RESUMO
A case of an 11-year-old female with cementifying fibroma in the ethmoidal sinus extending to the anterior cranial base was presented. She complained of slowly progressive nasal obstruction and anosmia. Magnetic resonance imaging (MRI) revealed a tumor in both ethmoidal and sphenoidal sinuses and nasal cavity. Although a tumor reduction surgery was attempted through a transnasal approach, tumor size increased gradually and right exophthalmos subsequently appeared. The pathological diagnosis was cementifying fibroma of the nose. Total tumor removal was consequently accomplished through the intracranial anterior transbasal approach. The surgical approach should be selected according to the site and expansion of the lesion in individual patients.
Assuntos
Seio Etmoidal , Tumores Odontogênicos/diagnóstico , Neoplasias dos Seios Paranasais/diagnóstico , Neoplasias da Base do Crânio/diagnóstico , Criança , Craniotomia , Endoscopia , Seio Etmoidal/patologia , Seio Etmoidal/cirurgia , Feminino , Humanos , Imageamento por Ressonância Magnética , Cavidade Nasal/patologia , Cavidade Nasal/cirurgia , Recidiva Local de Neoplasia/diagnóstico , Recidiva Local de Neoplasia/patologia , Recidiva Local de Neoplasia/cirurgia , Neoplasia Residual/diagnóstico , Neoplasia Residual/patologia , Neoplasia Residual/cirurgia , Neoplasias Nasais/diagnóstico , Neoplasias Nasais/patologia , Neoplasias Nasais/cirurgia , Tumores Odontogênicos/patologia , Tumores Odontogênicos/cirurgia , Neoplasias dos Seios Paranasais/patologia , Neoplasias dos Seios Paranasais/cirurgia , Reoperação , Neoplasias da Base do Crânio/patologia , Neoplasias da Base do Crânio/cirurgia , Seio Esfenoidal/patologia , Seio Esfenoidal/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Dermoid cysts in the floor of the mouth are rarely observed. When they develop, they do not appear until they grow large enough or appear through infection. Some operative approaches and management have been performed to large dermoid cysts in the floor of the mouth with some variations. Intra-oral approach is the most useful for cosmetic appearance. We presented a 24-year-old female who underwent expedient surgical excision using finger end serviceable enucleation through the intra-oral approach.
Assuntos
Cisto Dermoide/diagnóstico por imagem , Soalho Bucal/diagnóstico por imagem , Neoplasias Bucais/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Cisto Dermoide/patologia , Cisto Dermoide/cirurgia , Humanos , Masculino , Soalho Bucal/patologia , Soalho Bucal/cirurgia , Neoplasias Bucais/patologia , Neoplasias Bucais/cirurgiaRESUMO
Relapsing polychondritis is a relatively uncommon disease characterized by recurrence of progressive inflammation of cartilaginous structures. Laryngotracheal involvement occurs in 50-70% of cases, and occasionally results in acute airway obstruction. We reported a case of relapsing polychondritis with severe tracheal stenosis that was treated by the placement of two expandable metallic stents. A 58-year-old man was hospitalized with fever and breathing difficulties. A tracheostomy was performed and a silicone T-tube was placed. A diagnosis of relapsing polychondritis was made based on the biopsy from auricular and tracheal cartilages. Two expandable metallic stents were placed in the trachea to bilateral main bronchus. This dilated the airway lumen and resulted in the dyspnea disappearing completely. However, 18 months later a sudden massive hemorrhage occurred through the tracheostoma, and he died of respiratory failure. Autopsy showed a tracheoinnominate artery fistula. We discuss the management of relapsing polychondritis with severe tracheal stenosis.
