ABSTRACT
An unusual case of cervicofacial actinomycosis presenting as acute upper airway obstruction and demanding urgent tracheostomy is reported. Diagnosis was established by microscopic examination of the pus and culture of Actinomyces israelii. Repeated surgical drainage of the purulent foci and prolonged treatment with penicillin obtained resolution of the disease. Clinicians dealing with acute head and neck swellings should always consider actinomycosis as a possible diagnosis.
Subject(s)
Actinomycosis, Cervicofacial/complications , Airway Obstruction/microbiology , Actinomyces/isolation & purification , Actinomycosis, Cervicofacial/surgery , Aged , Airway Obstruction/surgery , Female , Humans , TracheostomyABSTRACT
Adult-type rhabdomyoma is a rare benign tumor which occurs mainly in the head and neck region of middle-aged patients. We present a case of rhabdomyoma of the submandibular region. Clinical and histologic features are discussed as well as differential diagnosis and proper treatment. Finally, all previous reports of adult rhabdomyoma cases are reviewed.
Subject(s)
Rhabdomyoma , Submandibular Gland Neoplasms , Cell Nucleus/ultrastructure , Cytoplasm/ultrastructure , Humans , Male , Middle Aged , Rhabdomyoma/pathology , Submandibular Gland Neoplasms/pathology , Vacuoles/ultrastructureABSTRACT
A patient with multiple, synchronous, non-familial head and neck paragangliomas is reported. There were three primary neoplasms, a glomus tympanicum and glomus vagale on the right side and a glomus tumour of the carotid body on the left. Such a combination has never been reported previously. The reports of all the series with paragangliomas in the literature, as well as the reports of single cases with multiple tumours during the last three decades, are reviewed. Specific problems in diagnosis and management of multiple glomus tumours are discussed.
Subject(s)
Glomus Tumor/diagnosis , Neoplasms, Multiple Primary/diagnosis , Adult , Carotid Body Tumor/diagnosis , Cranial Nerve Neoplasms/diagnosis , Ear Neoplasms/surgery , Ear, Middle , Female , Glomus Tumor/surgery , Humans , Paraganglioma/diagnosis , Tomography, X-Ray Computed , Vagus NerveABSTRACT
A case of trichinosis of the laryngeal muscles which was discovered accidentally during total laryngectomy for cancer of the larynx is presented. Trichinosis is a rare parasitic disease, particularly for the ENT specialist. It is difficult to identify during life. No specific treatment is available. In our case it is suggested that the chronic irritation of the larynx may have resulted in the growth of the cancer.
Subject(s)
Carcinoma, Squamous Cell/parasitology , Laryngeal Muscles/parasitology , Laryngeal Neoplasms/parasitology , Trichinella/isolation & purification , Trichinellosis/complications , Animals , Humans , Male , Middle AgedABSTRACT
A new material, the wax paper enveloping the Fucidin gauze which is routinely used to pack the nose post-operatively, was utilized in 120 cases considered as 'high-risk' for the formation of post-operative nasal adhesions. This proved to be an inexpensive, simple and effective method when the prevention of the formation of nasal adhesions was the primary goal.
