ABSTRACT
Congenital epulis is a rare benign pedunculated tumour of the oral cavity arising from the alveolar ridges. It is usually detected in newborns and can be successfully resected surgically. We report a case of a newborn baby who had a 5x3x3cm pedunculated lobar mass arising from the upper alveolar ridge.
Subject(s)
Gingival Neoplasms/congenital , Alveolar Process/pathology , Female , Gingival Neoplasms/diagnosis , Gingival Neoplasms/pathology , Humans , Infant, NewbornABSTRACT
We report a case of keratoacanthoma in a non-sun-exposed nasal vestibule of an 84-year-old man. He presented with a progressively growing left nasal mass that had been present for 8 months. Examination showed a non-tender protruding mass arising from medial vestibular wall of the left nostril. Histopathology indicated it was a keratoacanthoma. In an elderly patient with a history of a progressively growing mass in the nose, a differential diagnosis of malignancy should be ruled out, and histological conformation is essential. To our knowledge, only a very small number of cases of nasal vestibular keratoacanthoma have been reported.
Subject(s)
Keratoacanthoma , Nasal Cavity , Nose Diseases , Aged, 80 and over , Humans , Keratoacanthoma/pathology , Keratoacanthoma/surgery , Male , Nose Diseases/pathology , Nose Diseases/surgeryABSTRACT
The most commonly involved space was the parapharyngeal and superficial anterior triangle followed by submandibular, retropharyngeal, posterior triangle and submental spaces respectively. Thirty-three percent of patients had diabetes mellitus as a predisposing factor. More than half of them had no known aetiological cause for the neck abscess. We encountered one mortality in an elderly patient with diabetes who succumbed to overwhelming septicaemia despite early abscess drainage and intensive medical treatment.
Subject(s)
Abscess/epidemiology , Hospitals, University , Neck , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Incidence , Malaysia/epidemiology , Male , Middle Aged , Retrospective Studies , Survival Rate/trendsABSTRACT
Indication for pediatric tracheostomy has changed. Upper airway obstruction secondary to infectious disorders is no longer the commonest indication. The aim of this study was to establish data on indications, outcome and complications of pediatric tracheostomy. A retrospective analysis of pediatric tracheostomies carried out between March 2002 to March 2004 was done. Eighteen patients were identified. The commonest indication was prolonged ventilation (94.5%) followed by pulmonary toilet (5.5%). None was performed for upper airway obstruction. Postoperative complications were encountered in six patients (33.3%), the commonest being accidental decannulation notably in children less than six years of age. Twelve patients (66.6%) were successfully decannulated. The mortality rate was 16.6%. All death were non tracheostomy related. The commonest indication for tracheostomy was prolonged ventilation and tracheostomy in children is relatively safe despite complications.
Subject(s)
Airway Obstruction/surgery , Hospitals, University/statistics & numerical data , Tracheostomy/trends , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Malaysia , Male , Retrospective Studies , Tracheostomy/statistics & numerical dataABSTRACT
Heterotopic neuroglial tissue is a rare congenital lesion with predilection in head and neck region. We report a case of a newborn who presented with an oral cavity mass with intracranial extension and later respiratory distress that was successfully excised via transcranial and transcervical approach.
