RESUMO
We report a case of thrombosis of the right internal jugular vein associated with right parotitis. The literature is briefly reviewed.
Assuntos
Veias Jugulares , Parotidite/complicações , Trombose Venosa/etiologia , Anti-Infecciosos/uso terapêutico , Anticoagulantes/uso terapêutico , Ciprofloxacina/uso terapêutico , Feminino , Humanos , Veias Jugulares/diagnóstico por imagem , Pessoa de Meia-Idade , Parotidite/diagnóstico por imagem , Parotidite/tratamento farmacológico , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Trombose Venosa/diagnóstico por imagem , Trombose Venosa/tratamento farmacológicoRESUMO
Inner ear barotrauma with rupture of the round or oval window secondary to diving and decompression sickness (DCS) of the inner ear can be a difficult diagnosis to differentiate. The dive profile or associated elements of DCS will often confirm the diagnosis. Occasionally, diagnosis is made during recompression or during operation. The differential diagnosis is important, since immediate recompression is indicated for inner ear DCS, while it is contraindicated in cases of inner ear barotrauma. We have found no cases reported in the world literature in which both diseases have been diagnosed and proven simultaneously. We present a case of a diver who developed DCS with inner ear manifestations complicated by a round window fistula. Treatment and clinical outcome are discussed along with a brief review of the suspected cause.
Assuntos
Barotrauma/complicações , Cóclea/lesões , Doença da Descompressão/complicações , Janela da Cóclea/lesões , Audiometria , Doença da Descompressão/terapia , Mergulho/lesões , Otopatias/etiologia , Otopatias/cirurgia , Fístula/etiologia , Fístula/cirurgia , Perda Auditiva Súbita/diagnóstico , Perda Auditiva Súbita/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Janela da Cóclea/cirurgia , RupturaRESUMO
A retrospective study of 197 T3 and T4 squamous cell carcinomas of the larynx presenting between 1969 and 1978 has been undertaken. These patients have in the main been treated by primary radiotherapy with back-up salvage surgery. The aim of the study was to examine survival, and to try to identify reasons for failure of control. Various prognostic factors have been analysed and are discussed. Overall 5-year survival was 53 per cent but patients with nodal disease responded poorly. Subglottic tumours have a better survival than usually reported. Failure to pick up recurrence was the main problem, and in particular a persistently fixed cord carried a very poor prognosis if laryngectomy was delayed.
