por Rayos X/métodos , Resultado del TratamientoRESUMEN
The evolution of wound care has seen much technological advancement over many decades. Most recently, negative-pressure therapy, by which a vacuum pressure is applied through a wound bed, has dramatically improved the surgical outcomes of complex wounds. Although initial studies focused on wounds to the abdomen, torso, and extremities, more publications are appearing that demonstrate the efficacy of negative-pressure wound therapy in the head and neck. This article reviews the history and evolution of negative-pressure therapy, highlights the current opinions on its mechanism of action, and summarizes its use in complex head and neck wounds.