RESUMEN
BACKGROUND AND OBJECTIVES: To compare the efficacy and safety of inferior turbinate reduction in children using Holmium:YAG (Ho:Yag) laser and diathermy. Histological effects of these treatments on turbinate tissue are also studied. STUDY DESIGN/MATERIALS AND METHODS: A retrospective review and structured telephone interview of paediatric cases treated with Ho:Yag laser and diathermy to inferior turbinates. The complications, morbidity and efficacy were quantified. Histological sections of inferior turbinates treated with diathermy (surface and submucosal) and laser were compared. RESULTS: Efficacy in the laser (n = 8) and diathermy group (n = 11) was similar. The complication/morbidity score was lower in the laser group, 1.92 versus 3.48, (P = 0.04, CI: 0.01, 2). Long-term benefit was 50 and 36% in the laser and diathermy group respectively. Histology showed very limited tissue damage in all methods of treatment. CONCLUSIONS: Ho:Yag laser treatment is equally efficacious, but causes less complications and morbidity compared to surface diathermy. Both treatment methods have poor long-term efficacy, which may be related to limited tissue damage.
Asunto(s)
Electrocoagulación/métodos , Terapia por Láser/instrumentación , Obstrucción Nasal/cirugía , Cornetes Nasales/cirugía , Adolescente , Niño , Femenino , Humanos , Hipertrofia/etiología , Masculino , Obstrucción Nasal/etiología , Estudios Retrospectivos , Rinitis/complicaciones , Resultado del Tratamiento , Cornetes Nasales/patologíaRESUMEN
Patients infected with the Human Immunodeficiency Virus (HIV) and those with AIDS may present with many head and neck manifestations. We report a case of an undiagnosed HIV positive male who presented with symptoms due to a nasal septal perforation, and rapidly developed AIDS. The histopathology of the perforation margins revealed active chronic inflammation with no evidence of neoplasia or granuloma. No viral or fungal infection was demonstrable on immunological testing and fungal stain. This is the first reported case of a patient developing AIDS presenting with a nasal septal perforation.
Asunto(s)
Síndrome de Inmunodeficiencia Adquirida/diagnóstico , Obstrucción Nasal/etiología , Tabique Nasal/patología , Enfermedades Nasales/complicaciones , Enfermedades Nasales/diagnóstico , Síndrome de Inmunodeficiencia Adquirida/complicaciones , Adulto , Biopsia , Diagnóstico Diferencial , Endoscopía , Homosexualidad Masculina , Humanos , Masculino , Rotura EspontáneaRESUMEN
The serious nature of laryngeal trauma sustained during sporting activity can be easily overlooked. Concomitant injury should not distract from the diagnosis of potential airway problems. The effects of head and neck trauma on the airway may be delayed. The assessment and management of a patient with suspected laryngeal injury should be carried out by experienced medical practitioners.
