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1.
Acta Otorhinolaryngol Ital ; 16(6): 537-42, 1996 Dec.
Artigo em Italiano | MEDLINE | ID: mdl-9381925

RESUMO

Localized laryngeal amyloidosis is a rare laryngeal disease which accounts for less than 1% of all benign laryngeal tumors. The symptoms depend on where the amyloid deposit is located in the larynx. When the vocal cords are involved there may be some hoarseness; pain or increasing difficulty in inspiration may arise when, respectively, the aryepiglottic fold or subglottic space are involved. The present paper reports a case of laryngeal amyloidosis without any sign of systemic disease. It also deals with the principle diagnostic procedures to follow. After a review of the literature, emphasis is placed on how important it is to recognize laryngeal amyloidosis in order to achieve an appropriate diagnosis and plan therapy properly. Surgery is the main treatment using either endoscopy or an external neck approach. Recently CO2 laser surgery has been used successfully. Prognosis depends on both the size of the amyloid deposit and whether there is some simultaneous overall involvement.


Assuntos
Amiloidose/patologia , Doenças da Laringe/patologia , Adulto , Amiloidose/cirurgia , Humanos , Doenças da Laringe/cirurgia , Terapia a Laser , Imageamento por Ressonância Magnética , Masculino , Tomografia Computadorizada por Raios X
2.
Acta Otorhinolaryngol Ital ; 16(2): 132-5, 1996 Apr.
Artigo em Italiano | MEDLINE | ID: mdl-8766077

RESUMO

The Authors report a clinical case of lymph nodal cervical TBC which led to a retropharyngeal abscess with ossifluent evolution towards the mediastinal region and with fistulation in the dorsal region. A thorough study was carried out on the diffusion of the liquid along the fascial plains of the prevertebral region of the neck and of the mediastinum. With the aid of radiologic tools (CAT scans in particular), and on the basis of topographical anatomy data Authors formulate an hypothesis concerning the mechanics that brought about such a downward development of the abscess. In our opinion this case may well be of interest for otolaryngologists from an epidemic point of view (there is a recrudescence often in atypical manifestations), and because of its surgical peculiarities.


Assuntos
Vértebras Cervicais/fisiopatologia , Tuberculose/diagnóstico , Tuberculose/fisiopatologia , Abscesso/fisiopatologia , Adulto , Fístula/fisiopatologia , Humanos , Linfonodos/fisiopatologia , Masculino , Faringe/fisiopatologia , Tomografia Computadorizada por Raios X
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