ABSTRACT
The solitary fibrous tumor (SFT) is an uncommon benign tumor, which is usually found in the pleura. Even though SFTs have been reported in various areas including the head and neck these days, laryngeal SFT is very rare, not to mention the bilateral vocal fold. Here, we report a new case of bilateral laryngeal SFT with a review of related literature. A 67-year-old male patient was admitted to our institution because of husky voice he experienced for several months. Endoscopic examination revealed a bilateral vocal folds swelling. The lesion was removed with CO2 laser under direct suspension laryngoscope. The pathological diagnosis was made by various immunohistochemical stainings including vimentin, Bcl-2, CD99 and CD34. During the 24 months follow-up after the surgery, there was no sign of recurrence.
Subject(s)
Aged , Humans , Male , Diagnosis , Edema , Follow-Up Studies , Head , Laryngoscopes , Larynx , Lasers, Gas , Neck , Pleura , Recurrence , Solitary Fibrous Tumors , Vimentin , Vocal Cords , VoiceABSTRACT
Infratemporal fossa abscess caused by acute sinusitis, without other predisposing factors, is very rarely reported. We present such a case in a 78-year-old woman who was treated successfully with surgical drainage and antibiotics. She presented with a 10-day history of swelling and pain on the right side of her face. Physical examination revealed swelling on the right mandible area up to the zygomatic arch and the presence of mucopurulent rhinorrhea in the right nasal cavity without abnormal dental findings. Computed tomography revealed a right infratemporal fossa abscess and ipsilateral maxillary sinusitis connected through a defect on the posterior wall of the maxillary sinus. Drainage procedure was performed by navigation-guided endoscopic sinus surgery and intravenous antibiotics were administered. During a four months follow-up period, there was no sign of recurrence. Infratemporal fossa abscess can develop from acute sinusitis without predisposing factors, including dental infection. Surgical drainage along with intravenous antibiotics can lead to successful treatment in such cases.
Subject(s)
Aged , Female , Humans , Abscess , Anti-Bacterial Agents , Causality , Drainage , Follow-Up Studies , Mandible , Maxillary Sinus , Maxillary Sinusitis , Nasal Cavity , Physical Examination , Recurrence , Sinusitis , ZygomaABSTRACT
The incidence of mastoiditis in pediatric age has consistently increased over the last two decades due to increase of antibiotic-resistant bacteria. Compared to young patients, occurrence of acute otitis media complications such as acute mastoiditis and subperiosteal abscess is relatively low in adults. Various treatments for acute mastoiditis with subperiosteal abscess such as tympanostomy tube insertion, intravenous antibiotics, and postauricular incision and drainage have avoided the morbidity and necessity of mastoid surgery. Recently, many studies have indicated mastoidectomy only in cases of severe complications or failure of disease improvement after antibiotic treatment and myringotomy. In this report, we present two cases of successful treatment of subperiosteal abscess and discuss the management of acute mastoiditis with subperiosteal abscess in both child and adult.