RESUMEN
Mumps virus infections primarily involve the parotid glands and most frequently affect school-aged children. We present three unusual adult cases of mumps with dyspnea secondary to severe swelling of the salivary glands and review previously reported cases in the literature. Dyspnea developed progressively after the onset of salivary gland swelling. Laryngoscopy revealed an advanced edematous change in the supraglottis obstructing the airway. In two cases, tracheotomy was needed because of rapid worsening of the supraglottic edema. Questioning regarding breathing problems and laryngoscopic examination is therefore recommended when one encounters a mumps case with combined parotid and salivary gland swelling.
Asunto(s)
Edema/virología , Laringe/patología , Paperas/complicaciones , Adulto , Progresión de la Enfermedad , Disnea/etiología , Disnea/virología , Edema/cirugía , Femenino , Glotis/patología , Glotis/virología , Humanos , Laringoscopía , Laringe/virología , Paperas/diagnóstico por imagen , Tomografía Computarizada por Rayos X , TraqueotomíaRESUMEN
A pleomorphic adenoma in the nasal cavity constitutes a rarity. A 48-year-old woman presented with intranasal pleomorphic adenoma revealed by unilateral continuous obstruction and occasional epistaxis. Nasal endoscopy showed a mucosa-covered and opalescent polypoidal mass arising from the left nasal septum. Unlike cases affecting the major salivary gland, magnetic resonance image (MRI) revealed that the mass showed a low signal intensity on T1-weighted image and a heterogeneous, intermediate signal intensity on T2-weighted image. MRI findings can aid in diagnosis and help exclude the possibility of other neoplasms that occur at this site.
Asunto(s)
Adenoma Pleomórfico/diagnóstico , Imagen por Resonancia Magnética , Neoplasias Nasales/diagnóstico , Diagnóstico Diferencial , Endoscopía , Epistaxis/diagnóstico , Epistaxis/etiología , Femenino , Humanos , Persona de Mediana Edad , Cavidad Nasal/patología , Obstrucción Nasal/diagnóstico , Obstrucción Nasal/etiología , Tabique Nasal/patologíaRESUMEN
To evaluate the therapeutic effect of middle ear pressure pulse on endolymphatic hydrops in humans, Meniett20k was used for 12 months in two severe elderly patients with definite Meniere's disease. The average number of vertigo occurrences in the 6 months before treatment and in the 12 months after treatment started was compared. Numeric values (NV) among patients were calculated and categorized into an improved group (NV = 1-40). For hearing function, the pure-tone average (PTA) before and 12 months after treatment started was compared. PTA was calculated based on the following equation: PTA = (A + 2XB + C)/4. A, B, and C were thresholds of the pure-tone audiometory at 0.5, 1.0, and 2.0 kHz. In one case, hearing function was unchanged, but deteriorated in the other. Pressure pulse treatment may thus be useful in severe cases of Meniere's, especially in the elderly, bilateral cases, and in endolymphatic hydrops in a single hearing ear.