We report a case of Pott's puffy tumour, a subperiosteal abscess of the frontal bone associated with an underlying frontal osteomyelitis, in a 5-year-old boy. Ultrasonography played a crucial role in the diagnosis of our patient, suggesting the presence of a Pott's puffy tumour with epidural abscess by showing a subperiosteal abscess associated with erosion of the frontal bone. Subsequently, the diagnosis of Pott's puffy tumour with epidural abscess was confirmed by contrast-enhanced CT scanning. Prompt neurosurgical intervention with drainage of abscesses and debridement of bone sequestrate, together with prolonged antibiotic therapy, significantly contributes to a favorable outcome.
Pott Puffy Tumor/diagnostic imaging , Child, Preschool , Humans , Imaging, Three-Dimensional , Male , Pott Puffy Tumor/surgery , Tomography, X-Ray Computed , Ultrasonography
With special reference to the postoperative hemorrhage rate and its subsequent course, we retrospectively evaluated the outcome of 2,363 tonsillectomies and 3,295 adenotomies performed over the last 11 years at our department. The postadenotomy major bleeding frequency was 0.2%. After tonsillectomy the immediate postoperative major bleeding frequency was 2.6% and 3.0%, respectively in children and adults. Secondary bleeding after tonsillectomy occurred in 0.3% of the children and 0.5% of the adults. In contrast to adenotomy, which can be considered as a safe one day procedure, based on our results we propose to perform tonsillectomy as a more prolonged, one night stay procedure.
Adenoids/surgery , Ambulatory Surgical Procedures , Blood Loss, Surgical , Tonsillectomy/adverse effects , Adult , Blood Loss, Surgical/prevention & control , Child , Hospitalization , Humans , Retrospective Studies , Time Factors
Surgical management of chronic otitis media with effusion. One hundred and twenty six children suffering from chronic otitis media with effusion (OME) were operated. Ninety two point eight percent had a satisfactory outcome. Surgical management of chronic OME is discussed.
Otitis Media with Effusion/surgery , Adenoidectomy , Child, Preschool , Chronic Disease , Humans , Infant , Middle Ear Ventilation , Punctures , Tympanic Membrane/surgery
Fibrous dysplasia of the paranasal sinuses is rare and often presents a diagnostic challenge. We describe 3 cases of fibrous dysplasia and ossifying fibroma involving the paranasal sinuses. After introduction of the term fibrous dysplasia into the literature in 1938 by Lichtenstein, many authors accepted fibrous dysplasia and ossifying fibroma as one and the same entity. In more recent years most investigators have considered the two lesions as separate and distinct clinical entities. A brief update of the clinical aspects, radiographic appearance, diagnosis and management of craniofacial fibro-osseous lesions is provided.
Bone Neoplasms/diagnostic imaging , Ethmoid Sinus/diagnostic imaging , Fibroma, Ossifying/diagnostic imaging , Fibrous Dysplasia of Bone/diagnostic imaging , Frontal Sinus/diagnostic imaging , Adolescent , Adult , Bone Neoplasms/surgery , Child , Diagnosis, Differential , Female , Fibroma, Ossifying/surgery , Fibrous Dysplasia of Bone/surgery , Humans , Male , Tomography, X-Ray Computed
We studied a group of adults and a group of children. All the test subjects were member of the swimming club and were subjected to an intensive training program for competition swimming. Two easy to perform Eustachian tube tests were compared, i.e. the Bluestone 9 steps test (tympanometry) and the measurement of the opening pressure with a pressure transducer during Valsalva and swallowing. We discuss the advantages and disadvantages of each test and the influence of swimming on the Eustachian tube function in adults and children.
Eustachian Tube/physiology , Swimming , Acoustic Impedance Tests , Adult , Child , Deglutition , Humans , Middle Aged , Valsalva Maneuver
