RESUMO
Due to the insidious onset and common symptoms, the diagnostic of sinonasal tumors is late in the evolution. Usually, at that time, the preferred endoscopic approach alone is not recommended, therefore a mixed openendoscopic approach appears to be the best choice in terms of exposure of the tumor and a clear margin resection. The purpose of this case report study is to demonstrate the necessity of careful preoperative assessment and the advantages of combined approach for a complete resection and favorable long-term results.
Assuntos
Laringoscopia , Procedimentos Cirúrgicos Nasais , Neoplasias Nasais/cirurgia , Papiloma/cirurgia , Neoplasias dos Seios Paranasais/cirurgia , Humanos , Laringoscopia/métodos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Nasais/métodos , Invasividade Neoplásica , Neoplasias Nasais/patologia , Papiloma/patologia , Neoplasias dos Seios Paranasais/patologia , Resultado do TratamentoRESUMO
UNLABELLED: Chronic laryngitis may have life impact on professional voice users. Besides smoking and excessive alcohol intake, GERD is a determiniing factor in the etiology of dysphonia. AIM: To evaluate the laryngeal alteration due to GERD in professional voice users. MATERIAL AND METHODS: The study included 96 vocal professionals (teachers, actors, singers and priests), 58 males and 38 females, with a mean age of 38.3 +/- 7.5 years, presented for chronic laryngeal symptoms. The patients filled out a standardized questionnaire and were examined laryngoscopically. RESULTS: Laryngeal changes were scaled 0 (absence) to 7 (maximum) - arytenoid edema (5.07 +/- 1.08), interarytenoid edema (6.18 +/- 1.12), vocal folds edema (5.67 +/- 1.04), ventricular bands edema (4.96 +/- 0.97), laryngeal edema 4.12 +/- 0.83). CONCLUSIONS: Laryngoscopic changes may suggest the concomitance of GERD in professional voice users with dysphonia.
Assuntos
Refluxo Gastroesofágico/patologia , Laringite/patologia , Doenças Profissionais/patologia , Adulto , Estudos de Casos e Controles , Feminino , Refluxo Gastroesofágico/complicações , Humanos , Laringite/etiologia , Laringoscopia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Fatores de Risco , Prega Vocal/patologiaRESUMO
Of the tumors of the neck some are very uncommon, difficult to diagnose both clinically and paraclinically. Two of the most rare tumors are osteolipoma and soft tissue sarcoma. We present 2 such cases admitted to and operated at the ENT Department of the Iasi "St. Spiridon" Emergency Hospital in the last 5 years, with emphasis on the atypical clinical and imaging features of these tumors. Surgery and histopathological examination were the methods used to make the diagnosis.
Assuntos
Neoplasias de Cabeça e Pescoço/patologia , Lipoma/patologia , Ossificação Heterotópica/patologia , Diagnóstico Diferencial , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Lipoma/cirurgia , Masculino , Pessoa de Meia-Idade , Ossificação Heterotópica/cirurgia , Doenças Raras/patologia , Procedimentos de Cirurgia Plástica , Resultado do TratamentoRESUMO
We present the case of a 31-years-old woman, in the 37th week of pregnancy who was urgently hospitalized in our section, with superior digestive bleeding, in a serious state, externalized in hematemesis and melena. The pregnancy being in due time, with sings of secondary fetal pain, probably due to mother's serious anemia, we proceeded to the extraction of the foetus using caesarean section, followed by hemostasis "in situ" of a bleeding duodenal ulcer and the excision of another healed ulcerous lesion (ulcer in mirror). The postoperative evolution was favorable both for mother and new-born child. Reexamined after two years, the patient didn't present subjective pains of an ulcerous type any more, neither lesions visible at an endoscopic examination.
