RESUMO
The obstruction of nasolacrimal conduit system which produces epiphora can be caused by congenital anomalies, chronic dacryocystitis, after trauma and facial paralysis. Dacryocystorhinostomy is a popular procedure for adult nasolacrimal duct obstruction. But various methods are used for flap formation and plugging. We performed 23 cases of the dacryocystorhinostomy with two mucosal flap of "U" shape from August 1993 to August 1996. Anterior flap was formed of nasal mucosa, and posterior flap was formed of lacrimal sac. The posterior flap was retracted through the nasal cavity by 6-0 black silk instead of suturing. Vaseline gauze was used as a plugging agent. Epiphora disappeared in 21 (91.3%) of 23 cases.
Assuntos
Adulto , Humanos , Dacriocistite , Dacriocistorinostomia , Paralisia Facial , Doenças do Aparelho Lacrimal , Cavidade Nasal , Mucosa Nasal , Ducto Nasolacrimal , Vaselina , SedaRESUMO
Frey's syndrome is a fairly common sequelae of surgery, trauma and inflammation of the parotid gland. Some patients with Frey's syndrome may be socially compromised by their gustatory sweating and flushing. In the past three decades, a variety of surgical and pharmacological methods have been unsuccessful in alleviating these symptoms. And since misdirection of auriculotemporal secretomotor nerve fibers has been found to play an important role in the development of the syndrome, a study was initiated to attempt mechnical interference with regenerating nerve fibers. Therefore, the recent trend in management of Frey's syndrome has been the use of prophylactic procedures performed at the time of parotidectomy to prevent its symptoms postoperatively. An additional benefit of this approach is prevention of the typical cheek contour deformity after parotidectomy We reviewed our experience with interposition of a vascularized temporoparietal fascial flap between the parotid bed and overlying skin immediately after complete superficial parotidectomies to prevent Frey's syndrome and hollow contour defects. The result of seven consecutive attempts revealed it to be an effective technique, achieving both goals in all patients with minimal morbidity.
Assuntos
Humanos , Bochecha , Anormalidades Congênitas , Rubor , Inflamação , Fibras Nervosas , Glândula Parótida , Pele , Sudorese GustativaRESUMO
Malignant lymphoma is a neoplastic proliferation of cells in the lymphoreticular system and deviled largely as Hodgkin's disease and non-Hodgkin's lymphoma. Non-Hodgkin's lymphoma occurs primarily in lymph nodes and is rare found in extralymphatic organs. The most frequently affected extranodal sites area head and neck, gastrointestinal tract, followed by bladder, skin, brain, eye and bone. Primary lymphomas arising in salivary glands are very uncommon. Lymphomas in salivary glands represented 1.7 ~ 5% of all reported salivary neoplasms. Recently authors experienced one case of primary malignant lymphoma in carotid gland and report that with a brief review of literature.
Assuntos
Encéfalo , Trato Gastrointestinal , Cabeça , Doença de Hodgkin , Linfonodos , Linfoma , Linfoma não Hodgkin , Pescoço , Glândula Parótida , Glândulas Salivares , Pele , Bexiga UrináriaRESUMO
No abstract available.
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No abstract available.
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No abstract available.