Pub Date : 2008-11-01DOI: 10.1016/j.aorl.2008.07.006
R.E. Kania , P. Herman , J.-P. Guichard , P. Tran Ba Huy
Objectives
To present a unique case of unilateral widening of the internal auditory canal (IAC) with no significant contact with an ipsilateral intracanalicular vestibular schwannoma (VS), raising the issue of the cause(s) of this IAC widening.
Methods
The medical record and radiologic data were reviewed of a patient presenting an enlarged unilateral IAC, which led to the diagnosis of an intracanalicular VS that could not account for the dilation.
Results
The patient had a unilateral dilation of the IAC that did not match the ipsilateral VS he had. As a result, this case motivated discussion of whether such dilation of the IAC was congenitally asymmetrical or the result of the mechanisms involved in the widening of the IAC.
Conclusions
Although asymmetry of IAC is a current notion, this case demonstrates a contrario that increased pressure exerted on the walls of the IAC cannot be the only mechanism in such widening.
{"title":"Dilatation du méat acoustique interne et schwannome vestibulaire intracanalaire : quels mécanismes ?","authors":"R.E. Kania , P. Herman , J.-P. Guichard , P. Tran Ba Huy","doi":"10.1016/j.aorl.2008.07.006","DOIUrl":"10.1016/j.aorl.2008.07.006","url":null,"abstract":"<div><h3>Objectives</h3><p>To present a unique case of unilateral widening of the internal auditory canal (IAC) with no significant contact with an ipsilateral intracanalicular vestibular schwannoma (VS), raising the issue of the cause(s) of this IAC widening.</p></div><div><h3>Methods</h3><p>The medical record and radiologic data were reviewed of a patient presenting an enlarged unilateral IAC, which led to the diagnosis of an intracanalicular VS that could not account for the dilation.</p></div><div><h3>Results</h3><p>The patient had a unilateral dilation of the IAC that did not match the ipsilateral VS he had. As a result, this case motivated discussion of whether such dilation of the IAC was congenitally asymmetrical or the result of the mechanisms involved in the widening of the IAC.</p></div><div><h3>Conclusions</h3><p>Although asymmetry of IAC is a current notion, this case demonstrates <em>a contrario</em> that increased pressure exerted on the walls of the IAC cannot be the only mechanism in such widening.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 5","pages":"Pages 256-260"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27670894","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 : 2008-11-01DOI: 10.1016/j.aorl.2008.08.002
F. Espitalier, O. Malard, R. Wagner, S. Bailleul, P. Bordure
Objectives
To report the functional results of ossicular reconstruction achieved with a specific partial prosthesis in tympanoplasty for cholesteatoma.
Materials and methods
Forty-four patients presenting cholesteatoma of the middle ear were involved in a retrospective study. Tympanoplasties were performed by the same surgeon over a 30-month period. The patients underwent ossiculoplasty with the shortest nondivisible partial titanium Spiggle & Theis® prosthesis. Twenty-eight procedures were canal wall-up tympanoplasties and 17 were canal wall-down procedures; 27 were primary tympanoplasties and 18 were revisions. Audiometric data were evaluated before and after surgery, with a mean follow-up of 13.4 months.
Results
Improvement of the air–bone gap was 6 ± 12.2 dB. The overall success rate was 56% and 67% using the Glasgow Benefit Plot and a postoperative air–bone gap lower than 20 dB, respectively. There was no significant functional difference between canal wall-up and canal wall-down procedures. Hearing results were better in primary tympanoplasties than in revisions (p = 0.004). The extrusion rate was 2.2%.
Conclusion
The functional results observed in this study confirm that this partial titanium Spiggle & Theis® prosthesis is a valuable biomaterial for ossicular reconstruction in primary tympanoplasty for cholesteatoma.
{"title":"Ossiculoplastie par prothèse partielle en titane Spiggle & Theis® dans l’otite cholestéatomateuse : résultats fonctionnels","authors":"F. Espitalier, O. Malard, R. Wagner, S. Bailleul, P. Bordure","doi":"10.1016/j.aorl.2008.08.002","DOIUrl":"10.1016/j.aorl.2008.08.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To report the functional results of ossicular reconstruction achieved with a specific partial prosthesis in tympanoplasty for cholesteatoma.</p></div><div><h3>Materials and methods</h3><p>Forty-four patients presenting cholesteatoma of the middle ear were involved in a retrospective study. Tympanoplasties were performed by the same surgeon over a 30-month period. The patients underwent ossiculoplasty with the shortest nondivisible partial titanium Spiggle & Theis<sup>®</sup> prosthesis. Twenty-eight procedures were canal wall-up tympanoplasties and 17 were canal wall-down procedures; 27 were primary tympanoplasties and 18 were revisions. Audiometric data were evaluated before and after surgery, with a mean follow-up of 13.4 months.</p></div><div><h3>Results</h3><p>Improvement of the air–bone gap was 6<!--> <!-->±<!--> <!-->12.2<!--> <!-->dB. The overall success rate was 56% and 67% using the Glasgow Benefit Plot and a postoperative air–bone gap lower than 20<!--> <!-->dB, respectively. There was no significant functional difference between canal wall-up and canal wall-down procedures. Hearing results were better in primary tympanoplasties than in revisions (<em>p</em> <!-->=<!--> <!-->0.004). The extrusion rate was 2.2%.</p></div><div><h3>Conclusion</h3><p>The functional results observed in this study confirm that this partial titanium Spiggle & Theis<sup>®</sup> prosthesis is a valuable biomaterial for ossicular reconstruction in primary tympanoplasty for cholesteatoma.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 5","pages":"Pages 243-249"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27706450","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.06.001
S. Tringali , P. Perrillas , J. -F. Pouget , C. Martin , C. Dubreuil
{"title":"Comment interpréter un scanner devant une surdité de transmission ou une surdité mixte à tympan normal ?","authors":"S. Tringali , P. Perrillas , J. -F. Pouget , C. Martin , C. Dubreuil","doi":"10.1016/j.aorl.2008.06.001","DOIUrl":"10.1016/j.aorl.2008.06.001","url":null,"abstract":"","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 234-240"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27696821","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.07.001
J.-F. Rodier , J.-J. Tuech , M. Wilt , P. Lindas , C. Bruant-Rodier
Purpose
To assess the characteristics, the diagnosis and the treatment of intrathyroid metastasis.
Method
The authors report a case of a locally advanced intrathyroid metastasis of a bronchial cancer.
Results
A 60-year-old woman, treated seven years before for a well-differentiated bronchial adenocarcinoma, developed enlargement of the thyroid gland. Metastatic disease was confirmed by a surgical biopsy. Following incomplete radiochemotherapy, a palliative surgical debulking was performed, associating an isthmolobectomy with a large skin excision and closure with a pectoralis major myocutaneous flap.
Conclusion
Intrathyroid metastases are rare and usually treated by surgery. Surgical management is decided taking into account the type and the kinetics of the primary tumor, the location of the thyroid metastasis, and the extension of the metastatic disease. Except for isolated intrathyroid metastasis of kidney cancer, prognosis remains poor.
{"title":"Métastase intrathyroïdienne localement avancée d’un cancer bronchique","authors":"J.-F. Rodier , J.-J. Tuech , M. Wilt , P. Lindas , C. Bruant-Rodier","doi":"10.1016/j.aorl.2008.07.001","DOIUrl":"10.1016/j.aorl.2008.07.001","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess the characteristics, the diagnosis and the treatment of intrathyroid metastasis.</p></div><div><h3>Method</h3><p>The authors report a case of a locally advanced intrathyroid metastasis of a bronchial cancer.</p></div><div><h3>Results</h3><p>A 60-year-old woman, treated seven years before for a well-differentiated bronchial adenocarcinoma, developed enlargement of the thyroid gland. Metastatic disease was confirmed by a surgical biopsy. Following incomplete radiochemotherapy, a palliative surgical debulking was performed, associating an isthmolobectomy with a large skin excision and closure with a pectoralis major myocutaneous flap.</p></div><div><h3>Conclusion</h3><p>Intrathyroid metastases are rare and usually treated by surgery. Surgical management is decided taking into account the type and the kinetics of the primary tumor, the location of the thyroid metastasis, and the extension of the metastatic disease. Except for isolated intrathyroid metastasis of kidney cancer, prognosis remains poor.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 198-203"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27643735","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.02.003
A. Bizon , O. Capitain , S. Girault , H. Charrot , L. Laccourreye
Objectives
We report the first case of a multifocal adult extracardiac rhabdomyoma discovered on positron emission tomography and provide a brief review of the literature on this entity.
Material and methods
Multifocal rhabdomyoma was discovered in a 65-year-old asymptomatic man on positron emission tomography (PET). Surgery was undertaken, allowing histological diagnosis.
Results
Adult rhabdomyoma is a rare mesenchymal tumor which generally grows slowly and is mainly localized in the head and neck area. Multifocal lesions are rare. PET (undertaken to explore a pulmonary nodule) found three fixations in the head and neck area, confirmed by tomodensitometry and MRI, without providing the diagnosis. This situation led to a surgical exploration.
Conclusion
This observation revealed that rhabdomyoma can fix the PET scan. Tomodensitometry and MRI can also specify the tumor extension to define the treatment methods. Surgery must be preserving and is indicated only in the event of symptomatic tumor.
{"title":"Rhabdomyome multifocal et tomographie par émission de positons","authors":"A. Bizon , O. Capitain , S. Girault , H. Charrot , L. Laccourreye","doi":"10.1016/j.aorl.2008.02.003","DOIUrl":"10.1016/j.aorl.2008.02.003","url":null,"abstract":"<div><h3>Objectives</h3><p>We report the first case of a multifocal adult extracardiac rhabdomyoma discovered on positron emission tomography and provide a brief review of the literature on this entity.</p></div><div><h3>Material and methods</h3><p>Multifocal rhabdomyoma was discovered in a 65-year-old asymptomatic man on positron emission tomography (PET). Surgery was undertaken, allowing histological diagnosis.</p></div><div><h3>Results</h3><p>Adult rhabdomyoma is a rare mesenchymal tumor which generally grows slowly and is mainly localized in the head and neck area. Multifocal lesions are rare. PET (undertaken to explore a pulmonary nodule) found three fixations in the head and neck area, confirmed by tomodensitometry and MRI, without providing the diagnosis. This situation led to a surgical exploration.</p></div><div><h3>Conclusion</h3><p>This observation revealed that rhabdomyoma can fix the PET scan. Tomodensitometry and MRI can also specify the tumor extension to define the treatment methods. Surgery must be preserving and is indicated only in the event of symptomatic tumor.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 213-217"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40542371","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.05.002
Bernard Accoyer
{"title":"Discours de M. Bernard Accoyer, président de l’Assemblée nationale","authors":"Bernard Accoyer","doi":"10.1016/j.aorl.2008.05.002","DOIUrl":"10.1016/j.aorl.2008.05.002","url":null,"abstract":"","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 171-173"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27528348","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 : 2008-09-01DOI: 10.1016/j.aorl.2007.01.010
A. Werner, O. Laccourreye
{"title":"Qui suis je : N…","authors":"A. Werner, O. Laccourreye","doi":"10.1016/j.aorl.2007.01.010","DOIUrl":"10.1016/j.aorl.2007.01.010","url":null,"abstract":"","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 241-242"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2007.01.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27254130","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.05.001
F. Bouilloud, F. Jégoux, A. Caze, B. Godey, G. Le Clech
Objectives
Parapharyngeal space tumors are rare and usually benign. Their treatment is surgical and many approaches have been described. We report our experience in managing these neoplasms. Two points are developed more fully: the correlation between imaging and surgical observation and the reliability of the cervical approach.
Material and methods
A retrospective review of primary parapharyngeal space tumors treated at the Rennes University Hospital between 1992 and 2004 is presented. Nine patients were included, all treated surgically with a cervical approach without parotidectomy.
Results
Eight MR imaging and seven CT scans were done. Two retrostyloid tumors and six prestyloid tumors, all independent of the deep lobe of the parotid gland, were found. They were benign in all cases (five salivary tumors and four schwannomas). Two patients treated for a pleomorphic adenoma presented recurrence and were reoperated successfully. The average follow-up was 66 months. None of the patients died. Definitive postoperative complications occurred only for neurogenic tumors.
Conclusion
The cervical approach is safe and allows the surgical excision of retrostyloid and prestyloid tumors, independent of the deep lobe of the parotid gland. Large tumor (8 cm in our study) excision can be done with few complications. An attentive study of preoperative imaging is necessary to choose the best surgical approach.
{"title":"Tumeurs parapharyngées : diagnostic et traitement","authors":"F. Bouilloud, F. Jégoux, A. Caze, B. Godey, G. Le Clech","doi":"10.1016/j.aorl.2008.05.001","DOIUrl":"10.1016/j.aorl.2008.05.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Parapharyngeal space tumors are rare and usually benign. Their treatment is surgical and many approaches have been described. We report our experience in managing these neoplasms. Two points are developed more fully: the correlation between imaging and surgical observation and the reliability of the cervical approach.</p></div><div><h3>Material and methods</h3><p>A retrospective review of primary parapharyngeal space tumors treated at the Rennes University Hospital between 1992 and 2004 is presented. Nine patients were included, all treated surgically with a cervical approach without parotidectomy.</p></div><div><h3>Results</h3><p>Eight MR imaging and seven CT scans were done. Two retrostyloid tumors and six prestyloid tumors, all independent of the deep lobe of the parotid gland, were found. They were benign in all cases (five salivary tumors and four schwannomas). Two patients treated for a pleomorphic adenoma presented recurrence and were reoperated successfully. The average follow-up was 66 months. None of the patients died. Definitive postoperative complications occurred only for neurogenic tumors.</p></div><div><h3>Conclusion</h3><p>The cervical approach is safe and allows the surgical excision of retrostyloid and prestyloid tumors, independent of the deep lobe of the parotid gland. Large tumor (8<!--> <!-->cm in our study) excision can be done with few complications. An attentive study of preoperative imaging is necessary to choose the best surgical approach.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 181-187"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27576709","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.07.003
S. Mestiri, I. Zeglaoui, B. Sriha, M. Belcadhi, K. Bouzouita, S. Korbi
Introduction
Extra-nodal T lymphomas of the ear, nose, and throat (ENT) are unusual in Western countries, with differential diagnosis from other destructive and necrotizing lesions of the sino-nasal tract often difficult.
Material and methods
Eleven cases of extra-nodal lymphomas of the upper aerodigestive tract tract managed in the ENT department of F. Hached hospital in Sousse, Tunisia, were retrieved over a 10-year period (1995–2004). The aim of our study was to report the clinical and pathological data and the outcome for each patient.
Results
The median age of patients was 41-years. The most frequent site of involvement was the nasal cavity. Clinically, the symptoms were not specific. Histological examination identified two cases of T/NK lymphoma and nine cases of T-lymphoma not otherwise specified. Immunohistochemistry and in situ hybridization techniques positively detected Epstein-Barr virus in tumoral cells, in seven cases. Tumor staging, in 10 patients, found distant metastasis in three. Nine patients underwent the following treatment: exclusive radiotherapy (one patient), radiochemotherapy (three patients), and exclusive polychemotherapy (five patients). The two remaining patients had no treatment because of a rapidly unfavorable progression. After a median follow-up of 11-months, clinical outcome consisted in death in seven patients and remission in three patients; one patient was lost of follow-up.
Conclusion
Extra-nodal lymphomas of the ORL tract are rare in Tunisia. Clinical presentation is not specific, depending on the lymphoma location. Diagnosis relies on clinical presentation and immunophenotypic and molecular characteristics; morphological features are not specific. These are aggressive lymphomas, often requiring multidisciplinary management.
{"title":"Les lymphomes T des fosses nasales et des sinus","authors":"S. Mestiri, I. Zeglaoui, B. Sriha, M. Belcadhi, K. Bouzouita, S. Korbi","doi":"10.1016/j.aorl.2008.07.003","DOIUrl":"10.1016/j.aorl.2008.07.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Extra-nodal T lymphomas of the ear, nose, and throat (ENT) are unusual in Western countries, with differential diagnosis from other destructive and necrotizing lesions of the sino-nasal tract often difficult.</p></div><div><h3>Material and methods</h3><p>Eleven cases of extra-nodal lymphomas of the upper aerodigestive tract tract managed in the ENT department of F. Hached hospital in Sousse, Tunisia, were retrieved over a 10-year period (1995–2004). The aim of our study was to report the clinical and pathological data and the outcome for each patient.</p></div><div><h3>Results</h3><p>The median age of patients was 41-years. The most frequent site of involvement was the nasal cavity. Clinically, the symptoms were not specific. Histological examination identified two cases of T/NK lymphoma and nine cases of T-lymphoma not otherwise specified. Immunohistochemistry and in situ hybridization techniques positively detected Epstein-Barr virus in tumoral cells, in seven cases. Tumor staging, in 10 patients, found distant metastasis in three. Nine patients underwent the following treatment: exclusive radiotherapy (one patient), radiochemotherapy (three patients), and exclusive polychemotherapy (five patients). The two remaining patients had no treatment because of a rapidly unfavorable progression. After a median follow-up of 11-months, clinical outcome consisted in death in seven patients and remission in three patients; one patient was lost of follow-up.</p></div><div><h3>Conclusion</h3><p>Extra-nodal lymphomas of the ORL tract are rare in Tunisia. Clinical presentation is not specific, depending on the lymphoma location. Diagnosis relies on clinical presentation and immunophenotypic and molecular characteristics; morphological features are not specific. These are aggressive lymphomas, often requiring multidisciplinary management.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 188-192"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27600556","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.04.003
B. Liétin , J.-F. Vellin , L. Bivahagumye , O. Aumaître , J.-L. Kemeny , T. Mom , L. Gilain
Objectives
Report a case of tracheopathia osteoplastica and describe from a literature analysis the main clinical, radiological, and therapeutic features of this rare disease based on literature review.
Material and methods
A 74-year-old patient suffering from a nasal polyposis that had been repeatedly operated was admitted for surgery of the frontal sinus. The day of surgery, the difficult intubation required a laryngotracheoscopy, which found a dystrophic trachea, with a sprinkling of whitish nodules, and hard swelling. The pathologic exams of a large biopsy specimen using a rigid bronchoscopy provided the diagnosis of tracheopathia osteoplastic. A complementary workup to search for the etiology was undertaken. The risk and the difficulty of the intubation led to suspending the surgery.
Results
The CT scan as well as the histological, bacteriological, and immunological tests showed nothing specific. The etiopathogenic hypothesis was the association of chronic disease of the upper airways such as the ozena or the chronic inflammation of the respiratory tract, an endocrine factor, dermatomyositis, exposure to toxic substances such as silica, or tracheobronchial amyloidosis. The bronchial microbiology test is positive in more than 50% of patients, and often Klebsiella ozaenae or Pseudomonas aeruginosa is found.
Conclusion
Tracheopathia osteoplastica is a rare tumor, with unknown etiology and physiopathology. The discovery is most often incidental. Progession is slow and it does not compromise the vital prognosis. The treatment is symptomatic. Few surgical tracheal operations are described in the literature.
{"title":"Trachéopathie ossifiante","authors":"B. Liétin , J.-F. Vellin , L. Bivahagumye , O. Aumaître , J.-L. Kemeny , T. Mom , L. Gilain","doi":"10.1016/j.aorl.2008.04.003","DOIUrl":"10.1016/j.aorl.2008.04.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Report a case of tracheopathia osteoplastica and describe from a literature analysis the main clinical, radiological, and therapeutic features of this rare disease based on literature review.</p></div><div><h3>Material and methods</h3><p>A 74-year-old patient suffering from a nasal polyposis that had been repeatedly operated was admitted for surgery of the frontal sinus. The day of surgery, the difficult intubation required a laryngotracheoscopy, which found a dystrophic trachea, with a sprinkling of whitish nodules, and hard swelling. The pathologic exams of a large biopsy specimen using a rigid bronchoscopy provided the diagnosis of tracheopathia osteoplastic. A complementary workup to search for the etiology was undertaken. The risk and the difficulty of the intubation led to suspending the surgery.</p></div><div><h3>Results</h3><p>The CT scan as well as the histological, bacteriological, and immunological tests showed nothing specific. The etiopathogenic hypothesis was the association of chronic disease of the upper airways such as the ozena or the chronic inflammation of the respiratory tract, an endocrine factor, dermatomyositis, exposure to toxic substances such as silica, or tracheobronchial amyloidosis. The bronchial microbiology test is positive in more than 50% of patients, and often <em>Klebsiella ozaenae</em> or <em>Pseudomonas aeruginosa</em> is found.</p></div><div><h3>Conclusion</h3><p>Tracheopathia osteoplastica is a rare tumor, with unknown etiology and physiopathology. The discovery is most often incidental. Progession is slow and it does not compromise the vital prognosis. The treatment is symptomatic. Few surgical tracheal operations are described in the literature.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 4","pages":"Pages 208-212"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27525109","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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