Résumé
Preservation of facial nerve is a real challenge in parotidectomy. Total conservative parotidectomy and superficial parotidectomy are the commonly practised operations for parotid diseases. Twelve patients have undergone total conservative parotidectomy and 52 patients have undergone superficial perotidectomy with preservation of integrity and function of the facial nerve and its branches. Fifty-eight patients were suffering from neoplastic conditions of which 46 had pleomorphic adenoma, 7 had muco-epidermoid carcinoma, 3 had carcinoma ex-pleomorphic adenoma, and 2 had adenoid cystic carcinoma. Non-neoplastic conditions were seen in 6 cases of which 3 had chronic parotitis and 3 had congenital parotid fistula. The aim of the study was to observe the efficacy of preservation of facial nerve in parotidectomy done in 64 patients.
Sujets)
Adolescent , Adulte , Sujet âgé , Enfant , Lésions traumatiques du nerf facial/prévention et contrôle , Femelle , Études de suivi , Humains , Complications peropératoires/prévention et contrôle , Mâle , Adulte d'âge moyen , Procédures de chirurgie oto-rhino-laryngologique/méthodes , Maladies de la glande parotide/chirurgie , Glande parotide/innervation , Études prospectives , Résultat thérapeutiqueRésumé
Cut throat injuries and associated deaths are common in our society. Majority succumb to their injuries. In this study, the hospital records of twenty six such cases (13 M & 13 F) were reviewed. Eleven victims were in their third decade. Eighteen cases came from poor socio-economic class. Eleven had suicidal, eleven homicidal and four accidental injuries. Familial troubles, psychiatric illness and poverty were the triggering factors in suicidal attempts. The motives of homicide included political conflict, sex related crimes, dacoity, familial, land related disputes, etc. All had their hypopharynx and/or larynx exposed. Tracheostomy was done in fifteen cases. All but two had uneventful recovery. One died in the hospital due to hemorrhage, shock and asphyxia from aspirated blood. It was observed that appropriate measures could save lives in vast majority.
Sujets)
Accidents/statistiques et données numériques , Adolescent , Adulte , Répartition par âge , Sujet âgé , Bangladesh/épidémiologie , Enfant , Femelle , Homicide/statistiques et données numériques , Humains , Incidence , Mâle , Adulte d'âge moyen , Pharynx/traumatismes , Études rétrospectives , Facteurs socioéconomiques , Tentative de suicide/statistiques et données numériques , Taux de survie , Plaies pénétrantes/épidémiologieRésumé
Foreign bodies in the throat and/or neck are uncommon and transpharyngeal impaction of a wooden foreign body in the neck without vascular injury is very rare. The patient presented in this communication, reported to our center five days after severe physical assault with a pharyngocutaneous fistula in the left side of the neck. Clinical examination and X-rays were unremarkable. Conservative treatment led to healing of the fistula and he was discharged. Two weeks later he was readmitted with an abscess in the right supraclavicular region. Exploration under general anaesthesia revealed a 7 cm long wooden fragment of a spear in the abscess cavity. The fragment was removed. After several days' antibiotic treatment, he recovered fully and was discharged.