ABSTRACT
A glomus tumor is a benign neoplasm arising in the soft tissue. The most common affected site for glomus tumor is the subungal area of the finger. Occasionally, it is found in unusual locations, such as stomach, nasal cavity, trachea, mediastinum and bone etc. Oncocytic glomus tumor of the larynx is extremely rare. Laryngeal glomus tumor usually does not express any symptoms at first, but it causes hoarseness or foreign body sensation subsequently when the size of tumor is increased. The main treatment of laryngeal glomus tumor is by complete surgical excision. Recently, we had treated a 41-year-old woman who had an oncocytic glomus tumor of the larynx by CO2 laser excision under suspension laryngoscope. Here, we report the case with a review of literature.
Subject(s)
Female , Humans , Fingers , Foreign Bodies , Glomus Tumor , Hoarseness , Laryngoscopes , Larynx , Laser Therapy , Lasers, Gas , Mediastinum , Nasal Cavity , Sensation , Stomach , TracheaABSTRACT
BACKGROUND AND OBJECTIVES: Recently, both jejunal and fasciocutaneous free flap reconstruction are widely used after total laryngopharyngetomy for the treatment of hypopharyngeal cancer. The aim of this study is to evaluate and compare the functional outcomes between jejunal and fasciocutaneous free flap in the reconstruction of hypopharynx after total laryngopharyngectomy. SUBJECTS AND METHOD: The medical records of 27 patients with hypopharyngeal cancer who underwent total laryngopharyngectomy and free flap reconstruction were reviewed retrospectively. Of 27 patients, 18 (66.7%) were reconstructed with jejunal free flap and 9 (33.3%) with fasciocutaneous free flap. We compared complications, flap success rates, functional outcomes such as swallowing, respiration and quality of life (QOL) between two reconstruction groups. The swallowing function was evaluated by Functional Outcome of Swallowing Scale (FOSS), and QOL was evaluated by EORTC QOL-C30, HN35. RESULTS: Twenty-seven patients consisted of 26 males and 1 female. The mean age of 69+/-9.1. There were 4, 13, and 10 cases for T2, T3, and T4, respectively. Also, there were 8, 5, 7, and 7 for N0, N1, N2 and N3 cases. The success rate of free flap was 96.3%. The complication rate, operative time, the period of hospital stay did not differ between the two groups. The average score of FOSS was 0.92 in the jejunal group and 1.00 in the fasciocutaneous group. Quality of life was satisfactory in both groups. CONCLUSION: Both jejunal and fasciocutaneous free flap are very effective reconstructive methods after total laryngopharyngectomy for hypopharyngeal cancer. The choice of free flap can be determined based on the individual status of patient and preference of surgeon.
Subject(s)
Female , Humans , Male , Deglutition , Free Tissue Flaps , Hypopharyngeal Neoplasms , Hypopharynx , Length of Stay , Medical Records , Operative Time , Quality of Life , Respiration , Retrospective StudiesABSTRACT
Linear scleroderma is a kind of disease that can cause complication of the central nervous system. Sometimes, ipsilateral intracerebral or white matter lesions in the brain magnetic resonance imaging are noted. Nystagmus is important for the differential diagnosis of dizziness. Positional nystagmus was classified into regular direction nystagmus, direction changing positional nystagmus (DCPN) and irregular nystagmus by their character. DCPN is defined as a nystagmus that changes its direction with different head and body positions, and it can be the sign of lesion in the central vestibular system. Recently, we experienced a 17-year-old woman who had a scalp linear scleroderma, treated for about 10 years and showed DCPN induced by positional nystagmus test. We report a case of linear scleroderma accompanied by cerebellar lesion with a brief review of literature.