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2.
J Int Med Res ; 49(4): 300060521999765, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33853437

ABSTRACT

Thyroglossal duct cyst (TGDC) is a congenital neck malformation, with a rate of approximately 7% in paediatric patients. TGDC is rarely detected in infants aged younger than 1 year. Even though TGDC is histologically benign, it is associated with preterm delivery or sudden infant death due to airway obstruction, with a mortality rate of 30% to 40%. We report a rare case of a neonate who presented with a large left lateral neck mass. At 7 to 8 months of gestation, magnetic resonance imaging of the foetal neck showed that there was a high possibility of a cervical cystic lymphangioma. The patient had normal vital signs and was afebrile. She was immediately transferred to our Ear, Nose, and Throat Department for further diagnosis and treatment. A computed tomography scan confirmed a large cystic mass that was positioned against a thyroglossal duct. Excision of the mass in the left neck was performed under general anaesthesia without resecting part of the hyoid bone. A histopathological examination confirmed the diagnosis of a TGDC. Follow-up at 1 year showed no recurrence.


Subject(s)
Lymphangioma, Cystic , Thyroglossal Cyst , Aged , Child , Female , Humans , Hyoid Bone , Infant , Infant, Newborn , Lymphangioma, Cystic/diagnostic imaging , Lymphangioma, Cystic/surgery , Neck/diagnostic imaging , Neck/surgery , Neoplasm Recurrence, Local , Thyroglossal Cyst/diagnostic imaging , Thyroglossal Cyst/surgery
3.
Pan Afr Med J ; 36: 382, 2020.
Article in English | MEDLINE | ID: mdl-33235659

ABSTRACT

Benign tracheal stenosis mainly appears due to tracheotomy, tuberculosis, trauma, benign tumor, or ventilation. With the increase in the number of tracheotomies and the prolongation of the life span of patients after incision, the long-term complications after tracheotomy gradually increase, among which intratracheal granulation hyperplasia is a more serious complication. The present case describes a 59-year-old male with granulation tissue hyperplasia induced by tracheotomy. He underwent tracheal resection to remove the granulation tissue and he remained well after the follow-up. Even though the endoscopic intervention and tracheal resection are readily accessible, they usually quite challenging. Here we summarize the present details on this condition.


Subject(s)
Catheter Ablation/methods , Endoscopy/methods , Granulation Tissue/surgery , Postoperative Complications/surgery , Tracheal Stenosis/surgery , Catheter Ablation/instrumentation , Electrodes , Endoscopy/instrumentation , Granulation Tissue/pathology , Humans , Hyperplasia/pathology , Hyperplasia/surgery , Intubation, Intratracheal/instrumentation , Intubation, Intratracheal/methods , Male , Middle Aged , Reoperation/methods , Trachea/pathology , Trachea/surgery , Tracheal Stenosis/etiology , Tracheostomy/instrumentation , Tracheostomy/methods , Tracheotomy/adverse effects
4.
Pan Afr Med J ; 37: 209, 2020.
Article in English | MEDLINE | ID: mdl-33505577

ABSTRACT

Pleomorphic adenomas are benign salivary gland tumours that mostly affect the superficial lobe of the parotid gland. They are commonly found incidentally as rigid, unilateral, painless masses, growing gradually. Ninety percent of pleomorphic adenomas occur in the parotid gland, while 10% appear in minor salivary glands. The incidence of the parotid tumour is 2.4 in 10,000 per year. We describe the case of a 53-year-old woman presenting with a gradually growing retroauricular mass on the left side of the ear. Radiographic imaging and histopathological findings suggested a pleomorphic adenoma of the parotid gland. The tumour was removed and the patient recovered well upon follow-up.


Subject(s)
Adenoma, Pleomorphic/diagnosis , Parotid Neoplasms/diagnosis , Adenoma, Pleomorphic/pathology , Adenoma, Pleomorphic/surgery , Female , Follow-Up Studies , Humans , Middle Aged , Parotid Neoplasms/pathology , Parotid Neoplasms/surgery , Radiography
5.
Pan Afr Med J ; 37: 163, 2020.
Article in English | MEDLINE | ID: mdl-33425196

ABSTRACT

Assessing the cause, severity of bleeding and strategies to control bleeding is crucial. We describe a rare case of a patient who was presented with epistaxis and left ear haemorrhage, as a probable complication of a ruptured internal carotid artery pseudoaneurysm. The massive haemorrhage compelled blood transfusion and clinical intervention. The diagnosis of internal carotid artery (ICA) pseudoaneurysm measuring 2.9 cm x 3.7 cm was concluded by computed tomography. Several coils were used to embolize the internal carotid artery pseudoaneurysm and arrest the bleeding with the guidance of an angiography. Coiling the pseudoaneurysm is highly recommended. Yet, the best methods to completely treat aneurysm are still in question. After the clinical intervention, the patient remained symptom-free and no episodes of bleeding were noted.


Subject(s)
Aneurysm, False/diagnosis , Carotid Artery, Internal/pathology , Embolization, Therapeutic/methods , Hemorrhage/etiology , Aged , Aneurysm, False/complications , Aneurysm, False/therapy , Angiography , Blood Transfusion/methods , Ear Canal , Epistaxis/etiology , Female , Hemorrhage/therapy , Humans , Tomography, X-Ray Computed
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