RESUMO
Orbital wall Reconstruction After Maxillectomy For Maxillary Malignancies Is Very Challenging For Surgeons. Preservation Of The Orbit Is A Current Trend In This Procedure In Order To Increase The Quality Of Life Of Patients. If The Patients Have Not Achieved A Proper And Adequate Rigid Frame Of The Orbital Floor After Maxillectomy, They Can Suffer From Enophthalmos, Diplopia, And/Or Decreased Vision. The Authors Report One Case Of Immediate Orbital Floor Reconstruction Using A Bioreabsorbable Panel And Titanium Mesh After Successful Suprastructure Maxillectomy. The Functional And Plastic Outcomes Of The Orbit Were Excellent 4 Years After Surgery, Without Complications or recurrence.
Assuntos
Humanos , Diplopia , Enoftalmia , Órbita , Plásticos , Qualidade de Vida , Recidiva , Cirurgiões , TitânioRESUMO
Injection laryngoplasty is a simple and noninvasive method for treating unilateral vocal cord paralysis. Lately hyaluronic acid is widely used as injection material, because it is spontaneously resolved after few months and can be injected superficially compared to other materials. However, if hyaluronic acid is injected in the superficial layer of lamina propria (Reinke's space), it can cause inflammation or granuloma, interrupt the vibration of the vocal cord and worsen the quality of voice. We here present a case of granuloma that occurred as a complication of injection laryngoplasty, where simple surgical method was employed to improve voice quality.
Assuntos
Granuloma , Ácido Hialurônico , Inflamação , Laringoplastia , Mucosa , Vibração , Paralisia das Pregas Vocais , Prega Vocal , Voz , Qualidade da VozRESUMO
Generally, the treatment of well-differentiated thyroid cancer is not difficult, but it is so with invasive cancer which invades the airway such as the tracheal or cricoid cartilage. In case of circumferential invasion of the trachea, resection and end-to-end anastomosis is preferred. In the less-than-half involvement of the trachea, conservative management such as sternocleidomastoid periosteal flap, or fenestration and staged closure is feasible. But in more-than-half the involvement of the trachea, these managements are usually not preferred. Authors describe a case of tracheal fenestration and the closure of a tracheal defect, which are not usually found in such of cases. Some techniques and their advantages are presented with a review of related articles.
Assuntos
Carcinoma , Cartilagem Cricoide , Procedimentos de Cirurgia Plástica , Glândula Tireoide , Neoplasias da Glândula Tireoide , TraqueiaRESUMO
Ramsay Hunt syndrome, associated with herpes zoster virus infection, typically involves facial nerve with vesicular lesions on the ear unilaterally. Frequently, the disease involves the VIII cranial nerve but rarely the III, IV, V, VI, IX, X, XI and XII cranial nerve, causing extraocular movement limitation, facial hypoesthesia, hoarseness, dysphagia, tongue movement limitation and neck weakness. Cranial neuropathies might be secondary to vasculopathy of arteries supplying the cranial nerves. Here, we report a case of Ramsay Hunt syndrome with multiple cranial nerve palsies and a brain stem lesion.
Assuntos
Artérias , Encéfalo , Tronco Encefálico , Doenças dos Nervos Cranianos , Nervos Cranianos , Transtornos de Deglutição , Orelha , Nervo Facial , Herpes Zoster da Orelha Externa , Herpesvirus Humano 3 , Soluço , Rouquidão , Hipestesia , Pescoço , LínguaRESUMO
24 cases of urinary fistulae which were admitted to The Department of Urology, Chonnam University Hospital, during the period from Sept. 1968 to Aug. 1971 were analyzed clinically. 1. 15 cases of all fistulae were in women and 9 in men. 2. The most common age was from 30~35 years with 50%. 3. The most commonly involved site was bladder with 66% and the most common fistula type was vesicovaginal fistula (40%). 4. The most common etiology of vesicovaginal fistula was obstetrical cause 5. 11 cases (44%) of all fistulas occurred after the operation.