ABSTRACT
BACKGROUND: Midline cervical cleft is a very rare congenital anomaly. According to a literature search, until 2014 only 205 cases were reported. CASE PRESENTATION: We present a classic case of congenital midline cervical cleft. This was a case of a 3-year-old Middle Eastern boy. The lesion was excised and the defect was closed via multiple Z-plasties. CONCLUSIONS: Midline cervical cleft, although a rarity, when presented needs surgical treatment, which comprises surgical excision and closure that lessens the possibility of scar visibility and contracture.
Subject(s)
Branchial Region/abnormalities , Craniofacial Abnormalities , Neck , Pharyngeal Diseases , Plastic Surgery Procedures/methods , Branchial Region/diagnostic imaging , Branchial Region/surgery , Child, Preschool , Craniofacial Abnormalities/diagnostic imaging , Craniofacial Abnormalities/surgery , Humans , Magnetic Resonance Imaging/methods , Male , Neck/abnormalities , Neck/surgery , Pharyngeal Diseases/diagnostic imaging , Pharyngeal Diseases/surgery , Treatment OutcomeABSTRACT
Aims To evaluate the long term results of tongue base reduction with hyoepiglottoplasty as a surgical option in the treatment of severe obstructive sleep apnea. Material and Method Severe obstructive sleep apnea patients diagnosed as upper airway narrowing at the tongue base level were treated with transcervical tongue base reduction with hyoepiglottoplasty. Seven years after single stage multilevel surgery, the patients were reevaluated clinically, radiologically and polysomnographic records were taken. Preoperative, early postoperative and long-term postoperative parameters were compared to determine the success rate of the surgical technique. Results In the postoperative long-term follow-up Epworth sleepiness scale (ESS) scores were reduced to 4 and 6 respectively 2 months after surgery despite the initial values of 17 and 15. BMI were decreased from 29.7 and 27.9 kg/m(2) respectively to 26 and 24 kg/m(2). The apnea/hypopnea index (AHI) were reduced to 14.1 and 16.2 respectively from 68.6 and 83.83. O(2) nadir was 55 and 66% respectively and improved to 86 and 89%. Flexible nasopharyngoscopy revealed competent airway in both retropalatal and retroglossal level. Bed partners scored snoring as 2/10 and 4/10 corresponding to very mild and moderate. Daytime somnolence and witnessed apneic periods were completely disappeared in both patients. Conclusion Open tongue base resection with hyoepiglottoplasty is effective among all other surgical corrections of sleep apnea even after 7 years postoperatively.
ABSTRACT
BACKGROUND: Paranasal sinus metastasis following endometrial carcinoma is extremely rare and a reflection of disseminated disease. CASE: We report a case of a 72-year-old woman who presented ethmoid and sphenoid sinus metastasis, 14 months after total abdominal hysterectomy and bilateral salpingo-oophorectomy due to an endometrial clear cell carcinoma. CONCLUSION: One should recognize the possibility of a metastatic disease to the sinuses in patients presenting with associated symptoms.
