ABSTRACT
OBJECTIVES: We aimed to determine the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation. METHODS: Within a district general hospital, we undertook a retrospective study of 3231 children who underwent adenoidectomy between 1996 and 2003, 53 of whom required revision adenoidectomy. The main outcome measure was the number of children needing revision adenoidectomy. RESULTS: A total of 53 children required a repeated operation for recurrence of symptoms (1.6 per cent); of these, 42 were for treatment of glue ear, five were for nasal symptoms and six were for adenoidal infection. CONCLUSION: Adenoidectomy performed without vision may be one of the reasons for recurrence of symptoms. Residual adenoids are acknowledged in the literature as one of the complications of the traditional technique. We highlight the fact that the need for revision adenoidectomy is not uncommon and suggest that we should improve our surgical technique in the UK by visualization of the postnasal space either by a mirror or an endoscope.
Subject(s)
Adenoidectomy/methods , Nasal Obstruction/surgery , Otitis Media with Effusion/surgery , Child , Child, Preschool , Female , Humans , Infant , Male , Recurrence , Reoperation , Retrospective Studies , Treatment OutcomeABSTRACT
Histocytic necrotizing lymphadenitis (HNL), also known as Kikuchi's disease is a benign self limiting disease of unknown origin. It effects cervical lymph nodes, predominantly in young females. It is well described in the pathology literature, but little is written about this in the ENT literature, as few clinicians are probably aware of this condition. Five cases of cervical Kikuchi's disease are presented with a brief review of the literature.
Subject(s)
Histiocytic Necrotizing Lymphadenitis/pathology , Adult , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Female , Histiocytic Necrotizing Lymphadenitis/drug therapy , Humans , Neck , NecrosisABSTRACT
We report the case of an acute onset facial paralysis which was caused by a benign lymphoepithelial cyst found in the parotid, an association which is a rarity in the literature. The diagnosis and surgical management is discussed. This report emphasises the clinical principle that parotid masses causing an acute facial palsy are not necessarily malignant in nature. Intra-operative frozen section histology is helpful in saving the patient from unnecessarily radical surgery.
Subject(s)
Branchioma/complications , Facial Paralysis/etiology , Parotid Neoplasms/complications , Acute Disease , Branchioma/diagnostic imaging , Branchioma/surgery , Facial Paralysis/diagnostic imaging , Facial Paralysis/surgery , Female , Humans , Middle Aged , Parotid Neoplasms/diagnostic imaging , Parotid Neoplasms/surgery , Tomography, X-Ray ComputedABSTRACT
Three cases of penetrating sinus injuries due to air gun pellets are presented in order to illustrate the potentially serious consequences of air gun injuries. Primary surgery was performed in all cases. The clinical presentation, methods of accurate pre-operative localization and surgery are discussed.
