Assuntos
Antropometria/métodos , Pavilhão Auricular , Estética/psicologia , Fotografação , Atitude do Pessoal de Saúde , Pavilhão Auricular/anormalidades , Pavilhão Auricular/diagnóstico por imagem , Pavilhão Auricular/cirurgia , Pesquisas sobre Atenção à Saúde , Humanos , Cirurgia Plástica/métodos , Cirurgia Plástica/psicologiaRESUMO
INTRODUCTION: Neck lumps in young adults are not uncommon, and most represent benign, reactive lymphadenopathy. Cystic swellings are less common. Spontaneous cervical lymphocoeles are very rare, and present as fluctuant, asymptomatic, cystic swellings in the neck in otherwise fit individuals. CASE REPORTS: We report two healthy young women who presented with spontaneous cervical lymphocoeles and who were treated successfully with surgical excision. The timing of surgical intervention was influenced in both cases by their imminent wedding celebrations. CONCLUSIONS: Whilst sclerotherapy has been advocated by some authors, we found it unhelpful; however, surgery provided definitive treatment.
Assuntos
Linfocele/cirurgia , Adulto , Feminino , Humanos , Linfocele/diagnóstico , Imageamento por Ressonância Magnética , Pescoço/patologia , Pescoço/cirurgia , Tomografia Computadorizada por Raios XRESUMO
INTRODUCTION: After treatment of epistaxis, patients are routinely supplied with an intranasal bactericidal cream containing neomycin. Neomycin cream is effective in preventing recurrent paediatric epistaxis. This study aimed to assess whether there is an increased rate of nasal bacterial infections in adult epistaxis patients. METHODS: Between October 2004 and April 2005, nasal swabs were taken from adult patients presenting with epistaxis, and from a control group comprising elective ENT patients. RESULTS: There were 23 controls and 26 epistaxis patients. Staphylococcus aureus was grown in 21 per cent and 23 per cent, respectively. There was no significant difference in bacterial carriage rates between the epistaxis and control groups. CONCLUSIONS: The epistaxis and control groups demonstrated the same bacterial species and the same proportion of bacterial carriage. Although the majority of bacterial species encountered were sensitive to neomycin, a significant proportion was not. These results do not support the routine use of neomycin in the prevention of recurrent adult epistaxis.
Assuntos
Antibacterianos/uso terapêutico , Portador Sadio/tratamento farmacológico , Epistaxe/microbiologia , Neomicina/uso terapêutico , Infecções Estafilocócicas/tratamento farmacológico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Epistaxe/tratamento farmacológico , Humanos , Pessoa de Meia-Idade , Prevenção Secundária , Infecções Estafilocócicas/prevenção & controle , Resultado do Tratamento , Adulto JovemRESUMO
BACKGROUND: Small defects of the inner canthus can be difficult to repair with an aesthetically satisfactory result, due to the difficulty in matching skin types and the resulting donor site scars. METHODS: We describe a technique which we have employed for repairing skin defects around the inner canthus, using a cutaneous advancement flap from the upper eyelid, based on the superior palpebral artery. RESULTS: Complete excision of the lesion was possible, and a cosmetically acceptable result was obtained. CONCLUSIONS: By using this technique, skin is moved within one aesthetic unit, thus maximising skin type matching and cosmetic results. In addition, the technique creates a donor site which can be easily hidden within the natural creases of the upper lid, and the arterial supply maximises the chances of flap survival.
