RESUMO
We report a case of an inverted tooth in the nasal cavity. The patient was a 27-year-old man who attended our hospital in May 1998, complaining of left cheek-pain. There was nothing remarkable in his medical or family history. Fiberscopic (intranasal) and radiological examinations revealed a white foreign body in the left nasal cavity, within 2 cm of the left nostril. This foreign body was diagnosed as an inverted tooth. It was removed under general anesthesia and found to be 17 mm in length. Although the tooth showed a single root, it possessed two cusps and we deduced it to be a molar.
Assuntos
Corpos Estranhos/diagnóstico , Cavidade Nasal , Anormalidades Dentárias/diagnóstico , Adulto , Diagnóstico Diferencial , Endoscopia , Corpos Estranhos/cirurgia , Humanos , Masculino , Dente Molar/anormalidades , Dente Molar/cirurgia , Tomografia Computadorizada por Raios X , Anormalidades Dentárias/cirurgiaRESUMO
We experienced the clinical courses of two cases of destructive Aspergillus in paranasal sinuses in which an Aspergillus fungus ball was formed, and which caused bony destruction are described. The case in which a nidus could not be completely surgically removed and with intervening diabetes had an unfavorable prognosis. It is recommend to perform an early expanded operation as well as to administer a sufficient amount of antifungal drugs for the treatment of destructive Aspergillus in paranasal sinuses.
Assuntos
Aspergilose/diagnóstico , Sinusite Etmoidal/diagnóstico , Sinusite Maxilar/diagnóstico , Sinusite Esfenoidal/diagnóstico , Idoso , Aspergilose/cirurgia , Doenças dos Nervos Cranianos/etiologia , Progressão da Doença , Seio Etmoidal/patologia , Seio Etmoidal/cirurgia , Sinusite Etmoidal/cirurgia , Evolução Fatal , Feminino , Fluconazol/administração & dosagem , Humanos , Imageamento por Ressonância Magnética , Masculino , Seio Maxilar/patologia , Seio Maxilar/cirurgia , Sinusite Maxilar/cirurgia , Pessoa de Meia-Idade , Órbita/patologia , Órbita/cirurgia , Recidiva , Reoperação , Seio Esfenoidal/patologia , Seio Esfenoidal/cirurgia , Sinusite Esfenoidal/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Relapsing polychondritis is a relatively uncommon disease characterized by recurrence of progressive inflammation of cartilaginous structures. Laryngotracheal involvement occurs in 50-70% of cases, and occasionally results in acute airway obstruction. We reported a case of relapsing polychondritis with severe tracheal stenosis that was treated by the placement of two expandable metallic stents. A 58-year-old man was hospitalized with fever and breathing difficulties. A tracheostomy was performed and a silicone T-tube was placed. A diagnosis of relapsing polychondritis was made based on the biopsy from auricular and tracheal cartilages. Two expandable metallic stents were placed in the trachea to bilateral main bronchus. This dilated the airway lumen and resulted in the dyspnea disappearing completely. However, 18 months later a sudden massive hemorrhage occurred through the tracheostoma, and he died of respiratory failure. Autopsy showed a tracheoinnominate artery fistula. We discuss the management of relapsing polychondritis with severe tracheal stenosis.
