RESUMO
Congenital midline nasal masses are rare and therefore easily misdiagnosed, but due to their possible complications, they require prompt diagnosis and management. In this article we review the three most common: dermoid cyst, glioma and encephalocele. Their tendency to have a similar presentation requires very good skills in taking the history and performing the physical exam as well as an adequate radiologic diagnosis including CT, MRI or both. It is very important that we always consider them to avoid taking a biopsy.
Assuntos
Glioma , Neoplasias Nasais , Pré-Escolar , Glioma/diagnóstico , Glioma/cirurgia , Humanos , Masculino , Neoplasias Nasais/diagnóstico , Neoplasias Nasais/cirurgiaRESUMO
Las masas congénitas en la línea media nasofrontal son infrecuentes y, por ello, fácilmente mal diagnosticadas. No obstante, debido a sus posibles complicaciones requieren un rápido diagnóstico y tratamiento. En este artículo se revisan las tres más frecuentes: quiste dermoide, glioma nasal y encefalocele. Su propensión a presentarse de manera similar entre ellas requiere una hábil historia clínica y exploración física, además de un adecuado diagnóstico radiológico que incluye TC, RMN o ambos. Muy importante es el hecho de pensar en ellas para evitar la realización de una biopsia (AU)
Congenital midline nasal masses are rare and therefore easily misdiagnosed, but due to their possible complications, they require prompt diagnosis and management. In this article we review the three most common: dermoid cyst, glioma and encephalocele. Their tendency to have a similar presentation requires very good skills in taking the history and performing the physical exam as well as an adequate radiologic diagnosis including CT, MRI or both. It is very important that we always consider them to avoid taking a biopsy (AU)
Assuntos
Pré-Escolar , Humanos , Masculino , Glioma/diagnóstico , Neoplasias Nasais/diagnóstico , Glioma/cirurgia , Neoplasias Nasais/cirurgiaRESUMO
A case of actinomycosis of the tonsils with a neoplasm-like clinical presentation is presented. Tonsillectomy confirmed the diagnosis and the patient's evolution was favorable after postoperative antibiotic therapy. The scant literature on cervicofacial actinomycosis is reviewed. These processes often are confused with neoplasms, as in our case, or with mandibular osteomyelitis. Treatment is surgery and prolonged antibiotic administration. Actinomycosis should be considered in the differential diagnosis of cervicofacial masses, particularly when the biopsy is negative for carcinoma.
Assuntos
Actinomicose Cervicofacial/diagnóstico , Tonsila Palatina/patologia , Neoplasias Tonsilares/diagnóstico , Neoplasias Tonsilares/patologia , Actinomicose Cervicofacial/cirurgia , Adulto , Diagnóstico Diferencial , Humanos , Masculino , Tonsila Palatina/cirurgiaRESUMO
The bacteriological study of the middle ear effusion of one hundred cases of serous otitis media was performed. Results are discussed and compared to those reported in the literature.
Assuntos
Haemophilus influenzae/isolamento & purificação , Neisseria meningitidis/isolamento & purificação , Otite Média com Derrame/microbiologia , Staphylococcus epidermidis/isolamento & purificação , Streptococcus pneumoniae/isolamento & purificação , Antibacterianos/uso terapêutico , Humanos , Otite Média com Derrame/tratamento farmacológicoRESUMO
A study was made to evaluate the results of 123 tubes in the treatment of patients with serous otitis media. The advantages of this procedure are exposed.