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1.
Saudi J Ophthalmol ; 31(1): 42-44, 2017.
Article in English | MEDLINE | ID: mdl-28337062

ABSTRACT

A 33-year-old man with history of lymphoma was misdiagnosed as multiple sclerosis (MS) 18 months previously, developed intermediate uveitis, unresponsive to interferon, and corticosteroids. A diagnosis of Behçet's disease (BD) was made on the basis of recurrent orogenital ulceration, erythema nodosum, and a positive pathergy test. The patient was started on Tocilizumab and experienced an improvement in visual acuity and intraocular inflammation over the following 2 weeks. In patients with BD-related uveitis, Tocilizumab can be an effective alternative to anti-tumor necrosis factor alpha medications.

2.
J Laryngol Otol ; 107(3): 217-21, 1993 Mar.
Article in English | MEDLINE | ID: mdl-8509699

ABSTRACT

Over a five-year period during which 99 children underwent successful ward decannulation, 14 other children were deemed unsuitable and underwent surgical decannulation. The technique of surgical decannulation involves excision of the tracheostomy tract with any granuloma and splinting of the anterior tracheal wall by the use of an indwelling nasotracheal tube for 48 hours post-operatively. It is indicated in carefully selected patients whose tracheostomies are complicated by large suprastomal granulomas, anterior tracheal wall collapse or previous anterior rib graft collapse into the airway. Nine of the 14 decannulations were successful. Success is dependent upon accurate prior endoscopic assessment and satisfactory previous reconstruction surgery in cases of subglottic stenosis. The five failures (4.42 per cent of all decannulations) represent some of the most demanding airway problems encountered.


Subject(s)
Postoperative Care/methods , Postoperative Complications/surgery , Trachea/surgery , Tracheostomy , Endoscopy , Female , Granuloma/surgery , Humans , Infant , Infant, Newborn , Male , Surgical Procedures, Operative/methods , Tracheal Diseases/surgery , Tracheal Stenosis/surgery
3.
J Laryngol Otol ; 107(1): 46-8, 1993 Jan.
Article in English | MEDLINE | ID: mdl-8445315

ABSTRACT

A case of a pharyngeal diverticulum complicating a total laryngectomy is presented. Possible aetiology and management are discussed.


Subject(s)
Glottis/surgery , Laryngeal Neoplasms/surgery , Laryngectomy/adverse effects , Zenker Diverticulum/etiology , Humans , Male , Middle Aged , Postoperative Complications/diagnostic imaging , Radiography , Zenker Diverticulum/diagnostic imaging
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