ABSTRACT
Fourteen patients with lateral neck branchial cysts treated over an 18 year term were reviewed to analyze the authors' method of diagnosis and management. The possibility of an embryologic rest in the neck should therefore be kept in mind with all clinically evident neck masses. Histopathological examination revealed that cysts were lined with a stratified squamous epithelium. Computed tomography and fine-needle-aspiration currently are essential diagnostic methods in the study protocol of these lesions. Traditional surgical techniques for the management of branchial remnants rely on simple excision of the structures associated with the sinus tract, with dissection carried out in the plane between the branchial remnant and the normal anatomic structures of the neck. Initial surgery is crucial since the recurrence rate after incomplete surgery can be as high as 22%.
Subject(s)
Branchial Region/diagnostic imaging , Cysts/diagnostic imaging , Adolescent , Adult , Branchial Region/surgery , Cysts/surgery , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Neck , Retrospective Studies , Tomography, X-Ray ComputedABSTRACT
Although the origin of granular cell tumor (GCT) is no totally clarified, a neurogenic source is generally accepted. Some think its forerunners are the Schwann cells. Despite the tongue's localisation is frequently seen, few are the papers dealing with this topic. We report the case of a patient suffering a granular cell tumor of the tongue and profit the opportunity to reconsider the followings items: clinical findings, examination, diagnosis, histology and management and course of these growths. Literature's review of the theme.
Subject(s)
Granular Cell Tumor/pathology , Tongue Neoplasms/pathology , Adult , Granular Cell Tumor/surgery , Humans , Tongue Neoplasms/surgeryABSTRACT
Naso-sinusal aspergillosis is an infrequent ailment which true incidence is not correctly assumed and furthermore the cases are increasing because of the progression of immunodeficiency problems. Suspicious become accentuated when repeated antibiotic treatments fail or in patients with previous dental pathology or radiologically show inside of sinus images of forcing bodies. Despite of which the diagnosis should be histological thanks to the examination of the surgical piece gained following the classic approaches through the canine fossa or endoscopic surgery. The only real treatment is surgery. We report one clinical case of an acute naso-sinusal aspergillosis with ineffectiveness of all used treatments and whose diagnose was achieved only through the anatomopathological study of the piece supplied by the Caldwell-Luc procedure.
Subject(s)
Aspergillosis/diagnosis , Maxillary Sinusitis/microbiology , Aged , Biopsy , Humans , Male , Maxillary Sinus/microbiology , Maxillary Sinus/pathology , Maxillary Sinusitis/diagnosis , Tomography, X-Ray ComputedABSTRACT
The treatment of peritonsillar abscesses is debated. A retrospective study was made of 19 patients diagnosed as peritonsillar abscess who were treated by incision, drainage, and intravenous antibiotics. The surgical, medical and diagnosis factors that affect the management of peritonsillar abscesses are discussed.
Subject(s)
Abscess/therapy , Tonsillitis/therapy , Adolescent , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Female , Humans , Injections, Intravenous , Male , Palatine Tonsil/surgery , Retrospective Studies , Suction/methodsABSTRACT
Postoperative failures and complications detected in patients who undergo surgery for otosclerotic disease are not uncommon in stapes surgery. Prosthesis displacement and incus necrosis are the most common findings in review stapedectomy. We report the case of a patient who had tinnitus, vertigo, and non-recovery of air conduction thresholds without neurosensorial lesions after stapes surgery. The suspected diagnosis of excessive introduction of the prosthesis in the oval window was confirmed by computed tomography, which showed the radio-opaque image of the McGee metal prosthesis. The prosthesis replacement and literature review are discussed.
Subject(s)
Otosclerosis/surgery , Oval Window, Ear/surgery , Postoperative Complications/diagnosis , Prosthesis Implantation , Stapes Surgery , Female , Humans , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Although the incidence of Ludwig's angina has diminished, it still occurs. This disease can have life-threatening complications, including deep neck infection and mediastinitis. We report a case of Ludwig's angina with bilateral vocal cord paralysis secondary to cervical spread of infection.
Subject(s)
Laryngeal Nerves/physiopathology , Ludwig's Angina/complications , Vocal Cord Paralysis/etiology , Vocal Cord Paralysis/physiopathology , Abscess/complications , Abscess/diagnostic imaging , Abscess/pathology , Aged , Aged, 80 and over , Female , Humans , Mediastinitis/complications , Neck/diagnostic imaging , Neck/pathology , Radiography , Recurrence , Severity of Illness Index , Vocal Cord Paralysis/diagnosisABSTRACT
We present a one-year study describing the ENT pathology seen in a rural ENT clinic. The study included 1,516 patients whose characteristics are described (age, sex, diagnosis, and others).
Subject(s)
Otolaryngology , Primary Health Care/statistics & numerical data , Adult , Aged , Aged, 80 and over , Humans , Male , Middle Aged , Referral and Consultation , Rural Population/statistics & numerical data , SpainABSTRACT
Cervical emphysema is rare and its diagnosis involves the ENT specialist. A case of cervical subcutaneous emphysema secondary to lower molar extraction is reported. The patient had no signs or symptoms other than cervical emphysema. Simple radiography and CT are recommended for early diagnosis. The etiopathogenic mechanisms of subcutaneous cervical emphysema are reviewed. Recent literature contains few cases of dental origin.
Subject(s)
Cervical Vertebrae , Molar/surgery , Subcutaneous Emphysema/etiology , Tooth Extraction/adverse effects , Cervical Vertebrae/diagnostic imaging , Female , Humans , Middle Aged , Subcutaneous Emphysema/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Radioscopically-guided balloon dilation of esophageal stenosis is an effective and easily performed palliative procedure. Our experience with balloon dilation of esophageal stenosis in 12 patients was reviewed. Every patient underwent 2-5 sessions. Dysphagia disappeared completely in 2 patients. Ten patients had significant improvement. No case of esophageal perforation occurred during balloon dilation.
Subject(s)
Catheterization , Esophageal Stenosis/surgery , Adolescent , Aged , Deglutition Disorders/diagnosis , Deglutition Disorders/etiology , Female , Humans , Male , Middle Aged , Postoperative Complications , Severity of Illness IndexABSTRACT
Cysts in the nasal septum are unusual, and the presence of a dental cyst is even rarer. A cyst of dental origin was produced by dental root fracture in the nasal septum. The differential diagnosis and management are discussed.
Subject(s)
Maxillary Diseases/diagnostic imaging , Nasal Septum/diagnostic imaging , Odontogenic Cysts/diagnostic imaging , Adult , Diagnosis, Differential , Humans , Male , Maxillary Diseases/surgery , Nasal Septum/surgery , Odontogenic Cysts/surgery , Tomography, X-Ray ComputedABSTRACT
The position of the jugular bulb varies greatly. A high jugular bulb procident from the temporal bone is not uncommon. Most people with this anatomic variation remain asymptomatic. We report seven cases of high jugular bulb with clinical manifestations. The anatomy, clinical manifestations, diagnosis, and management are reviewed.