ABSTRACT
Epidermoid cyst is a benign embryonic tumor. It is an anomalous localization of ectoderm-derived tissue. Cervical epidermoid cyst is rare. It can cause diagnostic difficulties, especially in patients with voluminous and compressive cysts. We report a case of large epidermoid cyst of the neck with signs of compression of the upper aerodigestive tract. The patient underwent cervicotomy with mass resection. Pathological examination of the surgical specimen showed epidermal cyst.
Subject(s)
Cervical Cord/pathology , Epidermal Cyst/diagnosis , Neck/pathology , Adult , Cervical Cord/surgery , Epidermal Cyst/surgery , Gastrointestinal Tract/pathology , Humans , Male , Neck/surgery , Respiratory System/pathologyABSTRACT
Extremely serious diseases associated with very poor prognosis, especially in this context of undermedicalization and poverty. The aim of this case study was to determine the etiologies of these emergencies and to discuss their therapeutic management. Retrospective-descriptive study conducted over a 5-year period, a total of 52 clinical records were included. These infections accounted for 0.33% of our consultations. The average age of our patients was 23 years. Young age, inappropriate treatments and some ENT disorders were found to be contributing factors. The reasons for consultation were varied, depending on the site of infection; however, two clinical signs were constant: pain and fever. Adenophlegmon, peritonsillar phlegmon, cellulitis were our main etiologies together with streptococcus and staphylococcus which were the commonest causative bacteria. Empirical antibiotic therapy was used as first-line therapy, in particular third-generation cephalosporin + aminoglycoside + imidazole combination. Clinical course was marked by local and systemic complications. The evolution of diagnostic and therapeutic ENT emergencies management plans still encounters complications due to patient delay in seeking consultation.
Subject(s)
Bacterial Infections/epidemiology , Emergencies , Infections/epidemiology , Otorhinolaryngologic Diseases/epidemiology , Adolescent , Adult , Aged , Anti-Bacterial Agents/administration & dosage , Bacterial Infections/drug therapy , Bacterial Infections/microbiology , Child , Child, Preschool , Female , Humans , Infant , Infections/drug therapy , Infections/microbiology , Male , Middle Aged , Otorhinolaryngologic Diseases/drug therapy , Otorhinolaryngologic Diseases/microbiology , Retrospective Studies , Young AdultABSTRACT
But: Analyser les aspects epidemiologiques; diagnostiques et therapeutiques des sinusites chroniques de la face. Methode: Il s'est agit d'une etude retrospective de 05 ans; portant sur 365 cas de sinusites chroniques. Resultats: L'incidence annuelle etait de 73 cas/an et l'age moyen de 33 ans. Les principaux motifs de consultation etaient les cephalees (80;80); l'obstruction nasale (34;79) et la rhinorrhee (19;72). Les sinus maxillaires (96;44) et ethmoidaux (60;39) etaient les plus touches et les facteurs etiologiques etaient domines par les allergies naso-sinusiennes (73;15); les infections aero-digestives (19;18) et les blocages ostiaux mecaniques (7;67). Le traitement; medical (79;45) et medico-chirurgical (20;55) a permis d'obtenir une evolution favorable (90;96). Les complications ont ete observees dans 5;75 avec un taux de letalite de 1;92
