Subject(s)
Carotid Artery Diseases , Surgeons , Carotid Artery, Internal , Humans , Inflammation , PainSubject(s)
Bone Neoplasms/diagnosis , Ethmoid Bone/pathology , Fibroma, Ossifying/diagnosis , Skull Neoplasms/diagnosis , Bone Neoplasms/surgery , Diagnosis, Differential , Ethmoid Bone/surgery , Fibroma, Ossifying/surgery , Gadolinium , Humans , Incidental Findings , Magnetic Resonance Imaging/methods , Male , Middle Aged , Skull Neoplasms/surgery , Tomography, X-Ray Computed/methods , Watchful WaitingABSTRACT
The management of hypervascular ENT tumors is usually complex and requires a multidisciplinary approach because of the risk of serious intra-operative bleeding and of potential injuries to cranial nerves and/or large cervical vessels. Over the last four decades, advances in neuro-interventional radiological procedures have produced a range of adjunctive endovascular techniques in addition to conventional surgery. A pictorial essay in ENT specialty is presented in this article highlighting the most relevant innovations in interventional radiology.
Subject(s)
Otolaryngology , Radiology, Interventional , Hemorrhage/therapy , Humans , Ophthalmic Artery , Retinal Neoplasms/drug therapy , Retinoblastoma/drug therapy , Tinnitus/therapySubject(s)
Granuloma, Plasma Cell/diagnosis , Laryngoscopy , Nose Diseases/diagnosis , Orbital Pseudotumor/diagnosis , Aged , Biopsy , Diagnosis, Differential , Gadolinium , Granuloma, Plasma Cell/surgery , Humans , Magnetic Resonance Imaging/methods , Male , Nasal Surgical Procedures/methods , Nose Neoplasms/diagnosis , Ophthalmologic Surgical Procedures/methods , Orbital Pseudotumor/surgery , Tomography, X-Ray Computed/methods , Treatment OutcomeABSTRACT
INTRODUCTION: Mastoid osteoma is a rare benign tumour. In this article, the authors report two new cases of mastoid osteoma and discuss the modalities of diagnosis and management. CASE REPORTS: Both patients presented with a retroauricular mass that had been slowly increasing in size over several years. The patients consulted for the cosmetic deformity induced by the lesion or moderate tenderness. The diagnosis was based on the clinical presentation and non-contrast CT. The osteoma was surgically resected in one patient. DISCUSSION/CONCLUSION: Mastoid osteoma is a rare, slowly growing, and usually asymptomatic benign tumour. Diagnosis is based on clinical findings and CT. Surgery is indicated for symptomatic or cosmetically unacceptable osteomas.
Subject(s)
Bone Neoplasms/pathology , Mastoid/pathology , Osteoma/pathology , Adult , Bone Neoplasms/surgery , Female , Humans , Mastoid/surgery , Middle Aged , Osteoma/surgery , Tomography, X-Ray ComputedABSTRACT
Osteomas of the temporal bone are benign osseous tumors usually located to the external auditory canal. Osteomas involving the middle ear are very rare. We report the case of a patient presenting with a progressive hearing loss caused by a middle ear osteoma involving the incus and contiguous to the tympanic segment of the facial nerve. This report highlights the value of CT scan in the work-up of conductive or mixed hearing loss with normal tympanic membrane. The management of middle ear osteoma is discussed.
Subject(s)
Ear Neoplasms/diagnostic imaging , Hearing Loss, Conductive/etiology , Incus/diagnostic imaging , Osteoma/diagnostic imaging , Stapes/diagnostic imaging , Tympanic Membrane , Adult , Audiometry , Ear Neoplasms/complications , Ear Neoplasms/pathology , Ear Neoplasms/surgery , Ear Ossicles/diagnostic imaging , Female , Humans , Incus/pathology , Incus/surgery , Neoplasm Invasiveness , Osteoma/complications , Osteoma/pathology , Osteoma/surgery , Otologic Surgical Procedures , Stapes/pathology , Stapes Surgery , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Arachnoid granulations play a role in CSF drainage. They are primarily located adjacent to cerebral venous sinuses. They may arise on a bony surface causing progressive bony erosion. We report two cases of arachnoid granulations eroding the posterior wall of the temporal bone. The aim of this paper was to illustrate the clinical presentation, and the imaging findings of arachnoid granulation of the posterior wall of the temporal bone. They remain asymptomatic in most cases, but they might cause a communication between the subarachnoid space and mastoid air cells, increasing the risk of bacterial meningitis, subdural empyema, and other intracranial infections. Differential diagnoses are also described, including endolymphatic sac tumours.
Subject(s)
Arachnoid/abnormalities , Temporal Bone/pathology , Arachnoid/pathology , Female , Humans , Magnetic Resonance Imaging , Middle AgedABSTRACT
OBJECTIVE: To present a case of squamous cell carcinoma developed on a thyroglossal duct cyst in an adult patient. Modalities of treatment and prevention are discussed. PATIENT AND METHODS: A 55-year-old woman had a thyroglossal duct cyst since childhood. Surgical resection had not been performed because of parental refusal. RESULTS: Diagnosis of malignant degeneration was suggested by an increase in volume associated with cervical pain. Surgery was incomplete because of carotid artery and laryngeal involvement. Postoperative radiotherapy was given. At two years follow-up, local progression was controlled by palliative chemotherapy. DISCUSSION: For most authors, the risk of recurrent infections is the main reason for surgical resection of a thyroglossal duct cyst during childhood. The risk of malignant degeneration is generally not put forward. It is rather uncommon for carcinoma to develop on a thyroglossal duct cyst. The risk is probably underestimated because surgery is generally performed early in childhood. CONCLUSION: This observation of malignant degeneration emphasizes the importance of surgical resection of thyroglossal duct cysts during childhood. We discuss treatment in the event of malignant degeneration.
