Guttural lipoma: 1 case report / 临床耳鼻咽喉头颈外科杂志

This paper reports a case of female patient with throat discomfort and coughs for several months. She was discovered by laryngoscopy with a pale yellow lump in the left aryepiglottic fold and pyriformin with the size of 2.0 cm x 1.6 cm. MRI fat suppression sequence exhibited low signal, and the lump was removed by laryngoscope surgery under general anesthesia. Pathological examination showed lipoma. Five years postoperative, her throat discomfort reappeared the laryngoscopy examination showed a pale yellow lump with the size of 2.0 cm x 1.0 cm in the front wall of left side of pyriform. Her MRI fat suppression sequence exhibited low signal again, and the lump was removed by laryngoscope surgery under general anesthesia. Pathological examination showed lipoma and immunohistochemistry proved S100 positive. The patient was discharged a week postoperative and no recurrence was found in the follow up visits in the following year.

Comparing between CAUP and UPPP in treatment of OSAHS / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To evaluate the prospective effect of CAUP and applying midline partial glossectomy with UPPP in the treatment of OSAHS.@*METHOD@#One hundred OSAHS patients were distributed into two groups averagely. The patients of the two groups had CAUP and midline partial glossectomy respectively. All patients were followed-up 6 months and 12 months after operation and carried out using PSG every time.@*RESULT@#Therapeutic effect was evaluated by standard of Hangzhou (2002). In general, in 6 months, curative effect was excellent in 41 patients of the group of CAUP, good in 8 patients with effect, bed effect in 1 patients; in 12 months, it was excellent in 28 patients, good in 13 patients, bed in 9 patients. In 6 months, the curative effect the other group were excellent in 44 patients, good in 5 patients, bed in 1 patients; In 12 months, it was excellent in 43 patients , good in 6 patients, bed in 1 patients. In 6 month, the results showed that the effect of the two methods was similar (P > 0.05), but in 12 months the effect of group of CAUP was better than the other obviously (P < 0.01).@*CONCLUSION@#This operation could enlarge the narrow area of palatopharyngeal cavity effectively and decrease postoperative complications. It's a safe effective and acceptable surgical procedure.