ABSTRACT
A rare, elusive, mobile, pedunculated nasopharyngeal tumor in a neonate is described. The child was only intermittently symptomatic and the diagnosis was not made until 1 month of age.
Subject(s)
Hamartoma/diagnostic imaging , Nasopharyngeal Neoplasms/diagnostic imaging , Airway Obstruction/diagnostic imaging , Airway Obstruction/etiology , Female , Hamartoma/complications , Humans , Infant, Newborn , Nasopharyngeal Neoplasms/complications , RadiographyABSTRACT
Halitosis, or bad breath, is a universally experienced condition that is usually resolved by common practices of oral hygiene. Medical or dental evaluation is sought by many patients with halitosis of elusive etiology. The physician knowledgeable in the many causes of halitosis can appropriately diagnose and manage these cases.
Subject(s)
Halitosis/etiology , Adolescent , Adult , Aged , Child , Halitosis/microbiology , Halitosis/therapy , Humans , Hydrogen-Ion Concentration , Middle Aged , Mouth/microbiology , Mouth Diseases/complications , Nasopharynx/microbiology , Pharyngeal Diseases/complications , Pharyngeal Diseases/microbiology , Pharynx/microbiology , Saliva/microbiologySubject(s)
Fibrosarcoma/etiology , Head and Neck Neoplasms/radiotherapy , Hodgkin Disease/radiotherapy , Neoplasms, Radiation-Induced/etiology , Radiotherapy/adverse effects , Adolescent , Carcinoma, Papillary/etiology , Head and Neck Neoplasms/etiology , Humans , Male , Neoplasm Recurrence, Local , Thyroid Neoplasms/etiologySubject(s)
Cerebrospinal Fluid Otorrhea/therapy , Cerebrospinal Fluid Rhinorrhea/therapy , Drainage/methods , Adolescent , Adult , Cerebrospinal Fluid Otorrhea/etiology , Cerebrospinal Fluid Rhinorrhea/etiology , Craniocerebral Trauma/complications , Drainage/instrumentation , Female , Humans , Male , Middle Aged , Postoperative ComplicationsABSTRACT
Many patients requiring mechanical ventilatory support via a cuffed tracheostomy tube possess a normal larynx and intact linguistic and cognitive abilities yet are unable to communicate normally because of the interruption of airflow through the intact larynx. The usual alternative means of communication such as writing, gesturing, or the use of an electrolarynx have obvious limitations and are often impossible when there is neurologic motor impairment. Frustration, depression, and compromised medical care are frequent side effects of the patient's inability to communicate. An adapted speaking-aid tracheostomy tube has been available since 1975 for the patient requiring mechanical ventilatory support. However, acceptance and satisfaction with this aid to phonation have not been uniform and there have been few claims of consistent acquisition of phonation. Reasons for success or failure have been unclear. We wish to report experience with the single-cuffed tracheostomy "talk" tube in 19 patients, 14 of whom acquired satisfactory functional laryngeal phonation. Indications for its use, technical aspects of the tube, solutions of common problems, and potential reasons for failure are discussed.
Subject(s)
Intubation, Intratracheal , Phonation , Respiration, Artificial , Tracheotomy/instrumentation , Voice , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Speech IntelligibilitySubject(s)
Ear, External/abnormalities , Surgery, Plastic , Child , Ear, External/anatomy & histology , Ear, External/surgery , Female , Humans , Male , SuturesSubject(s)
Carotid Artery Diseases/etiology , Carotid Artery Injuries , Hemorrhage/etiology , Hypophysectomy/adverse effects , Paranasal Sinus Diseases/etiology , Sphenoid Sinus/surgery , Adult , Carotid Artery Diseases/surgery , Carotid Artery, Internal/surgery , Female , Hemorrhage/surgery , Humans , Ligation/methods , Male , Middle Aged , Paranasal Sinus Diseases/surgery , RuptureSubject(s)
Laryngeal Diseases , Adolescent , Arytenoid Cartilage/surgery , Cicatrix/complications , Cicatrix/surgery , Cricoid Cartilage/surgery , Female , Humans , Hyoid Bone/surgery , Intubation, Intratracheal/adverse effects , Laryngeal Diseases/diagnosis , Laryngeal Diseases/etiology , Laryngeal Diseases/surgery , Laryngoscopy , Larynx/injuries , MaleABSTRACT
A patient in whom multiple, familial, catecholamine-secreting head and neck paragangliomas and retroperitoneal pheochromocytomas were identified is reported. There were at least nine primary and possibly five recurrent neoplasms, the most reported in a single patient. In patients with family history of pheochromocytoma or paraganglioma or with multiple tumors, careful laboratory and angiographic studies are indicated to discover additional lesions.
