RESUMEN
The early diagnosis and treatment of tuberculous otitis media can prevent it from becoming irreversible and spread to other organs. Only 0.04% of chronic suppurative otitis medias are tuberculous origin, so that the index of suspicion is often low. The clinical signs of the disease have changed in recent years, making it more difficult to recognize and thus investigate for. False negatives for culture often occur, due both to the fastidious nature of the tuberculous bacilli, and other bacteria in the specimen interfering with the growth of bacilli. Recently, We experienced four cases of pathologically confirmed primary tuberculous otitis media without pulmonary involvement, so report these cases with review of literature.
Asunto(s)
Bacterias , Diagnóstico Precoz , Otitis Media , Otitis Media Supurativa , Otitis , TuberculosisRESUMEN
Verrucous carcinoma arising from the larynx is a specific clinical entity which is unfamiliar to many otolaryngologists. As judged by reported cases, the mucous membranes of the head and neck are sites of predilection. This lesion makes up approximately 1 to 4% of all laryngeal carcinoma. The biologic behavior of verrucous carcinoma of the larynx is characterized by warty appearance, slow growth, local invasion, scarcity of metastases and benign histology. Most authors prefer surgical treatment for patients with verrucous carcinoma. Radiation therapy appears to hold a higher risk of recurrence, anaplastic transformation of tumor. Recently, the authors have experienced two cases of verucous carcinoma originated from the larynx in old male patients. The two patients were treated by surgical excision.