Asunto(s)
Glosectomía , Laringectomía , Calidad de Vida , Neoplasias de la Lengua/cirugía , Estudios de Cohortes , Deglución , Femenino , Humanos , Masculino , Persona de Mediana Edad , Procedimientos de Cirugía Plástica , Recuperación de la Función , Estudios Retrospectivos , Habla , Tasa de Supervivencia , Neoplasias de la Lengua/mortalidad , Neoplasias de la Lengua/fisiopatología , Resultado del Tratamiento , GalesRESUMEN
A case is presented of a child who initially presented with genuine aural symptoms and pathology. Over a period of time it became apparent that the persistent aural bleeding, which is an uncommon feature of Chronic Suppurative Otitis Media, was the result of trauma inflicted by its mother; a case of Munchausen syndrome by proxy (MSBP).
Asunto(s)
Enfermedades del Oído/diagnóstico , Hemorragia/diagnóstico , Síndrome de Munchausen Causado por Tercero/diagnóstico , Femenino , Humanos , LactanteRESUMEN
BACKGROUND: Ectopic thyroid tissue in the submandibular region is exceptionally rare. Nevertheless, the treating physician should consider this condition within the differential diagnosis of a submandibular mass. METHOD: Case report of ectopic thyroid tissue presenting as a submandibular mass in a patient with hyperthyroidism, together with a review of the English-literature concerning ectopic thyroid tissue. CONCLUSION: To our knowledge, this is the first report of ectopic thyroid tissue presenting as a submandibular mass and causing hyperthyroidism. Removal of the submandibular mass resulted in normalisation of thyroid function, and subsequent reduction in the patient's antithyroid medication dosage. Ectopic thyroid tissue should be suspected in any patient with a submandibular mass. Prior to resection of such a lesion, it is essential to ensure that normal, functioning thyroid tissue is present elsewhere. Ectopic thyroid tissue can also present with pathology similar to that affecting the normal thyroid gland.
Asunto(s)
Hipertiroidismo/diagnóstico , Enfermedades Raras/diagnóstico , Enfermedades de la Glándula Submandibular/diagnóstico , Disgenesias Tiroideas/diagnóstico , Glándula Tiroides/patología , Biopsia , Carbimazol/administración & dosificación , Carbimazol/uso terapéutico , Coristoma , Diagnóstico Diferencial , Femenino , Humanos , Hipertiroidismo/tratamiento farmacológico , Hipertiroidismo/etiología , Persona de Mediana Edad , Enfermedades Raras/tratamiento farmacológico , Enfermedades Raras/etiología , Enfermedades de la Glándula Submandibular/complicaciones , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Disgenesias Tiroideas/complicaciones , Disgenesias Tiroideas/diagnóstico por imagen , Pruebas de Función de la Tiroides , Tirotoxicosis/tratamiento farmacológico , UltrasonografíaRESUMEN
OBJECTIVE: We present a rare case of perilymphatic fistula which occurred due to bony erosion by a tympanostomy tube that had migrated into and become interred in the middle-ear space. METHOD: We present a case report and a literature review concerning migration of tympanostomy tubes into the middle ear as a complication of tubes insertion. CONCLUSION: Medial migration of tympanostomy tubes into the middle-ear space is a rare complication of tympanostomy tubes insertion. To our knowledge, this is the first report of perilymphatic fistula caused by a tympanostomy tube which had migrated into the middle ear. This case highlights the need for early removal of tympanostomy tubes which migrate into the middle ear.
Asunto(s)
Enfermedades del Oído/etiología , Fístula/etiología , Migración de Cuerpo Extraño/complicaciones , Ventilación del Oído Medio/efectos adversos , Anciano , Oído Medio/cirugía , Humanos , Masculino , Falla de Prótesis , Resultado del TratamientoRESUMEN
Suturing of the nasal septum after septal surgery is a commonly performed procedure designed to prevent complications such as septal haematoma and bleeding. It is also useful for closing any inadvertent tears of the septal mucosa and providing additional support for the cartilage pieces retained in septoplasty. In addition, the suture can be placed through the middle turbinates, stabilising them during the healing process. Placing knots for interrupted sutures in the posterior and middle part of the nasal septum can be technically difficult. We describe a continuous suturing technique for approximating the mucosal flaps following septal surgery.
Asunto(s)
Hematoma/prevención & control , Tabique Nasal/cirugía , Hemorragia Posoperatoria/prevención & control , Técnicas de Sutura/normas , Suturas/normas , HumanosRESUMEN
A child with a long standing history of cyanotic breath holding attacks presented with acute respiratory distress. Subsequent investigation established that her clinical condition was caused by tracheomalacia. We hypothesise that tracheomalacia might be an under recognised contributor to cyanotic breath holding attacks, the pathogenesis of which is poorly understood.