ABSTRACT
Inflammatory myofibroblastic tumors are rare lesions which show benign histological features with highly local aggressive growth. These tumors usually tend to involve lungs. Head and neck location is very rare. In this article, a four-year-old patient who underwent a procedure for a retroauricular mass which evolved into inflammatory myofibroblastic tumor was presented in the light of data from the literature review.
Subject(s)
Ear Diseases/diagnosis , Ear, Inner , Granuloma, Plasma Cell/diagnosis , Biopsy, Fine-Needle , Child, Preschool , Diagnosis, Differential , Ear Diseases/pathology , Ear Diseases/surgery , Granuloma, Plasma Cell/pathology , Granuloma, Plasma Cell/surgery , Humans , Magnetic Resonance Imaging , MaleABSTRACT
OBJECTIVE: To compare the surgical results of uvulopalatopharyngoplasty (UPPP) and uvulopalatal flap (UPF) procedures in the treatment of primary snoring. MATERIALS AND METHODS: Two study groups were formed and UPPP and UPF procedures were performed. All patients were stratified according to the modified Friedman staging system. Patients with tonsil size 2-4, palatal position scale grade 2, and body mass index lower than 30 were enrolled in the study. The success of surgical procedures was evaluated by applying a snoring questionnaire and Epworth sleepiness scale preoperatively and 90 days after the operation. Patients were followed for postoperative pain and other complications. RESULTS: Snoring was relieved in 85% of UPPP and in 83.3% of UPF patients 90 days after the operation. Postoperative pain complaint was more prominent in the UPPP group and mean duration of pain was significantly longer compared with the UPF group. CONCLUSIONS: Despite similar success rates in the short-term, we can say that the UPF procedure is more practical and comfortable when compared to the UPPP in the military setting.
Subject(s)
Otorhinolaryngologic Surgical Procedures/methods , Snoring/surgery , Adult , Female , Humans , Male , Middle Aged , Pain Measurement , Palate/surgery , Pharynx/surgery , Postoperative Complications/epidemiology , Snoring/epidemiology , Surveys and Questionnaires , Treatment Outcome , Turkey/epidemiology , Uvula/surgerySubject(s)
Hearing Loss, Sensorineural/drug therapy , Neuroma, Acoustic/complications , Adult , Dexamethasone/administration & dosage , Evoked Potentials, Auditory, Brain Stem , Female , Glucocorticoids/administration & dosage , Hearing Loss, Sensorineural/etiology , Humans , Infusions, Intralesional , Magnetic Resonance Imaging , Meniere Disease/diagnosis , Neuroma, Acoustic/diagnosis , Tympanic MembraneABSTRACT
OBJECTIVE: To present a new surgical approach to treat idiopathic neuralgia of the sensory auricular branch of the facial nerve. PATIENTS: : Three patients with chronic ear pain resistant to medical therapy. INTERVENTION: Sectioning of the sensory auricular branch of the facial nerve along its course at the posterior wall of the external auditory canal by a retroauricular mastoidectomy approach. MAIN OUTCOME MEASURES: Resolution of otalgia. RESULTS: All the patients were relieved of their pain at their first follow-up visit, and they have remained symptom-free. The patients were followed at least for 1 year. CONCLUSION: The surgical treatment of idiopathic otalgia should be reserved for patients in whom medical treatment has failed. Finding the exact location of the ear pain is of utmost importance for a favorable outcome after surgery. If the origin of the otalgia is found to be the sensory auricular branch of the facial nerve, the section of this nerve offers favorable outcomes with no morbidity.
