ABSTRACT
Sialolithiasis is among the most common disease affecting the major salivary glands whereby the submandibular gland or its duct is affected in the majority of cases. We report a case of the surgical removal of a giant sialolith along with the submandibular gland using the transcervical approach and its clinical outcome.
Subject(s)
Salivary Gland Calculi/surgery , Submandibular Gland Diseases/surgery , Adult , Humans , Male , Radiography, Panoramic , Salivary Gland Calculi/diagnostic imaging , Submandibular Gland Diseases/diagnostic imagingABSTRACT
Migration of a foreign body from the hypopharynx to the subcutaneous tissue of the neck is a rare event. We report a case of a 48-year-old male who accidentally swallowed a fish bone which was not identified intraoperatively. The patient then presented with migration of the bone to the soft tissue of the neck. We conclude that careful assessment of the patient with a foreign body in the throat is crucial to avoid fatal complications.
Subject(s)
Bone and Bones , Foreign-Body Migration/diagnostic imaging , Neck/diagnostic imaging , Seafood/adverse effects , Subcutaneous Tissue/diagnostic imaging , Eating , Foreign-Body Migration/complications , Foreign-Body Migration/surgery , Humans , Hypopharynx/diagnostic imaging , Male , Middle Aged , Neck/surgery , Radiography , Subcutaneous Tissue/surgeryABSTRACT
Synovial sarcoma is a rare soft tissue sarcoma of the head and neck region involving the parapharyngeal space. The diagnosis of synovial sarcoma can be very challenging to the pathologists. We present a rare case of parapharyngeal synovial sarcoma in a young female patient who had a two-month history of left cervical intumescent mass at level II. The fine needle aspiration cytology of the mass was proved inconclusive. Transcervical excision of the mass was performed and the first case of parapharyngeal sarcoma was identified in our center by fluorescence in situ hybridization (FISH) technique. Repeat imaging revealed residual tumor. The patient successfully underwent a second excision of the residual tumor and received adjuvant radiotherapy.
Subject(s)
Pharyngeal Neoplasms/diagnosis , Pharyngeal Neoplasms/surgery , Sarcoma, Synovial/diagnosis , Sarcoma, Synovial/surgery , Adult , Biopsy, Fine-Needle , Combined Modality Therapy , Female , Humans , In Situ Hybridization, Fluorescence , Neoplasm, Residual , Pharyngeal Neoplasms/pathology , Pharyngeal Neoplasms/radiotherapy , Radiotherapy, Adjuvant , Sarcoma, Synovial/pathology , Sarcoma, Synovial/radiotherapy , Tomography, X-Ray ComputedABSTRACT
Necrotizing fasciitis of the head and neck is a rare, rapidly progressive infection involving the skin, subcutaneous tissue and fascia. We report three cases of necrotizing fasciitis that differ in their presentation and outcome. The first case involves a patient who presented with progressively enlarging anterior neck swelling that was later complicated by dehydration and reduced consciousness. The second case is a patient with neck swelling and ipsilateral otorrhea. The third case concerns a patient with a buccal ulcer complicated by ipsilateral facial swelling. All of them underwent a fasciotomy with wound debridement with the addition of a cortical mastoidectomy in the second case. Two of these patients recovered well. Unfortunately, the third case succumbed to death due to airway compromise and septicaemia. We advocate the importance of eradicating the source of infection followed by frequent, meticulous wound dressing and strict blood sugar control to obtain better outcomes in managing necrotizing fasciitis of the head and neck. However, involvement of the airway carries a grave prognosis despite aggressive treatment.
