RESUMO
Objectif : Décrire les aspects diagnostiques et la conduite thérapeutique adoptée devant un cas de localisation inhabituelle d'un projectile dans le sinus maxillaire. Observation : Le présent cas est celui d'un ouvrier de 31 ans qui aurait reçu l'éclat d'un morceau de fer sous la forme d'un projectile en région sous-orbitaire gauche. La radiographie du crâne (Blondeau) a permis de mettre en évidence le corps étranger de tonalité métallique dans le sinus maxillaire gauche. L'extraction a été faite par l'intervention de Caldwell-Luc à défaut d'une chirurgie endoscopique qui est une attitude actuellement recommandée. Les suites opératoires ont été simples. Conclusion : La localisation d'un projectile dans le sinus maxillaire est une situation inhabituelle dont le diagnostic peut être posé à la radiographie de Blondeau et l'extraction par l'intervention de Caldwell-Luc
Assuntos
Congo , Seio MaxilarRESUMO
Oral foreign bodies are most encountered in children. They rarely pose diagnostic problems. But the therapeutic management can use the therapeutic escalation from simple extraction chair to extraction per endoscopic under general anesthesia. We report an unusual case of metal foreign body (umbrella's support) penetrating the oral cavity and measuring 18 cm long in a 5 years-old boy. A radiograph of skull centered on the mouth as great interest in the diagnostic and particulary in the management of the metallic foreign body. The extraction of foreign body was done by oral approaches under general anesthesia.
Assuntos
Corpos Estranhos/cirurgia , Soalho Bucal/lesões , Ferimentos Penetrantes/cirurgia , Ligas , Pré-Escolar , Humanos , Masculino , Soalho Bucal/cirurgiaRESUMO
Cervical adenophlegmon is frequently encountered in children. We report on a case of an exceptional direct communication between a retropharyngeal abscess and a cervical adenophlegmon, observed in a 25-month-old child. Treatment comprised double antibiotic therapy and retropharyngeal drainage, which led to the subsidence of the laterocervical abscess. The progression was uncomplicated.
Assuntos
Fístula/terapia , Linfadenite/terapia , Pescoço , Abscesso Retrofaríngeo/terapia , Antibacterianos/uso terapêutico , Ceftriaxona/uso terapêutico , Pré-Escolar , Drenagem , Quimioterapia Combinada , Fístula/microbiologia , Glucocorticoides/uso terapêutico , Humanos , Linfadenite/microbiologia , Masculino , Oxacilina/uso terapêutico , Abscesso Retrofaríngeo/microbiologia , Resultado do TratamentoRESUMO
The cysts and congenital fistulas of the face and neck induce frequent malformations in Oto-Rhino-Laryngology. A retrospective study on these malformations has been carried out from January 1986 to December 2001 in the Oto-Rhino-Laryngology unit of the Brazzaville Teaching Hospital. This study considered the epidemio-clinical aspects, the modes of therapeutic treatment and the evolution of these congenital pathologies. The cysts and congenital fistulas represented 2% of the consultations in the service. Patients were aged of 10 months to 50 years (average age: 21 +/- 5 years) among them 49 men (63%) and 29 women (37%). The pathology appeared in childhood in 41% of the cases and during adult age in 59% of the cases. The main circumstances of discovery were: cystic swelling (72%), infectious complication (18%) and productive fistula (10%). The clinical forms have been dominated by the cysts of the thyreoglossal tractus (72%), followed by the pre-auricular fistulas (10%), the amygdaloid (9%), dermoid (6%) and nasopalatine (3%) cysts. The treatment was in any case surgical. A good embryo-pathogenic knowleldge should contribute to a complete surgical exeresis, a necessary condition to avoid recurrence.
