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3.
Article in English | MEDLINE | ID: mdl-31869006

ABSTRACT

Cervical rib resection through a supraclavicular approach is a safe and feasible treatment for patients suffering from thoracic outlet syndrome caused by the presence of a cervical rib or by an anomalous first rib. This video tutorial illustrates the technical aspects of this procedure.


Subject(s)
Cervical Rib/surgery , Thoracic Outlet Syndrome/surgery , Female , Humans , Middle Aged , Treatment Outcome
6.
Ann Thorac Surg ; 100(2): 705-7, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26234843

ABSTRACT

Mediastinal angiolipomas are extremely rare tumors within the thorax, and only 6 cases have been previously reported in the literature. We describe the case of a lipid-poor angiolipoma within the posterior mediastinum of a 63-year-old man who complained of chest pain. Interestingly, initial imaging of the posterior mediastinal mass of our patient suggested a nerve sheath tumor. A specimen from a percutaneous transthoracic core needle biopsy confirmed an angiolipoma. We decided to preoperatively embolize the posterior mediastinal mass to reduce intraoperative bleeding and to facilitate the excision of the tumor.


Subject(s)
Angiolipoma/diagnosis , Angiolipoma/therapy , Embolization, Therapeutic , Mediastinal Neoplasms/diagnosis , Mediastinal Neoplasms/therapy , Nerve Sheath Neoplasms/diagnosis , Preoperative Care , Diagnosis, Differential , Humans , Male , Middle Aged
9.
Acta otorrinolaringol. esp ; 61(1): 85-86, ene.-feb. 2010.
Article in Spanish | IBECS | ID: ibc-76427

ABSTRACT

El síndrome de la sonda nasogástrica (NTS) es una complicación infrecuente del sondaje nasogástrico que por ulceración e infección postcricoidea provoca una disfunción en la abducción de las cuerdas vocales que puede comprometer la vía aérea. Debemos pensar en esta patología en todo paciente con sondaje nasogástrico prolongado que comience con dolor faríngeo de moderada intensidad. Presentamos el caso de una mujer de 70 años ingresada en el Servicio de Neurología de nuestro hospital por un accidente isquémico cerebral que, tras un sondaje nasogástrico prolongado, presenta un cuadro agudo de disnea que requirió traqueotomía de urgencia (AU)


Nasogastric tube syndrome (NTS) is an uncommon complication of an indwelling nasogastric tube. Ulceration and infection in the posterior cricoid region causes dysfunction in the abduction of the vocal cords and may seriously compromise patients’ airway. This pathology should be considered in patients with prolonged nasogastric intubation who start with moderate pharyngeal pain. We report a case of a 70 year-old woman, admitted to the Neurology department of our centre due to an ischaemic cerebral accident who presented acute dyspnoea requiring emergency tracheotomy following prolonged nasogastric intubation (AU)


Subject(s)
Humans , Female , Aged , Prospecting Probe , Paralysis/complications , Vocal Cord Paralysis/complications , Vocal Cord Paralysis/diagnosis , Intubation, Gastrointestinal/adverse effects , Adrenal Cortex Hormones/therapeutic use , Tracheotomy/adverse effects , Arytenoid Cartilage/injuries
10.
Acta Otorrinolaringol Esp ; 61(1): 85-6, 2010.
Article in English, Spanish | MEDLINE | ID: mdl-20061208

ABSTRACT

Nasogastric tube syndrome (NTS) is an uncommon complication of an indwelling nasogastric tube. Ulceration and infection in the posterior cricoid region causes dysfunction in the abduction of the vocal cords and may seriously compromise patients' airway. This pathology should be considered in patients with prolonged nasogastric intubation who start with moderate pharyngeal pain. We report a case of a 70 year-old woman, admitted to the Neurology department of our centre due to an ischaemic cerebral accident who presented acute dyspnoea requiring emergency tracheotomy following prolonged nasogastric intubation.


Subject(s)
Dyspnea/etiology , Intubation, Gastrointestinal/adverse effects , Vocal Cord Paralysis/etiology , Adrenal Cortex Hormones/therapeutic use , Aged , Deglutition Disorders/etiology , Deglutition Disorders/therapy , Device Removal , Dyspnea/surgery , Emergencies , Enteral Nutrition/instrumentation , Female , Humans , Infarction, Middle Cerebral Artery/complications , Infarction, Middle Cerebral Artery/therapy , Parenteral Nutrition , Respiratory Sounds/etiology , Syndrome , Tracheotomy
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