[Basicervical ectopic goiter associated with a eutopic thyroid gland: a case report]. / Une association d'un goitre ectopique basi-cervical et d'une glande thyroïde eutopique: à propos d'un cas.

Thyroid gland is an endocrine gland playing a major role in energy and phosphocalcic metabolism, among others. It commonly occurs in the anterior cervical and pretracheal region. Ectopic thyroid is quite rare. It is dominated by ectopic basilingual thyroid. We here report the case of a patient with goiter in normal cervical position (eutopic) and ectopic thyroid tissue in basicervical position. Cervicotomy revealed the ectopic nodule and the diagnosis was confirmed by histology. This clinical case illustrates a differential diagnosis of cervical masses.

Case Report: Lingual Tuberculosis Reveaed by a Cold Abcess.

Tuberculosis is the most common infectious disease in the world and the lingual location represents less than 1% of extra-pulmonary forms. We report a case of primary lingual tuberculosis which was presented to us in the form of a cold abscess in a 46-year-old alcohol and tobacco drinker weaned for 01 years. Confirmation was histological after biopsy of the lesion. Treatment with anti-tuberculosis drugs for 06 months resulted in a cure. Primary tuberculosis of the tongue is rare and can take several macroscopic forms, including cold abscess which is exceptional. A histological examination after biopsy will make the diagnosis.

Gingival metastasis of a breast carcinoma.

We report a case of metastasis to the gingiva of breast carcinoma. The breast tumor was treated with neoadjuvant chemotherapy followed by a radical mastectomy associated with axillary dissection. The gingival lesion occurred 7 months after surgery; the metastasis was confirmed by a biopsy.

[A risk of thyroid surgery: the non-recurrent inferior laryngeal nerve: a clinical case]. / Un danger de la chirurgie thyroïdienne: le nerf laryngé inférieur non récurrent (cas clinique).

Lesions of the inferior laryngeal nerve are the most devastating complications of thyroid surgery. Identifying the inferior laryngeal nerve is all the more difficult when its path is atypical. We report a case of right non-recurrent inferior laryngeal nerve detected during thyroidectomy.

[Inverted papilloma: a study of 13 cases in the Oto-Rhino-Laryngology at the National University Hospital of Fann]. / Papillome inversé: à propos de 13 cas au Service d'Oto-Rhino-Laryngologie du Centre Hospitalier National Universitaire de Fann.

INTRODUCTION: Inverted Papilloma (IP) is a rare benign tumour of the nose and paranasal sinuses histologically characterized by invagination of the outer layer of the epithelium in the underlying chorion. Its most distinctive feature is a strong local aggressiveness, a tendency to recur and an unpredictable risk of association with epidermoid carcinoma. The purpose of this study was to report the epidemiological, clinical, paraclinical data as well as to assess the outcomes of endoscopic endonasal surgery. METHODS: We conducted a retrospective study on a series of 13 patients whose data were collected in the Oto-Rhino-Laryngology at the National University Hospital Center of Fann, from 1st January 2012 to 31st December 2017. All patients followed up for inverted papilloma confirmed by anathomopathological examination were included in the study. RESULTS: The average age of patients was 44 years, the sex-ratio was 2.25. All patients had nasal obstruction; 53% of them had rhinorrhea followed by epistaxis in 30% of cases. Right-sided symptoms were reported by 69% of patients, left-sided symptoms by 23% and bilateral symptoms by 7% of patients. Anterior rhinoscopy showed endonasal mass in all patients. All patients underwent CT scan; the MRI was performed in a single patient. Endoscopic resection of IP was performed in 10 patients (76.9%) while external approach was used in 23% of cases. Surgery helped to clarify where the tumor had originated: in 46% of cases in the maxillary sinus, in 15% in the lower nasal turbinate, in 15% in the mid-turbinate, in 7% in the ethmoid bulla and in 7% in the lateral wall of the nasal fossa. One patient had recurrence after an average period of 26 months. Malignant transformation to squamous cell carcinoma occurred in one patient. CONCLUSION: Inverted papilloma is a very aggressive tumor. CT scan is essential to highlight its spread, especially to bone. The advent of endoscopic surgery has revolutionised treatment, providing excellent results. But, there is nevertheless a risk of recurrence after surgery which motivates an indication for long term monitoring.

[Post-intubation tracheal lacerations during cervical spine surgery: about 3 cases]. / Plaies trachéales post intubations dans la chirurgie cervicale: à propos de 3 cas.

We report 3 rare cases of post-intubation tracheal lacerations detected during cervical spine surgery. Our study involved 3 patients aged 27, 30 and 42 years admitted to the operating room for total thyroidectomy for heterogeneous multinodular goitre under general anesthesia. Orotracheal intubation using 7.5 rigid guide probe and balloon cuff was performed. During surgery we discovered a protrusion of the balloon cuff at the surgical site through posterolateral tracheal rupture. The treatment was based on closure of the tracheal rupture in 2 cases and on surgical abstention in the third case, followed by a drainage of the thyroid lodge. The postoperative course was uneventful. Post-intubation tracheal lacerations are rare. Intraoperative detection during cervical spine surgery is exceptional. They have multiple causes: intubation difficulties, membranous rupture caused by probe beak, by a rigid guide, coughing effort with inflated balloon at the awakening, balloon hyperinflation, structural and anatomical changes of the trachea in patients with chronic goiter. There is no consensus about treatment.

Epidemiology, clinical features and treatment of lip cancers in Senegal

Introduction. Lip cancers are uncommon among black people but not unusual. The objectives of this study were to describe the epidemiological, clinical and therapeutic aspects of lip cancers at ENT Department of National University Hospital of Fann in Dakar, Senegal. Patients and methods. We performed a retrospective and descriptive study at ENT Department of Fann teaching Hospital in Dakar, Senegal, over a period of seven years, among patients with lip cancers confirmed by the pathology. The following data were studied: age, gender, past medical history, alcohol and tobacco intake, oral hygiene, the location of the lesions and their extensions, pathological findings, TNM classification, postoperative complications and mortality. Results. 19 cases were collected. The mean age of patients was 51 years, with a sex ratio of 1.4. Bad oral hygiene was the main risk factor followed by prolonged sunlight exposure. The lower lip was the main location of the lesion (73.7%). The budding ulcerative appearance was predominant (73.68%). Squamous cell carcinoma was found in all our patients. 68.42% of our patients were classified T3-T4. 63.15% of our patients underwent surgical resection of the tumor. The most common technique of reconstruction was Estlander flap (25%). Morbidity and mortality were respectively 50% and 31.6%. The global survival rate at one and three years was 85.7%. Conclusion. Lips cancers are relatively uncommon tumors in the black people. In our context, patients consult at advanced stages, making their treatment more difficult

An Unusual Laryngeal Foreign Body in Adult.

The accidental aspiration of a foreign body is a frequent domestic accident among children but a rare occurrence in adults. The laryngeal impaction of a coin is an unusual accident; only a few cases have been reported in the literature. Diagnosis is mostly achieved by clinicoradiological examinations. The authors report an uncommon case of laryngeal impaction of a coin in a 21-year-old patient, presenting with dysphonia without dyspnea or stridor. The extraction was performed by endoscopy.

L'amygdalectomie et l'adénoïdectomie à l'hôpital pour enfants de Diamniadio au Sénégal : une évaluation de 3 ans

INTRODUCTION. Les indications de l'amygdalectomie et l'adénoïdectomie sont un sujet de controverse. Notre objectif était de discuter nos indications opératoires en les confrontant à la littérature tout en précisant notre particularité dans la prise en charge des patients dans un hôpital pédiatrique sénégalais. METHODES. Etude rétrospective descriptive au service d'Oto-rhino-laryngologie de l'hôpital pour Enfants de Diamniadio du 1er janvier 2013 au 31 décembre 2015 incluant tous les patients de moins de 15 ans opérés d'une adénoïdectomie, d'une amygdalectomie ou d'une adéno-amygdalectomie. Les variables étudiées étaient l'âge, le sexe, l'indication opératoire, le type de chirurgie et la morbidité. RESULTATS. 522 patients ont été inclus. L'âge moyen était de 4 ans 9 mois avec des extrêmes de 4 mois et 15 ans. L'obstruction respiratoire chronique était la première indication opératoire (63%). Elle était dominée par le syndrome d'apnée obstructive du sommeil retrouvée chez 264 patients (50,6%). Avant l'âge de 10 ans, les indications opératoires étaient dominées par l'obstruction respiratoire chronique (68,2%). Après 10 ans, les infections prédominaient (81,5%). L'adéno-amygdalectomie était le geste chirurgical le plus réalisé (43,7%). La morbidité était de 0,6%, représentée exclusivement par un cas d'hémorragie postopératoire immédiate et deux cas d'hémorragie secondaire.CONCLUSION. L'obstruction respiratoire chronique est la principale indication opératoire particulièrement avant l'âge de 10 ans. Les complications postopératoires sont rares