ABSTRACT
Pleomorphic adenoma is the most common tumour of the salivary glands. However, it is extremely rare for these to originate in the nose and even when they do so, it is most commonly in the nasal septum. It is important to be aware of the paucity of presenting symptoms (nasal obstruction and epistaxis), as the lesion may not be recognized immediately. Growth is generally restricted locally and the tumour is not known to spread to the neighbouring structures. Surgical resection is the treatment of choice. Recurrences and evolution to malignancy are not frequent, but long-term follow-up is recommended. The case is presented of pleomorphic adenoma arising from the lateral wall of the right nasal cavity, in a 34-year-old male, which was resected completely, endoscopically. Histological and immunohistochemical evaluation revealed the presence of a pleomorphic adenoma.
Subject(s)
Adenoma, Pleomorphic/pathology , Nose Neoplasms/pathology , Adenoma, Pleomorphic/complications , Adenoma, Pleomorphic/surgery , Adult , Humans , Male , Nasal Obstruction/diagnosis , Nasal Obstruction/etiology , Nose Neoplasms/complications , Nose Neoplasms/surgery , Olfaction Disorders/etiologyABSTRACT
Osteomas of the paranasal sinuses are slow-growing, benign tumours most frequently found in the frontal sinus with an incidence that varies from 47% to 80% of the cases; there are often no symptoms and they are diagnosed by chance during an x-ray examination. The symptoms are usually headaches and those secondary to ocular or neurological complications. The therapy to be preferred is surgery. The authors describe a case of frontal osteoma complicated by frontal sinusitis and palpebral abscess.
Subject(s)
Abscess/diagnosis , Eyelid Diseases/diagnosis , Frontal Sinus/pathology , Osteoma/diagnosis , Paranasal Sinus Neoplasms/diagnosis , Adult , Frontal Sinusitis/diagnosis , Humans , MaleABSTRACT
UNLABELLED: A nasal septal abscess is usually the result of an infected hematoma of the septum. A secondary septal abscess may be the result of infections extending from any of the neighbouring tissues. The necrosis of septal cartilage may lead to nasal deformities and severe impairment of nasal patency and growth. OBJECTIVES: Assess if the drainage of the abscess and the immediate reconstruction of the destroyed nasal septum in the acute phase is the best treatment to prevent short- and long-term effect on nasal and midface growth. METHODS: Three pediatric patients treated with drainage and immediate implantation of homologous bank cartilage prior to 1990 and four treated with mosaic plastic using small pieces of residual septal cartilage assembled with fibrin glue. RESULT: No complication were observed in the follow-up and any deformities in the long-term controls. CONCLUSIONS: The drainage and immediate reconstruction of the nasal septum are the golden standard in the treatment of the septum infected haematoma.
Subject(s)
Abscess/therapy , Nasal Septum/surgery , Nose/injuries , Abscess/microbiology , Cartilage/transplantation , Child , Child, Preschool , Drainage , Epistaxis/etiology , Female , Fever/etiology , Formaldehyde/administration & dosage , Hemostatics/administration & dosage , Humans , Male , Nasal Obstruction/etiology , Nasal Septum/microbiology , Nose/surgery , Polyvinyl Alcohol/administration & dosage , Transplantation, Homologous , Treatment OutcomeABSTRACT
Four patients with mucocele of maxillary sinus, observed between 1995 and 2001, with two years' follow-up, are described. Aim of the present study was to establish whether endoscopic marsupialization of the maxillary sinus mucocele is adequate resolutive treatment without complete removal of the mucocele wall, using more invasive approaches. The surgical procedure used was endoscopic endonasal marsupialization by a middle and/or inferior meatal antrostomy. Outcome confirms that this technique is the gold standard treatment in this disorder. In fact, complete removal of the mucocele wall is not necessary thus avoiding the risk of iatrogenic lesions of neighbouring structures in the case of a bony erosion (orbital floor, posterior wall of the maxillary sinus).
Subject(s)
Endoscopy , Maxillary Sinus , Mucocele/surgery , Paranasal Sinus Diseases/surgery , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Male , Maxillary Sinus/diagnostic imaging , Middle Aged , Mucocele/diagnosis , Mucocele/diagnostic imaging , Paranasal Sinus Diseases/diagnosis , Paranasal Sinus Diseases/diagnostic imaging , Time Factors , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Osteomas of the paranasal sinuses are slow-growing, benign tumours most frequently found in the frontal sinus with an incidence that varies from 47% to 80% of the cases; there are often no symptoms and they are diagnosed by chance during an X-ray examination. When there are symptoms, they are usually headaches and ocular or neurological complications. The treatment of choice is surgery. A case of frontal osteoma complicated by frontal sinusitis and by a palpebral abscess is described.
Subject(s)
Abscess/complications , Eyelid Diseases/complications , Frontal Sinus/pathology , Osteoma/complications , Osteoma/pathology , Paranasal Sinus Neoplasms/complications , Paranasal Sinus Neoplasms/pathology , Abscess/drug therapy , Adult , Anti-Infective Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Betamethasone/therapeutic use , Ciprofloxacin/therapeutic use , Eyelid Diseases/drug therapy , Humans , MaleABSTRACT
We present our series of 21 patients treated since 1991 to 2000 with glottic carcinomas T1a-b with commissure extension. The surgical technique used has been frontolateral laryngectomy as Leroux-Robert in 8 cases, and in the other 13 cases we have contributed with somme variations using a piece of superficial cervical fascia to close the thyroid opening and a piece of the vestibular band for the reconstruction at the glottic level. We studied the functional and oncological results we have obtained with a minimum control of one year and maximum of seven years.
Subject(s)
Laryngeal Neoplasms/surgery , Laryngectomy/methods , Aged , Humans , Male , Middle AgedABSTRACT
Presentamos nuestra casuística de 21 pacientes tratados entre los años 1994-2000 por carcinoma glótico T1 a-b a extensión comisural. La técnica quirúrgica utilizada fue la laringectomía fronto-lateral según Leroux-Robert en 8 casos, mientras que en otros 13 casos aportamos algunas astucias utilizando un pedazo de fascia cervical superficial para el cierre de la brecha tiroidea y un pedazo de deslizamiento de falsa cuerda para la reconstrucción del plano glótico. Entre otras cosas revisamos los resultados funcionales y oncológicos que obtuvimos con un seguimiento mínimo de 1 año y máximo de 7 años (AU)
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