RESUMO
OBJECTIVE: A retrospective study to find out the aetiology, symptomatology and management of elongated and enlarged uvulae. MATERIALS AND METHODS: Examination of files of 375 patients seen in the period 1983-1997. RESULTS: Trauma constituted a big proportion of patients seen. However, papillomas, solitary infections, allergy, simple symptomatic elongation, squamous cell carcinoma as well as asympomatic elongation were seen. The symptomatology varied between simple irritation in the throat to vomiting, pain and dysphagia. CONCLUSION: Enlarged or elongated uvulae are rare but solitary involvement of uvula because of variety of causes occur.
Assuntos
Doenças da Boca/terapia , Úvula/lesões , Ferimentos e Lesões/terapia , Carcinoma de Células Escamosas/cirurgia , Humanos , Doenças da Boca/tratamento farmacológico , Doenças da Boca/cirurgia , Neoplasias Bucais/cirurgia , Complicações Pós-Operatórias/tratamento farmacológico , Complicações Pós-Operatórias/cirurgia , Estudos Retrospectivos , Úvula/cirurgia , Ferimentos e Lesões/tratamento farmacológico , Ferimentos e Lesões/cirurgiaRESUMO
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RESUMO
Allergic aspergillus sinusitis has recently been increasingly recognized. Five cases are discussed. All presented with proptosis, signs and symptoms of allergic rhinitis and radiological evidence of expansile masses with calcification and bony erosions involving multiple sinuses. Greenish cheesy material was seen at surgery. Histologically the lesions contained eosinophils, Charcot-Lyden crystals and fungal septate hyphae. Aspergillus fumigatus was grown from all cases. Surgical removal with drainage and aeration were performed. The follow-up period ranged between three to 18 months. Recurrence occurred in one patient. Allergic aspergillus sinusitis can mimic malignant disease and should be considered in the differential diagnosis of lesions involving multiple sinuses. It should also be considered in all cases of proptosis.
