Assuntos
Esôfago/diagnóstico por imagem , Febre de Causa Desconhecida/etiologia , Corpos Estranhos/diagnóstico por imagem , Abscesso Retrofaríngeo/diagnóstico por imagem , Torcicolo/etiologia , Pré-Escolar , Diagnóstico Diferencial , Esofagoscopia , Febre de Causa Desconhecida/diagnóstico por imagem , Febre de Causa Desconhecida/terapia , Corpos Estranhos/terapia , Humanos , Masculino , Radiografia , Abscesso Retrofaríngeo/terapia , Torcicolo/diagnóstico por imagem , Torcicolo/terapiaRESUMO
We report an unusual case of bilateral paraganglioma of the carotid. The tumor had been neglected for a long time and increased in volume during pregnancy, inducing compression and requiring surgical treatment. We focus on the therapeutic strategy: devascularization followed by percutaneous sclerosis before total surgical removal in a two-step procedure.
Assuntos
Tumor do Corpo Carotídeo/diagnóstico , Adulto , Artéria Carótida Externa/cirurgia , Tumor do Corpo Carotídeo/cirurgia , Tumor do Corpo Carotídeo/terapia , Diagnóstico por Imagem , Embolização Terapêutica , Feminino , Humanos , Gravidez , Complicações Neoplásicas na Gravidez , Veia Safena/transplante , EscleroterapiaRESUMO
We report our functional results about 81 ossiculoplastys during tympanoplasty with closed technique in chronic cholesteatomatous otitis. We discuss our functional results and the post-operative assessment of the audiometric gain. Patients presented either cholesteatomatous otitis sequelea or any preliminary status (retraction pockets) with attical impairment.
Assuntos
Audiometria , Colesteatoma da Orelha Média/cirurgia , Otite Média/cirurgia , Adulto , Doença Crônica , Feminino , Humanos , Masculino , Prótese Ossicular , Estudos Retrospectivos , TimpanoplastiaRESUMO
Among the hidden parts of the middle ear, the posterior part of the atrium undoubtedly raises the most interest of otologists. The attic is a frequent localization of cholesteatoma and retraction pouches. Its anatomy is not well known, especially the anterior and internal walls. This anatomic study, based on the dissection of 41 petrus bones was designed to determine the anatomic limits and describe the "noble structures" of this region in order to "guide" future surgical procedures.
Assuntos
Orelha Média/anatomia & histologia , Osso Petroso/cirurgia , Adulto , Colesteatoma/cirurgia , Otopatias/cirurgia , Orelha Média/cirurgia , Humanos , TimpanoplastiaRESUMO
Recurrent polyposis after 116 endonasal ethmoidectomies performed in 61 patients were investigated on the basis of functional, endoscopic and tomodensitometric data. The results of the endoscopic examinations revealed that the anterior ethmoid was involved most often (41%) with either a single localization or in combination with other sites in the sinuses. Functional rhinosinus symptomatology was satisfactory in most cases after a mean follow-up of 22 months, especially for nasal obstruction which was initially predominant (91%). Headaches, especially fronto-orbial localizations, clearly decreased after the operation but there was no correlation between the presence of headache after the operation and the recurrence of the polyposis. Computed tomography gave results similar to those obtained by endoscopy. However, a distinction could not be made between radio-opaque images of polyposis and certain cicatricial or inflammatory reactions. Unlike the functional outcome, ethmoidectomy had little effect on these images. Recurrent polyps appeared most often on the anterior ethmoid and the role of the initial infundibulotomy can be debated. It would appear that the prognosis of polyposis is not modified by extended anterior ethmoidectomy, suggesting that a more conservative surgical approach may be appropriate for frontal ethomoidal polyps.