ABSTRACT
Indirect inspection of the airway using a 70 degrees rigid laryngoscope plus a flexible nasal fiberoptic scope can provide additional information when the anesthesiologist foresees that airway management will be difficult. These devices are useful for detecting structural abnormalities, they can be attached to the same visualization system, and they do not require topical anesthesia or sedation of the patient. We report on 3 patients diagnosed with difficult airway. Inspection with a rigid laryngoscope during the preanesthetic assessment visit revealed abnormalities that prevented visualization of the glottis. In the first case, the epiglottis was absent, as it had been removed with a surrounding tumor; in the second and third cases, an epiglottic deformity and hypertrophy of the base of the tongue were found. A flexible nasal fiberoptic scope gave an unobstructed view of the glottis in these cases, making it easier to choose an intubation method.
Subject(s)
Airway Obstruction/diagnosis , Fiber Optic Technology/instrumentation , Laryngoscopes , Otolaryngology/instrumentation , Preoperative Care/methods , Aged , Airway Obstruction/etiology , Biopsy , Epiglottis/pathology , Epiglottis/surgery , Female , Humans , Hypertrophy , Intubation, Intratracheal , Male , Middle Aged , Overweight/complications , Pharyngeal Neoplasms/surgery , Postoperative Complications/pathology , Pyriform Sinus/pathology , Spinal Cord Compression/surgery , Tongue/pathology , Tongue/surgery , VitrectomyABSTRACT
La exploración de los pacientes con criterios de dificultaden el manejo de la vía aérea puede ser ampliadacon la realización de una laringoscopia indirecta utilizandoel laringoscopio rígido de 70º y el nasofibroscopioflexible. Son útiles para detectar anomalías estructurales,se acoplan al mismo sistema de visualización y noprecisan anestesia tópica ni sedación de los pacientes.Presentamos 3 pacientes diagnosticados de vía aéreadifícil, a los que se les realizó en la consulta de valoraciónpreanestésica una laringoscopia con el laringoscopiorígido. Se observó en el primero la falta de epiglotis,en el segundo una deformidad epiglótica y en el tercerouna hipertrofia de la base de la lengua, anormalidadesque impedían la visión de la glotis. Se les practicó unalaringoscopia con el nasofibroscopio flexible que permitióobservar la glotis sin obstáculos. La visión completade la vía aérea facilitó la elección del método de intubación(AU)
Indirect inspection of the airway using a 70° rigidlaryngoscope plus a flexible nasal fiberoptic scope canprovide additional information when the anesthesiologistforesees that airway management will be difficult. Thesedevices are useful for detecting structural abnormalities,they can be attached to the same visualization system, andthey do not require topical anesthesia or sedation of thepatient. We report on 3 patients diagnosed with difficultairway. Inspection with a rigid laryngoscope during thepreanesthetic assessment visit revealed abnormalities thatprevented visualization of the glottis. In the first case, theepiglottis was absent, as it had been removed with asurrounding tumor; in the second and third cases, anepiglottic deformity and hypertrophy of the base of thetongue were found. A flexible nasal fiberoptic scope gavean unobstructed view of the glottis in these cases, makingit easier to choose an intubation method(AU)
Subject(s)
Humans , Male , Female , Middle Aged , Laryngoscopes , Epiglottis/abnormalities , Laryngoscopy , Anesthesia, General , Risk Factors , Intubation/instrumentation , Intubation , Laryngoscopes/classification , Laryngoscopes/trendsSubject(s)
Airway Obstruction/diagnosis , Intubation, Intratracheal/methods , Laryngoscopy/methods , Preoperative Care/methods , Airway Obstruction/etiology , Carcinoma, Squamous Cell/drug therapy , Carcinoma, Squamous Cell/radiotherapy , Carcinoma, Squamous Cell/surgery , Combined Modality Therapy , Humans , Laryngoscopes , Male , Middle Aged , Mouth Neoplasms/surgery , Severity of Illness Index , Tongue/surgery , Tonsillar Neoplasms/drug therapy , Tonsillar Neoplasms/radiotherapy , Tonsillar Neoplasms/surgery , TonsillectomyABSTRACT
We performed a prospective study over 19 patients to evaluate the efficacy of the Epley's particle repositioning maneuver for treatment of the benign paroxysmal positional vertigo (BPPV), 78.9% were cured through this procedure, so we find this method as very useful for improving the BPPV.
Subject(s)
Posture , Vertigo/therapy , Adult , Aged , Female , Humans , Male , Middle Aged , Prospective StudiesABSTRACT
The goal of the present work is to present a review about the main pharmacological groups that are actually used in the treatment of dizziness.
Subject(s)
Vertigo/drug therapy , HumansABSTRACT
The aim of this work is to highlight the significance on features more frequent of the troubles of the balance and vestibular system in our environment. Also we present a statistic about the symptomatology, on the results of vestibular examination and the diagnoses of a series of patients, of all ages, suffering vertigo, and studied in our department.
Subject(s)
Vertigo/diagnosis , Vestibule, Labyrinth/physiopathology , Adolescent , Adult , Aged , Aged, 80 and over , Child , Chronic Disease , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Vertigo/physiopathology , Vestibular Function Tests/methods , Vestibular Function Tests/statistics & numerical dataABSTRACT
25 patients with epidermoid carcinoma of the larynx underwent staging of cervical adenopathies by magnetic resonance imaging (MRI). All patients subsequently underwent neck dissection. The MRI results were compared with the histopathological findings ans those gained through previous palpation. MRI correctly staged 54.1% of patients with a sensitivity of 66% and a specificity of 74%.
Subject(s)
Carcinoma, Squamous Cell/pathology , Laryngeal Neoplasms/pathology , Larynx/pathology , Magnetic Resonance Imaging , Neoplasm Metastasis , Adult , Aged , Functional Laterality , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
This paper deals with a retrospective analysis of 162 patients with glottic cancer treated in our ENT-Department using vertical partial laryngectomies (cordectomy and partial surgery with cartilage resection. PSCR). The term of study comprise from 1975 till 1991. In this interval were performed 118 cordectomies and 44 partial laryngectomies including cartilage resection. The parameters considered were: clinical onset, tumor sitting, TNM and pTNM classification, histopathological findings and treatment and survival and recurrence rates at 5 years, as well.
Subject(s)
Carcinoma/surgery , Glottis/pathology , Glottis/surgery , Laryngeal Neoplasms/surgery , Laryngectomy , Adult , Aged , Carcinoma/pathology , Carcinoma/radiotherapy , Female , Humans , Laryngeal Neoplasms/pathology , Male , Middle Aged , Neoplasm Recurrence, Local , Postoperative Complications , Retrospective Studies , Voice DisordersABSTRACT
We report a retrospective study about 80 myringoplasties performed on 75 patients. The single occlusive myringoplasty technique was undergone in 33.7 percent of cases, while the tympanomeatal flap procedure was used in 66,2 percent. The grafted material was temporal muscle fascia (63.7%) or tragus perichondrium (36.2%). In 30 percent of instances some retouches were achieved on the ossicular chain. The anatomic success rate accounted for 67.5% and a good functional issues for 59.7% of cases.
Subject(s)
Myringoplasty , Adolescent , Adult , Female , Hearing Loss, High-Frequency/etiology , Humans , Male , Middle Aged , Postoperative Complications , Retrospective Studies , Sex Factors , Tympanic Membrane Perforation/etiologyABSTRACT
We present the follow-up and end results of 98 horizontal supraglottic laryngectomies done for treatment of supraglottic carcinomata. Both functional and oncologic outcome as well the complications and 5-year survival of these laryngectomies are considered. We conclude that this surgical technique is a suitable one for the larger part of supraglottic carcinomas.
Subject(s)
Carcinoma, Squamous Cell/pathology , Carcinoma, Verrucous/pathology , Glottis/pathology , Laryngeal Neoplasms/pathology , Larynx/pathology , Carcinoma, Squamous Cell/surgery , Carcinoma, Verrucous/surgery , Follow-Up Studies , Glottis/surgery , Humans , Laryngeal Neoplasms/surgery , Laryngectomy , Larynx/surgery , Male , Middle Aged , Neoplasm Invasiveness , Neoplasm Recurrence, Local , Postoperative Complications , Retrospective StudiesABSTRACT
Pharyngocele is a lateral pharyngeal wall herniation located in the pyriform recess or at the vallecula. It is a rare condition and the patient complains of dysphagia, lateral cervical mass which increases in size with the Valsalva maneuver, and other symptoms of the upper digestive way. The elective diagnostic study is pharyngoesophageal swallow. We present the case report of a patient who had acute respiratory failure due to supraglottic mass occupation. The explorations are discussed and the case report is compared with those few reported in the literature.
Subject(s)
Pharyngeal Diseases/diagnosis , Respiratory Insufficiency/etiology , Adult , Deglutition Disorders/etiology , Humans , Laryngoscopy , Male , Pharyngeal Diseases/complications , Pharyngeal Diseases/surgery , Respiratory Insufficiency/surgery , Tracheotomy , Zenker Diverticulum/etiology , Zenker Diverticulum/physiopathologyABSTRACT
Reporting a prostatic adenocarcinoma case which first manifestation was an osteogenic metastasis of the mandible. This is a very interesting event because of its unusual localization. Latest literature is reviewed.
Subject(s)
Adenocarcinoma/diagnosis , Adenocarcinoma/pathology , Mandible/pathology , Mandibular Neoplasms/secondary , Prostate/pathology , Prostatic Neoplasms/diagnosis , Prostatic Neoplasms/pathology , Aged , Bone Neoplasms/secondary , Cervical Vertebrae/pathology , Female , Humans , Magnetic Resonance Imaging , Male , Neoplasm Invasiveness , Neoplasm Metastasis , Uterine Cervical Neoplasms/secondaryABSTRACT
Adenomatoid hyperplasia of minor salivary glands in an uncommon clinicopathologic entity, first reported, in 1971, by Giansanti and cols. The condition mimics a neoplasm because of its swelling, but the histologic picture agrees with that of normal appearing salivary gland tissue. The interest of this entity is that although benign pseudotumoral lesion, it can be clinically confused with benign or malignant tumors and even, through fine needle aspiration cytology, with low grade mucoepidermoid tumors. We present one case of this condition arising in the soft palate in a patient with unilateral serous otitis media. A review of the published literature on the subject is done.
Subject(s)
Adenomatoid Tumor/pathology , Salivary Glands, Minor/pathology , Adenomatoid Tumor/diagnosis , Adenomatoid Tumor/ultrastructure , Adult , Diagnosis, Differential , Humans , Male , Salivary Gland Neoplasms/diagnosis , Salivary Glands, Minor/ultrastructureABSTRACT
In this paper a case report of a tonsillar cavernous Hemangioma is presented. A review of the literature about oropharyngeal vascular lesions is done and their diagnosis, classification and its treatment is discussed.
Subject(s)
Hemangioma, Cavernous/pathology , Liver Neoplasms/pathology , Liver/pathology , Palatine Tonsil/pathology , Functional Laterality , Hemangioma, Cavernous/drug therapy , Humans , Lasers , Liver Neoplasms/diagnosis , Male , Middle Aged , Neodymium/therapeutic useABSTRACT
We present a case of Amyloidosis of the oral cavity associated to multiple mieloma, with otolaryngological symptom. Review of structural characterization of the disease, its pathogenesis and clinical disorders when displayed in thyroid, oral cavity and upper respiratory tract.
Subject(s)
Amyloidosis/complications , Multiple Myeloma/complications , Multiple Myeloma/pathology , Tongue/pathology , Amyloidosis/diagnosis , Amyloidosis/physiopathology , Biopsy, Needle , Female , Humans , Larynx/physiopathology , Middle Aged , Multiple Myeloma/diagnosis , Paranasal Sinuses/physiopathology , Serum Amyloid A Protein , Thyroid Gland/physiopathology , Tongue/ultrastructureABSTRACT
Non-Hodgkin Lymphoma is an infrequent tumor at the paranasal sinuses site, representing no more than 5.8 to 8 percent of the entire malignant neoplasias in this localization. Clinical manifestations are insignificant and the definitive diagnosis comes through its pathological study. Treatment is fundamentally radiotherapy, either isolated or in association to polychemotherapy. Its prognosis use to be better than that of those lymphomas arising in Waldeyer's area. In this paper a case of a primary lymphoma of the maxillary antrum is reported and the literature about this condition is reviewed.
Subject(s)
Lymphoma, Non-Hodgkin/pathology , Maxillary Sinus Neoplasms/pathology , Maxillary Sinus/pathology , Combined Modality Therapy , Diagnosis, Differential , Drug Therapy , Humans , Lymphoma, Large B-Cell, Diffuse/diagnosis , Lymphoma, Large B-Cell, Diffuse/pathology , Lymphoma, Non-Hodgkin/diagnosis , Lymphoma, Non-Hodgkin/therapy , Male , Maxillary Sinus Neoplasms/therapy , Middle Aged , Neoplasm Invasiveness/pathology , RadiotherapyABSTRACT
A case report of a feminine patient who complained of nasal ventilatory obstruction and nasosinusal polyposis is presented. She underwent surgery and the pathological study revealed the existence of an aggressive fibromatosis. The AA. review the literature dealing with this illness and explain an update state of the clinical features, treatment and the course of this rare entity, closely related to fibrosarcoma.
Subject(s)
Fibromatosis, Aggressive/diagnosis , Diagnosis, Differential , Female , Fibromatosis, Aggressive/complications , Fibromatosis, Aggressive/pathology , Fibrosarcoma/diagnosis , Humans , Maxillary Sinus/cytology , Maxillary Sinus/pathology , Maxillary Sinus/surgery , Middle Aged , Nasal Polyps/complications , Nasal Polyps/pathology , Nasal Polyps/surgery , Respiratory Insufficiency/diagnosis , Respiratory Insufficiency/etiology , Respiratory Insufficiency/pathology , Tomography, X-Ray ComputedABSTRACT
The first case report is an undifferentiated squamous cell carcinoma of the ear. This patient complained with pain and discharging ear, which led us to practice a TC followed by an attico-antrotomy. The pathologist could detect in the removed tissue the neoplasm in its early evolutive stages. In the other case the earache and the suppuration suggested at first a carcinoma. In spite of the TAC and MR exams the surgery that followed was not confirmative of the tumor presence.
