ABSTRACT
Psoriasis is a dermatological disease which has various clinical presentation. Thick red plaques with clear margin and silvery scale characterize psoriasis. Recurrent tonsillitis infected by streptococcus has been reported to be related with Guttate psoriasis. Psoriasis is treated dermatologically by phototherapy, photochemical therapy, retinoid therapy, local steroid therapy and antibiotics. The authors report a case of the 33-year-old female with Guttate psoriasis treated by tonsillectomy. She has experienced that her psoriatic skin lesions got worse every time she suffered from tonsillitis, but Guttate psoriatic skin lesions have disappeared after tonsillectomy.
Subject(s)
Adult , Female , Humans , Anti-Bacterial Agents , Palatine Tonsil , Phototherapy , Psoriasis , Skin , Streptococcus , Tonsillectomy , TonsillitisABSTRACT
Unilateral vocal cord paralysis and dysphagia are not uncommonly seen in the ENT practice. Just less than 10% of unilateral vocal cord paralysis are caused by diseases of the central nervous system, and lateral medullary infarction (LMI) is a wellknown condition that causes dysphagia and unilateral laryngeal paralysis. However, cases of LMI with isolated dysphagia and dysphonia without other typical neurological signs have been rarely reported. We describe the case of a 67-year-old man with chronic hypertension who presented as dysphagia and unilateral vocal cord paralysis without other typical signs of LMI. He was finally diagnosed as LMI on MRI. Although cases of LMI presenting in the manner like this case are extremely rare, ENT physicians should consider LMI in differential diagnosis for this situation, especially when the patient has a previous episode or risk factors of stroke.
Subject(s)
Aged , Humans , Central Nervous System , Deglutition Disorders , Diagnosis, Differential , Dysphonia , Hypertension , Infarction , Magnetic Resonance Imaging , Paralysis , Risk Factors , Stroke , Vocal Cord Paralysis , Vocal CordsABSTRACT
Many allograft materials have been used for performing augmentation rhinoplasty. But in cases involving complications such as infection, inflammation and foreign body reaction, these should be removed and replaced with an autograft material which is more suitable for revision surgery. Frequently, the use of autograft materials, including bone and cartilage, are restricted by many limitations such as unavailability, insufficiency in volume, and resorption. By using the dermofat, however, we achieved good surgical results in revision rhinoplasty from the aspect of volume and donor site morbidity. Thus, we report this case with a review of the literature.
Subject(s)
Humans , Allografts , Autografts , Cartilage , Follow-Up Studies , Foreign-Body Reaction , Inflammation , Polytetrafluoroethylene , Reoperation , Rhinoplasty , Tissue Donors , TransplantsABSTRACT
Crouzon syndrome is one of the craniofacial syndromes characterized by craniosynostosis, midfacial hypolpasia and ocular proptosis. Distraction osteogenesis is becoming important technique to treat craniofacial dysplaisa. It has many advantages compared with standard orthognathic surgery. Maxillary distraction osteogenesis after Le Fort III osteotomy with the RED system presents successful maxillary protraction to Crouzon syndrome patient with severe maxillary deficiency. It also allows remarkable improvement of facial esthetics and respiratory functions.