RESUMO
Cysts of the salivary gland are non-neoplastic, localized lesions of the duct system. They form about 6 % of lesions of the salivary glands. Mucoceles represent more than 70% of the salivary cysts and usually arise from minor salivary glands; however, major salivary glands, especially the sublingual glands, may also be involved. Characteristically, mucoceles consist of a soft fluctuant bluish or translucent swelling which contain mucus, varying in size. They are most commonly found on the lower lip, but may also occur on the buccal mucosa, floor of the mouth, palate, upper lip, and tongue. They are found in all age groups but are most frequent in children and young adults. There are two types of mucoceles-one in which mucus has extravasated into the tissues (extravasation cyst) and one which is lined with epithelium (retention cyst). Recently, we experienced an unusual case of huge extravasation mucocele arising from the submandibular gland. The mucocele and submandibular gland were completely excised surgically, which were confirmed by computed tomographic scanning and histopathologic examination.
Assuntos
Criança , Humanos , Adulto Jovem , Epitélio , Lábio , Boca , Mucosa Bucal , Mucocele , Muco , Palato , Glândulas Salivares , Glândulas Salivares Menores , Glândula Sublingual , Glândula Submandibular , LínguaRESUMO
BACKGROUND AND OBJECTIVES: Esophageal foreign bodies are very common problems in the field of pediatric otolaryngology department. Of all, coins are the most common esophageal foreign bodies encoutnered. Management of the child with an esophageal coin is as follows: rigid esophagoscopic removal under general anesthesia, flexible endoscopic removal, Foley's catheter technique with or without fluoroscopy control, and advancement using bougination. This study is to evaluate the safety and efficiency of the procedure of removing coins from the esophagus in children using Foley's catheter without fluoroscopic control. MATERIALS AND METHODS: The subjects consisted of 101 children with coin lodgement in the first esophageal constrictor area who had been managed with Foley's catheter extraction method from April 1993 through February 1999 at Masan samsung hospital, Masan, Korea. A retrospective review of charts and radiological findings was performed. RESULTS: Of the 101 children who underwent Foley's catheter extraction method, 93 cases (92.1%) were successful without serious complications; but three attempts were unsuccessful and were subsequently removed by rigid esophagoscopy under general anesthesia. CONCLUSIONS: Foley's catheter extraction method may be used for removal of esophageal coins in selected cases, even without fluoroscopic control. The technique is effective, safe and avoids the risk of general anesthesia or radiation exposure.
Assuntos
Criança , Humanos , Anestesia Geral , Catéteres , Esofagoscopia , Esôfago , Fluoroscopia , Corpos Estranhos , Coreia (Geográfico) , Numismática , Otolaringologia , Estudos RetrospectivosRESUMO
BACKGROUND AND OBJECTIVES: Tuberculous otitis media is not commonly found nowadays, and therefore, the index of suspicion is often low. However, once contracted, it can cause significant morbidities, such as profound hearing loss, labyrinthitis, facial nerve palsy and so on, if early diagnosis and treatment are not performed. MATERIALS AND METHODS: In the chronic otitis media patients who visited Masan Samsung Hospital from Jan. 1993 to Jan. 1996, 37 cases of pathologically proven tuberculous otitis media were retrospectively reviewed. And temporal bone computerized tomography (TBCT) of 14 cases of tuberculous otitis media were compared to those of chronic suppurative otitis media and choronic otitis media with cholesteatoma. RESULTS: 1) Classic clinical findings of the disease such as multiple perforation, painless otorrhea, young age are not consistent with the clinical findings reviewed here. 2) Unexpectedly severe hearing loss, facial paralysis, eroded malleus handle, polypoid granulation or necrotic debris in middle ear cavity were significant clinical features. 3) In TBCT findings, soft tissue density in the entire middle ear cavity, soft tissue density extension to superior external auditory canal, poor sclerotic change of mastoid air cell were more common than other types of chronic otitis media. 4) Most of cases were confirmed by operative specimen pathologically. 5) Delayed healing of postoperative wound and formation of granulation tissue suggested tuberculous otitis media. 6) Antituberculous chemotherapy provided effective means of treatment. CONCLUSION: Early diagnosis by pathologic examination of biopsied tissue obtained at OPD was mandatory to avoid complication and postoperative morbidity. Postoperative specimen obtained from middle ear surgery must be confirmed pathologically.
Assuntos
Humanos , Colesteatoma , Citocromo P-450 CYP1A1 , Tratamento Farmacológico , Meato Acústico Externo , Orelha Interna , Orelha Média , Diagnóstico Precoce , Nervo Facial , Paralisia Facial , Tecido de Granulação , Perda Auditiva , Labirintite , Martelo , Processo Mastoide , Otite Média , Otite Média Supurativa , Otite , Paralisia , Estudos Retrospectivos , Osso Temporal , Ferimentos e LesõesRESUMO
No abstract available.