RESUMO
We report 11 patients with laryngeal tuberculosis seen in our hospital, January 1990 to July 2000. Eight were men and all cases presented with dysphonia and/or disphagia. In 8 pulmonary tuberculosis was associated. Mycobacterium tuberculosis was isolated from the sputum in 7 patients. Granulomatous laryngitis was demonstrated in the eight patients with laryngeal biopsy. The evolution with medical treatment was favourable in all patients.
Assuntos
Tuberculose Laríngea , Adulto , Feminino , Humanos , Masculino , Estudos Retrospectivos , Tuberculose Laríngea/diagnóstico , Tuberculose Laríngea/tratamento farmacológicoRESUMO
Describimos 11 enfermos con tuberculosis laríngea observados en nuestro hospital desde enero de 1990 a julio de 2000. Ocho eran varones de edad superior a los 30 años y diez fumadores importantes. El diagnóstico se realizó en una media de 43 días desde que comenzaron con las manifestaciones clínicas. Todos referían disfonía y/o disfagia y en 8 se diagnosticó tuberculosis pulmonar asociada. En 7enfermos se aisló Mycobacterium tuberculosis en esputo. En los 8 casos que se realizó biopsia laríngea, se demostró la presencia de granulomas. Con tratamiento médico antituberculoso, la evolución fue satisfactoria en todos los casos, no habiéndose observado en ninguno clínica residual (AU)
We report 11 patients with laryngeal tuberculosis seen in our hospital, January 1990 to July 2000. Eight were men and all cases presented with dysphonia and/or disphagia. In 8 pulmonary tuberculosis was associated. Mycobacterium tuberculosis was isolated from the sputum in 7 patients. Granulomatous laryngitis was demonstrated in the eight patients with laryngeal biopsy. The evolution with medical treatment was favourable in all patients (AU)
Assuntos
Adulto , Masculino , Feminino , Humanos , Tuberculose Laríngea/diagnóstico , Tuberculose Laríngea/tratamento farmacológico , Estudos RetrospectivosRESUMO
Chordomas are dysembryogenic tumors originating from the notochordal process. The case of a 9-month-old male infant with involvement of the ethmoidal sinus and anterior fossa is reported. These tumors are rare in ENT practice and in children arise in the clivus. The diagnosis was made by biopsy, CT and MRI. Surgery is the only effective treatment, with chemotherapy and radiotherapy having little value. The complication and relapse rates are high.
Assuntos
Cordoma/diagnóstico , Seio Etmoidal/diagnóstico por imagem , Seio Etmoidal/patologia , Neoplasias dos Seios Paranasais/diagnóstico , Biópsia , Cordoma/cirurgia , Seio Etmoidal/cirurgia , Humanos , Lactente , Imageamento por Ressonância Magnética , Masculino , Neoplasias dos Seios Paranasais/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Adenotonsillectomy is a common surgical procedure. For many patients, outpatient adenotonsillectomy is safe and cost-effective. During the 1993-1994 school year, 365 patients were operated. Complications (1.2%) were minimal and similar to those occurring in inpatients (2%) in the same 1992-1993 period. We believe that surgery of the tonsils, adenoids and myringotomy can be performed safely as an outpatient procedure if the candidates for ambulatory surgery are carefully selected by the surgeon.
