ABSTRACT
Soft-tissue lateral neck radiography is important for diagnosing acute supraglottitis. This study aimed to determine the objective criteria for a diagnosis of acute supraglottitis from soft-tissue lateral neck radiographs in Korean adults. The parameters in 30 adult patients with acute supraglottitis were compared with those of age- and sex-matched normal 30 Korean adults. The mean of epiglottis width (EW) and aryepiglottic fold width (AEW) in the control group were 4.37 +/- 0.93 mm, 2.45 +/- 0.71 mm, respectively and in the patient group they were 15.87 +/- 3.60 mm, 6.4 +/- 2.55 mm, respectively. The sensitivity and specificity of an EW greater than 7mm were 100%, and 100% respectively. The sensitivity and specificity of an AEW greater than 4.5 mm were 83%, and 100% respectively.
Subject(s)
Adult , Female , Humans , Male , Acute Disease , Epiglottitis/diagnostic imaging , Larynx/diagnostic imaging , Middle AgedABSTRACT
Neuroblastoma is a soft tissue malignant tumor in the early childhood originating from the sympathetic nervous system, and usually occurs in the abdomen, thorax, and pelvis. It is rare in the head and neck region and primary cervical neuroblastoma (PCN) is very rare. We present 13-month old boy with slowly growing right neck mass confirmed neuroblastoma. The mass was excised with surrounding enlarged lymph nodes. Postoperative adjuvant chemotherapy was done. During chemotherapy enlarged lymph nodes were found and removed surgically. These nodes showed metastatic well differenciated neuroblastoma. Radiation therapy was added. The patient had total 15 times chemotherapy and 1500 cGy radiation, and there was no evidence after the second operation.
Subject(s)
Humans , Infant , Male , Abdomen , Chemotherapy, Adjuvant , Drug Therapy , Head , Lymph Nodes , Neck , Neuroblastoma , Pelvis , Sympathetic Nervous System , ThoraxABSTRACT
BACKGROUND AND OBJECTIVES: Reconstruction of the nasal defect caused by resection of nose neoplasm or trauma represents a particular challenge to reconstructive surgeons. Each tissue defect has to be evaluated individually in terms of the best possible substitution or alteration from both aesthetic and functional points of view. The method of reconstruction varies according to the location, size, and depth of the defect. Of various methods, local Rap is frequently used because the nasal contours are variable with convex and concave surfaces in close proximity, and there is little lax skin from which to borrow tissue for closure, and the skin of the nose has a texture and color not easily matched by skin elsewhere. Of various local flaps, transposition flap and forehead flap are most frequently used for reconstruction of the nasal defect. The authors carried out retrospectively a clinical study on seven cases of nasal reconstruction that used local flaps after resection of malignant tumors of the nose with a brief review of the literature. MATERIALS AND METHODS: A single surgeon's results in seven consecutive patients were clinically analyzed retrospectively. RESULTS: There were no significant complications. Good aesthetic and functional outcomes were observed with nasal defects reconstructed with the local flaps. CONCLUSION: Local flaps were the most useful choice for reconstructive rhinoplasty. Transposition flaps and forehead flaps, in particular, were particularly useful for each cosmetic unit of the nose.