Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.2008799
Kiyotaka Miyazato, Yohei Hokama, H. Nagamine, A. Ganaha, Mikio Suzuki, S. Ishiuchi
Abstract We report the case of a 14-year-old girl with petrous bone cholesteatoma resected through a combined approach from the middle cranial fossa and mastoid process. A favorable outcome can be achieved when applying the transmastoid approach to a cholesteatoma by incorporating the middle fossa approach to preserve inner ear function. We emphasize the utility of integrated three-dimensional image reconstruction as a surgical strategy to determine beneficial routes for facial and inner ear function and accomplishment of radical resection. Visualization by an integrated image of irregular tumor infiltration within the petrous bone facilitates information sharing for better cooperation between surgeons in otolaryngeal and neurosurgical fields.
{"title":"Combined transmastoid/middle fossa approach for a petrous bone cholesteatoma: A case report and literature review","authors":"Kiyotaka Miyazato, Yohei Hokama, H. Nagamine, A. Ganaha, Mikio Suzuki, S. Ishiuchi","doi":"10.1080/23772484.2021.2008799","DOIUrl":"https://doi.org/10.1080/23772484.2021.2008799","url":null,"abstract":"Abstract We report the case of a 14-year-old girl with petrous bone cholesteatoma resected through a combined approach from the middle cranial fossa and mastoid process. A favorable outcome can be achieved when applying the transmastoid approach to a cholesteatoma by incorporating the middle fossa approach to preserve inner ear function. We emphasize the utility of integrated three-dimensional image reconstruction as a surgical strategy to determine beneficial routes for facial and inner ear function and accomplishment of radical resection. Visualization by an integrated image of irregular tumor infiltration within the petrous bone facilitates information sharing for better cooperation between surgeons in otolaryngeal and neurosurgical fields.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"104 - 109"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46946774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1975497
Junya Yamagishi, R. Kagoya, Maki Saito, C. Fujimoto, H. Kikuchi, Ken Ito
Abstract Neuro-Behçet’s disease (NBD) involves the nervous system and has a poorer prognosis. Since the typical delay in the onset of neurological symptoms is several years, difficulties are associated with diagnosing NBD when neurological disorders occur almost simultaneously with other major symptoms. We herein report a rare case of NBD that presented with the almost simultaneous manifestation of principal symptoms and neurological disorders. A 32-year-old Japanese woman presented with severe pharyngitis with a white coating and ulcers. On the third day of admission, she suddenly fainted while walking with urinary incontinence. T2-weighted MRI showed multiple high-intensity signals in the brainstem. Genital ulcers and pseudofolliculitis on the back were also detected. Stabilometry showed principal involvement of the peripheral vestibular system. A cerebrospinal fluid examination revealed an increase in the number of cells with lymphocyte dominance. The interleukin-6 level was markedly elevated. Pulse corticosteroid therapy led to the attenuation of symptoms.
{"title":"Acute pharyngitis with the abrupt manifestation of neurological disorders, leading to a diagnosis of Neuro-Behçet’s disease","authors":"Junya Yamagishi, R. Kagoya, Maki Saito, C. Fujimoto, H. Kikuchi, Ken Ito","doi":"10.1080/23772484.2021.1975497","DOIUrl":"https://doi.org/10.1080/23772484.2021.1975497","url":null,"abstract":"Abstract Neuro-Behçet’s disease (NBD) involves the nervous system and has a poorer prognosis. Since the typical delay in the onset of neurological symptoms is several years, difficulties are associated with diagnosing NBD when neurological disorders occur almost simultaneously with other major symptoms. We herein report a rare case of NBD that presented with the almost simultaneous manifestation of principal symptoms and neurological disorders. A 32-year-old Japanese woman presented with severe pharyngitis with a white coating and ulcers. On the third day of admission, she suddenly fainted while walking with urinary incontinence. T2-weighted MRI showed multiple high-intensity signals in the brainstem. Genital ulcers and pseudofolliculitis on the back were also detected. Stabilometry showed principal involvement of the peripheral vestibular system. A cerebrospinal fluid examination revealed an increase in the number of cells with lymphocyte dominance. The interleukin-6 level was markedly elevated. Pulse corticosteroid therapy led to the attenuation of symptoms.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"71 - 74"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47301468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1986401
D. Shakya, A. Nepal
Abstract Facial nerve palsy is an uncommon yet significant complication of chronic otitis media (COM) which can lead to a permanent cosmetic defect. It is common in cholesteatomatous chronic otitis media. Treatment options include antibiotics, steroids, and surgery. Facial nerve decompression is chiefly performed using a microscope via a postaural approach. It requires mastoidectomy and atticotomy to gain access to the anterior epitympanum and anterior end of the tympanic facial nerve. Here, we present a case of a 40-year-old woman with bilateral chronic otitis media presented with sudden onset of Grade V left facial nerve palsy. On examination, the left ear had cholesteatomatous like debris, granulation, and discharge. Total endoscopic transcanal type III tympanoplasty and facial nerve decompression were done. She had full recovery post-surgery. The endoscope avoided the postaural incision, decreased morbidity, and provided faster recovery.
{"title":"Minimally invasive endoscopic treatment of chronic otitis media with facial nerve palsy- A case report and literature review","authors":"D. Shakya, A. Nepal","doi":"10.1080/23772484.2021.1986401","DOIUrl":"https://doi.org/10.1080/23772484.2021.1986401","url":null,"abstract":"Abstract Facial nerve palsy is an uncommon yet significant complication of chronic otitis media (COM) which can lead to a permanent cosmetic defect. It is common in cholesteatomatous chronic otitis media. Treatment options include antibiotics, steroids, and surgery. Facial nerve decompression is chiefly performed using a microscope via a postaural approach. It requires mastoidectomy and atticotomy to gain access to the anterior epitympanum and anterior end of the tympanic facial nerve. Here, we present a case of a 40-year-old woman with bilateral chronic otitis media presented with sudden onset of Grade V left facial nerve palsy. On examination, the left ear had cholesteatomatous like debris, granulation, and discharge. Total endoscopic transcanal type III tympanoplasty and facial nerve decompression were done. She had full recovery post-surgery. The endoscope avoided the postaural incision, decreased morbidity, and provided faster recovery.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"75 - 80"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45222845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1932511
Kaoru Yamakawa, K. Kondo, A. Unaki, H. Saigusa, Kyohei Horikiri, T. Yamasoba
Abstract Gustatory rhinitis is a type of nonallergic, noninflammatory rhinitis. A high incidence of rhinorrhea, including gustatory rhinitis, is reported in patients with Parkinson’s disease (PD). Herein, we report a case of gustatory rhinitis in a patient with a parkinsonian variant of multiple system atrophy (MSA-P). A 56-year-old man presented with gustatory rhinorrhea and bilateral copious nasal discharge while eating. Three years before visiting the ear, nose, and throat clinic, he developed Parkinsonism and was suspected of having MSA-P. He underwent posterior nasal neurectomy under endoscopic guidance, but it did not significantly reduce the rhinorrhea during eating. Pathological examination of the mucosa of the inferior turbinate demonstrated minimal inflammatory cellular infiltration. Severe (gustatory) rhinitis may also be a useful biomarker for the diagnosis of synucleinopathies, including PD and MSA, akin to anosmia, which is a well-known biomarker for the early diagnosis of PD.
{"title":"Gustatory rhinitis in multiple system atrophy","authors":"Kaoru Yamakawa, K. Kondo, A. Unaki, H. Saigusa, Kyohei Horikiri, T. Yamasoba","doi":"10.1080/23772484.2021.1932511","DOIUrl":"https://doi.org/10.1080/23772484.2021.1932511","url":null,"abstract":"Abstract Gustatory rhinitis is a type of nonallergic, noninflammatory rhinitis. A high incidence of rhinorrhea, including gustatory rhinitis, is reported in patients with Parkinson’s disease (PD). Herein, we report a case of gustatory rhinitis in a patient with a parkinsonian variant of multiple system atrophy (MSA-P). A 56-year-old man presented with gustatory rhinorrhea and bilateral copious nasal discharge while eating. Three years before visiting the ear, nose, and throat clinic, he developed Parkinsonism and was suspected of having MSA-P. He underwent posterior nasal neurectomy under endoscopic guidance, but it did not significantly reduce the rhinorrhea during eating. Pathological examination of the mucosa of the inferior turbinate demonstrated minimal inflammatory cellular infiltration. Severe (gustatory) rhinitis may also be a useful biomarker for the diagnosis of synucleinopathies, including PD and MSA, akin to anosmia, which is a well-known biomarker for the early diagnosis of PD.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"21 10","pages":"67 - 70"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41297840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.2002696
Hideaki Moteki
Abstract I contracted coronavirus disease 2019 (COVID-19) and suffered not only from sudden anosmia, but also from a strange stinging and burning sensation inside my nose with some pain complicated by desensitization to spicy foods and fizziness of carbonated drinks. As a possible mechanism involving these symptoms, I theorize that not only is the olfactory epithelium within the olfactory nerve damaged, but the trigeminal nerve might also be affected, leading to olfactory dysfunction and strange nasal sensations.
{"title":"Anosmia, trigeminal nerve dysfunction, and COVID-19: A personal account","authors":"Hideaki Moteki","doi":"10.1080/23772484.2021.2002696","DOIUrl":"https://doi.org/10.1080/23772484.2021.2002696","url":null,"abstract":"Abstract I contracted coronavirus disease 2019 (COVID-19) and suffered not only from sudden anosmia, but also from a strange stinging and burning sensation inside my nose with some pain complicated by desensitization to spicy foods and fizziness of carbonated drinks. As a possible mechanism involving these symptoms, I theorize that not only is the olfactory epithelium within the olfactory nerve damaged, but the trigeminal nerve might also be affected, leading to olfactory dysfunction and strange nasal sensations.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"88 - 90"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41567148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1914060
M. Adham, Kartika Hajarani, Lisnawati Rachmadi, I. Suroyo
Abstract Juvenile nasopharyngeal angiofibroma (JNA) is a benign, vascular, tumour primarily occuring in adolescent males. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery. Two separate masses arising from both sides are exceedingly rare. We report a case of a 29-year-old male presented with increasing nasal obstruction, recurrent epistaxis, and a mass on his left buccal. Computed tomography and magnetic resonance imaging revealed non-contiguous tumours on the right nasopharynx and on the left buccal. Angiography showed independent vascular supplies from each side with no bilateral supply noted. Preoperative embolization on both vascular supplies was done, followed by surgical removal of the tumours with no major complication. Histopathological examination showed both are JNA. No major complications were noted. This case discusses how suspecting bilateral juvenile angiofibroma in a patient with two non-contiguous masses in head and neck region is recommended. Proper diagnosis of bilateral JNA can lead to better management and results.
{"title":"Bilateral juvenile nasopharyngeal angiofibroma: A rare case report","authors":"M. Adham, Kartika Hajarani, Lisnawati Rachmadi, I. Suroyo","doi":"10.1080/23772484.2021.1914060","DOIUrl":"https://doi.org/10.1080/23772484.2021.1914060","url":null,"abstract":"Abstract Juvenile nasopharyngeal angiofibroma (JNA) is a benign, vascular, tumour primarily occuring in adolescent males. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery. Two separate masses arising from both sides are exceedingly rare. We report a case of a 29-year-old male presented with increasing nasal obstruction, recurrent epistaxis, and a mass on his left buccal. Computed tomography and magnetic resonance imaging revealed non-contiguous tumours on the right nasopharynx and on the left buccal. Angiography showed independent vascular supplies from each side with no bilateral supply noted. Preoperative embolization on both vascular supplies was done, followed by surgical removal of the tumours with no major complication. Histopathological examination showed both are JNA. No major complications were noted. This case discusses how suspecting bilateral juvenile angiofibroma in a patient with two non-contiguous masses in head and neck region is recommended. Proper diagnosis of bilateral JNA can lead to better management and results.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"45 - 52"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1914060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44289318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1888646
B. Kharel, Y. Neupane
Abstract Introduction Lymphatic malformations are benign congenital lesions of abnormal lymphatic channel common in head and neck region. Extensive disease involving the larynx and presenting as a laryngeal pathology is a rare occurrence and can cause diagnostic enigma. Case report We report an unusual case of an extensive mixed cystic type of lymphatic malformation in the larynx without any external neck or oral swelling presenting in stridor and clinically mimicking as juvenile respiratory papillomatosis. Endoscopic debulking and tracheostomy were done and subsequent MRI showed lymphatic malformation. After the failure to inject doxycycline sclerotherapy properly, definite surgery was planned. However, the patient was lost to follow up. Discussion Lymphatic malformation extending into the larynx is a rare cause of airway problem. History and clinical examination alone is not always adequate in every case. In the case of an unusual presentation, the final diagnosis should include appropriate imaging and should be confirmed by histopathology.
{"title":"Lymphatic malformation in larynx masquerading as respiratory papillomatosis","authors":"B. Kharel, Y. Neupane","doi":"10.1080/23772484.2021.1888646","DOIUrl":"https://doi.org/10.1080/23772484.2021.1888646","url":null,"abstract":"Abstract Introduction Lymphatic malformations are benign congenital lesions of abnormal lymphatic channel common in head and neck region. Extensive disease involving the larynx and presenting as a laryngeal pathology is a rare occurrence and can cause diagnostic enigma. Case report We report an unusual case of an extensive mixed cystic type of lymphatic malformation in the larynx without any external neck or oral swelling presenting in stridor and clinically mimicking as juvenile respiratory papillomatosis. Endoscopic debulking and tracheostomy were done and subsequent MRI showed lymphatic malformation. After the failure to inject doxycycline sclerotherapy properly, definite surgery was planned. However, the patient was lost to follow up. Discussion Lymphatic malformation extending into the larynx is a rare cause of airway problem. History and clinical examination alone is not always adequate in every case. In the case of an unusual presentation, the final diagnosis should include appropriate imaging and should be confirmed by histopathology.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"11 - 15"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1888646","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42220035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1933988
Amanj Saber
Abstract Tonsil tissue not located at known anatomical locations at the entry of aero-digestive system is called ectopic tonsil. This is rarely presented clinically and may lead to diagnostic confusion when encountered. The diagnosis of ectopic tonsil is challenging as it is usually asymptomatic and requires histopathological examination for definitive diagnosis. A case of patient with sublingual ectopic tonsillar tissue is described here. Otolaryngologists colleagues are encouraged to pay attention to this entity and consider it in the differential diagnosis of an unclear lump in the head and neck region especially, in the oral cavity.
{"title":"Ectopic tonsil in the floor of the mouth: A case report","authors":"Amanj Saber","doi":"10.1080/23772484.2021.1933988","DOIUrl":"https://doi.org/10.1080/23772484.2021.1933988","url":null,"abstract":"Abstract Tonsil tissue not located at known anatomical locations at the entry of aero-digestive system is called ectopic tonsil. This is rarely presented clinically and may lead to diagnostic confusion when encountered. The diagnosis of ectopic tonsil is challenging as it is usually asymptomatic and requires histopathological examination for definitive diagnosis. A case of patient with sublingual ectopic tonsillar tissue is described here. Otolaryngologists colleagues are encouraged to pay attention to this entity and consider it in the differential diagnosis of an unclear lump in the head and neck region especially, in the oral cavity.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"40 1","pages":"53 - 55"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1933988","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60114691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.2008800
B. F. Ramos, Renato Cal, P. L. Mangabeira Albernaz, F. C. Zuma e Maia
Abstract A 34-year old men presented with 2-days history of quick episodes of vertigo caused by changes in the position of the head, mainly when turning over in the supine position. Video-Frenzel examination revealed a mild spontaneous downbeating nystagmus only with visual fixation removed that robustly increased in the bow test. The lean test and the Dix Hallpike test to the right side revealed an upbeating torsional nystagmus with the upper pole of the eye beating to the right ear. Then, the Epley maneuver was performed, given the clinical suspicion of right posterior canal BPPV, and he achieved immediate resolution of vertigo and nystagmus. Presumably, this is the first report in which a patient with posterior canal BPPV demonstrated a vertical ‘pseudospontaneous’ nystagmus.
{"title":"Vertical “pseudospontaneous” nystagmus in a patient with posterior canal BPPV: case report","authors":"B. F. Ramos, Renato Cal, P. L. Mangabeira Albernaz, F. C. Zuma e Maia","doi":"10.1080/23772484.2021.2008800","DOIUrl":"https://doi.org/10.1080/23772484.2021.2008800","url":null,"abstract":"Abstract A 34-year old men presented with 2-days history of quick episodes of vertigo caused by changes in the position of the head, mainly when turning over in the supine position. Video-Frenzel examination revealed a mild spontaneous downbeating nystagmus only with visual fixation removed that robustly increased in the bow test. The lean test and the Dix Hallpike test to the right side revealed an upbeating torsional nystagmus with the upper pole of the eye beating to the right ear. Then, the Epley maneuver was performed, given the clinical suspicion of right posterior canal BPPV, and he achieved immediate resolution of vertigo and nystagmus. Presumably, this is the first report in which a patient with posterior canal BPPV demonstrated a vertical ‘pseudospontaneous’ nystagmus.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"116 - 119"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48894629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.2002153
Samin Rahbin, M. Kjellberg, Magnus Söderlind, A. Ekborn
Abstract A case is presented of an extremely low birth weight (ELBW) and growth restricted preterm twin girl with a birth weight of 532 grams who underwent an airway foreign body extraction via rigid bronchoscopy. The patient was intubated in the delivery room and required administration of surfactant via an access catheter. A chest radiograph on the 5th day of life (DOL) demonstrated a foreign body in the left main bronchus and it was concluded that it had been present for at least 4 days. The foreign body, identified as a 2.8 cm tip of the surfactant catheter accidentally cut upon trimming of the endotracheal tube, was successfully extracted on DOL 6. This case demonstrates the lowest reported weight where such a procedure has been successfully performed without complications. We present a discussion on the optimal timing of foreign body extractions, stressing the importance of pre-operative medical management in improving outcomes.
{"title":"Well-planned rather than rushed extraction of airway foreign body in 532 g preterm neonate","authors":"Samin Rahbin, M. Kjellberg, Magnus Söderlind, A. Ekborn","doi":"10.1080/23772484.2021.2002153","DOIUrl":"https://doi.org/10.1080/23772484.2021.2002153","url":null,"abstract":"Abstract A case is presented of an extremely low birth weight (ELBW) and growth restricted preterm twin girl with a birth weight of 532 grams who underwent an airway foreign body extraction via rigid bronchoscopy. The patient was intubated in the delivery room and required administration of surfactant via an access catheter. A chest radiograph on the 5th day of life (DOL) demonstrated a foreign body in the left main bronchus and it was concluded that it had been present for at least 4 days. The foreign body, identified as a 2.8 cm tip of the surfactant catheter accidentally cut upon trimming of the endotracheal tube, was successfully extracted on DOL 6. This case demonstrates the lowest reported weight where such a procedure has been successfully performed without complications. We present a discussion on the optimal timing of foreign body extractions, stressing the importance of pre-operative medical management in improving outcomes.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"85 - 87"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44963241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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