Makhlouf R, Y. Ben Abdeladhim, M. Boumediene, I. Riahi, M. Tebini, R. Lahiani, M. ben Salah, M. Jrad
Aim : To present the imaging appearance of tracheal adenoid cystic carcinoma according to the different imaging modalities (ultrasound, computed tomography and magnetic resonance imaging). Method : We present the case of a 60-year-old patient, without symptoms guiding the diagnosis, in whom the diagnosis was suspected on CT scan imaging. Results : The patient was explored by CT angiography of the supra-aortic trunks as part of the etiologic investigation of an ischemic vascular accident. The examination objectified a tissular mass centered on the tracheoesophageal axis lateralized to the left invading the laryngeal cartilages and the left lobe of the thyroid. A cervical ultrasound was performed showing a heterogeneous hypoechoic area of the left lobe of the thyroid with no detected nodule. Fine needle aspiration of the suspicious area was performed, showing a tumoral lesion with basaloid cells evoking the diagnosis of adenoid cystic carcinoma. In order to assess the tumor extension and the patient's operability, a cervical MRI was performed given its better resolution in contrast. A bronchial fibroscopy was indicated showing a tracheal circumferential infiltrative stenosis with biopsies confirming the diagnosis. Conclusion: Adenoid cystic carcinomas of the trachea are rare tumors. Tracheobronchial endoscopy combined with biopsies allow the diagnosis of certainty. Cross-sectional imaging (CT and MRI) plays a key role in locoregional and distant extension assessment, thus guiding therapeutic management.
{"title":"Cystic Adenoid Carcinoma Of The Trachea: A Rare Case Of Asymptomatic Tracheal Tumor","authors":"Makhlouf R, Y. Ben Abdeladhim, M. Boumediene, I. Riahi, M. Tebini, R. Lahiani, M. ben Salah, M. Jrad","doi":"10.33425/2831-6312.1007","DOIUrl":"https://doi.org/10.33425/2831-6312.1007","url":null,"abstract":"Aim : To present the imaging appearance of tracheal adenoid cystic carcinoma according to the different imaging modalities (ultrasound, computed tomography and magnetic resonance imaging). Method : We present the case of a 60-year-old patient, without symptoms guiding the diagnosis, in whom the diagnosis was suspected on CT scan imaging. Results : The patient was explored by CT angiography of the supra-aortic trunks as part of the etiologic investigation of an ischemic vascular accident. The examination objectified a tissular mass centered on the tracheoesophageal axis lateralized to the left invading the laryngeal cartilages and the left lobe of the thyroid. A cervical ultrasound was performed showing a heterogeneous hypoechoic area of the left lobe of the thyroid with no detected nodule. Fine needle aspiration of the suspicious area was performed, showing a tumoral lesion with basaloid cells evoking the diagnosis of adenoid cystic carcinoma. In order to assess the tumor extension and the patient's operability, a cervical MRI was performed given its better resolution in contrast. A bronchial fibroscopy was indicated showing a tracheal circumferential infiltrative stenosis with biopsies confirming the diagnosis. Conclusion: Adenoid cystic carcinomas of the trachea are rare tumors. Tracheobronchial endoscopy combined with biopsies allow the diagnosis of certainty. Cross-sectional imaging (CT and MRI) plays a key role in locoregional and distant extension assessment, thus guiding therapeutic management.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86955817","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 : 2023-01-01DOI: 10.24983/scitemed.aohns.2023.00170
K. Kiang, A. Sethi
{"title":"Looking Beyond the Obvious! A Case of Sialolithiasis Masquerading as an Odontogenic Abscess","authors":"K. Kiang, A. Sethi","doi":"10.24983/scitemed.aohns.2023.00170","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2023.00170","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88654921","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}
Cristina Figueiredo, L. V. D. A. Sousa, F. Hojaij, F. Adami
{"title":"Factors associated with postbronchoaspiration survival: a cross-sectional study","authors":"Cristina Figueiredo, L. V. D. A. Sousa, F. Hojaij, F. Adami","doi":"10.4322/ahns.2023.0005","DOIUrl":"https://doi.org/10.4322/ahns.2023.0005","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"228 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75535912","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}
José Gabriel Miranda da Paixão, Gabriel V. S. Tabosa, Carlos Augusto Moreira Silva
{"title":"Thyroid collision tumor: a case report of three histological types in the same patient","authors":"José Gabriel Miranda da Paixão, Gabriel V. S. Tabosa, Carlos Augusto Moreira Silva","doi":"10.4322/ahns.2023.0002","DOIUrl":"https://doi.org/10.4322/ahns.2023.0002","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78994528","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}
Emerson Kennedy Ribeiro de Andrade, Marina Mayara Batista do Rêgo, Sheila Ramos de Miranda Henriques, Thiago Câmara de Souza Barbalho, Gabriel Melo Caldas Nogueira
Solitary fibrous tumors are uncommon soft-tissue neoplasms of mesenchymal origin, typically benign and well-circumscribed. While these tumors most frequently arise in the pleura, extra-pleural manifestations are less common. However, there have been instances of head and neck involvement documented in the literature. Despite the complexities in diagnosis, it is crucial to accurately diagnose and treat head and neck solitary fibrous tumors due to their potential for recurrence. This report presents the case of a 65-year-old female diagnosed with a solitary fibrous tumor impacting the oral cavity, as well as the submandibular and sublingual regions.
{"title":"Head and neck solitary fibrous tumor: a challenging diagnosis","authors":"Emerson Kennedy Ribeiro de Andrade, Marina Mayara Batista do Rêgo, Sheila Ramos de Miranda Henriques, Thiago Câmara de Souza Barbalho, Gabriel Melo Caldas Nogueira","doi":"10.4322/ahns.2023.0012","DOIUrl":"https://doi.org/10.4322/ahns.2023.0012","url":null,"abstract":"Solitary fibrous tumors are uncommon soft-tissue neoplasms of mesenchymal origin, typically benign and well-circumscribed. While these tumors most frequently arise in the pleura, extra-pleural manifestations are less common. However, there have been instances of head and neck involvement documented in the literature. Despite the complexities in diagnosis, it is crucial to accurately diagnose and treat head and neck solitary fibrous tumors due to their potential for recurrence. This report presents the case of a 65-year-old female diagnosed with a solitary fibrous tumor impacting the oral cavity, as well as the submandibular and sublingual regions.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136258283","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}
Johanna Benali, T. Ayad, F. P. Ceccon, C. Chiesa-Estomba, J. Lechien, Mateus Morais Aires, L. Haddad, G. Viljoen, N. Fakhry
{"title":"The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons","authors":"Johanna Benali, T. Ayad, F. P. Ceccon, C. Chiesa-Estomba, J. Lechien, Mateus Morais Aires, L. Haddad, G. Viljoen, N. Fakhry","doi":"10.4322/ahns.2023.0003","DOIUrl":"https://doi.org/10.4322/ahns.2023.0003","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"109 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83069333","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}
Daysi Alejandra León Sanguano, Christian Paul Jara Santamaria, Diego Andrés Vasquéz Bracho, David Santiago Álvarez Gahona, Duilio Antonio Palacios Molina
Castleman’s disease is a rare, benign pathology characterized by lymph node hyperplasia. Clinically, it is classified as either multicentric or unicentric disease. The choice of treatment depends on the subtype of the disease, with surgical intervention being preferred for unicentric cases and a combination of chemotherapy, corticosteroids, or immunomodulators being used for multicentric cases. Given the rarity of this pathology, the objective of this study is to present a case report of a male patient with an anatomopathological diagnosis of Castleman’s disease.
{"title":"Castleman s disease: atypical pathology – a case report","authors":"Daysi Alejandra León Sanguano, Christian Paul Jara Santamaria, Diego Andrés Vasquéz Bracho, David Santiago Álvarez Gahona, Duilio Antonio Palacios Molina","doi":"10.4322/ahns.2023.0010","DOIUrl":"https://doi.org/10.4322/ahns.2023.0010","url":null,"abstract":"Castleman’s disease is a rare, benign pathology characterized by lymph node hyperplasia. Clinically, it is classified as either multicentric or unicentric disease. The choice of treatment depends on the subtype of the disease, with surgical intervention being preferred for unicentric cases and a combination of chemotherapy, corticosteroids, or immunomodulators being used for multicentric cases. Given the rarity of this pathology, the objective of this study is to present a case report of a male patient with an anatomopathological diagnosis of Castleman’s disease.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135401722","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 : 2023-01-01DOI: 10.24983/scitemed.aohns.2023.00172
H. Niwa, T. Utsunomiya, Yoshiko Kuyama, Y. Makiyama
{"title":"A Novel Strategy for Conservative Management of External Auditory Canal Cholesteatoma: Employing 5-Fluorouracil in Ambulatory Care for Select Patients","authors":"H. Niwa, T. Utsunomiya, Yoshiko Kuyama, Y. Makiyama","doi":"10.24983/scitemed.aohns.2023.00172","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2023.00172","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82742908","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}
Enzo Greco de Paula, Júlia Laudares Soares, Fabio de Aquino Capelli, Leandro Luongo Matos
Introduction: Thyroid hemiagenesis (THA) is a rare congenital thyroid condition in which one of the lobes of the gland fails to develop. The etiology remains uncertain, with the main hypotheses suggesting genetic alterations in thyroid embryogenesis associated with failure of the gland to descend to its final position. Additionally, the condition may be present in both asymptomatic and euthyroid patients, as well as in those with thyroid diseases such as hyperthyroidism, nodular goiter, and neoplasia. Objective: To critically review the literature on the subject, detailing known aspects of anatomy in THA, and the demographic findings of patients with this condition, while also adding two case reports to the literature. Methods: An extensive, systematized review of the MEDLINE database was carried out using the descriptor “thyroid hemiagenesis”. A total of 214 related articles up to October 2022 were retrieved. Out of these, 154 described new cases in the literature and contained demographic and epidemiological data of the reported patients. Studies without new case reports, systematic reviews, and those lacking described or available demographic data—rendered inadmissible for this review—were excluded from the analysis. Results: Our review identified the following prevalence and characteristics: 520 cases of THA were reported, and in 50 of them, absence of the isthmus also coexisted. Several thyroid conditions and statuses have been associated with hemiagenesis of the gland. Conclusion: THA is more prevalent in female, young, and euthyroid patients. Although rare, it is vital for head and neck surgeons to be aware of this possibility, thereby avoiding unnecessary manipulation of the absent thyroid bed and, consequently, preventing complications.
{"title":"Thyroid hemiagenesis: description of two clinical cases, anatomical review, and critical synthesis of the literature","authors":"Enzo Greco de Paula, Júlia Laudares Soares, Fabio de Aquino Capelli, Leandro Luongo Matos","doi":"10.4322/ahns.2023.0007","DOIUrl":"https://doi.org/10.4322/ahns.2023.0007","url":null,"abstract":"Introduction: Thyroid hemiagenesis (THA) is a rare congenital thyroid condition in which one of the lobes of the gland fails to develop. The etiology remains uncertain, with the main hypotheses suggesting genetic alterations in thyroid embryogenesis associated with failure of the gland to descend to its final position. Additionally, the condition may be present in both asymptomatic and euthyroid patients, as well as in those with thyroid diseases such as hyperthyroidism, nodular goiter, and neoplasia. Objective: To critically review the literature on the subject, detailing known aspects of anatomy in THA, and the demographic findings of patients with this condition, while also adding two case reports to the literature. Methods: An extensive, systematized review of the MEDLINE database was carried out using the descriptor “thyroid hemiagenesis”. A total of 214 related articles up to October 2022 were retrieved. Out of these, 154 described new cases in the literature and contained demographic and epidemiological data of the reported patients. Studies without new case reports, systematic reviews, and those lacking described or available demographic data—rendered inadmissible for this review—were excluded from the analysis. Results: Our review identified the following prevalence and characteristics: 520 cases of THA were reported, and in 50 of them, absence of the isthmus also coexisted. Several thyroid conditions and statuses have been associated with hemiagenesis of the gland. Conclusion: THA is more prevalent in female, young, and euthyroid patients. Although rare, it is vital for head and neck surgeons to be aware of this possibility, thereby avoiding unnecessary manipulation of the absent thyroid bed and, consequently, preventing complications.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"101 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85814943","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}
Uri Ramos Firmo, A. L. S. Anjos, Thiago Peres da Silva, J. Reis, J. Ferreira
Introduction: Oropharyngeal and oral cavity carcinoma (OOCC) ranks as the fifth most common cancer in men, in Brazil. Traditionally, OOCC has been linked with smoking and alcohol consumption in older individuals; however, the emergence of these cancers in younger individuals has been associated with Human Papillomavirus (HPV) infection. Despite this connection, there are currently no available data estimating the prevalence of this infection in our population. Objective: Investigate HPV infection in patients diagnosed with OOCC treated at a tertiary cancer-specialized hospital in Salvador, state of Bahia, Brazil. Methods: Retrospective, observational, descriptive study on patients diagnosed with OOCC at Hospital Aristides Maltez (HAM) from 2017 to 2020. Clinical and epidemiological data were collected from medical records and analyzed by the SPSS ® 22.0 software considering a statistical significance level of 5% ( p <0.05) . Results: Of the 39 individuals with OOCC, 43.6% were over 60 years old, and 79.5% were male. Ten individuals (25.6%) were HPV-positive due to p16 expression. These patients were older (63.0 ±10) compared with HPV-negative individuals ( p =0.03). The older population was associated with more advanced conditions among HPV-negative patients ( r =0.397; p =0.04). The prevalence of HPV infection among OOCC patients, based on p16 expression by immunohistochemistry assay, was 25.6%. The group with HPV-positive OOCC had a higher mean age. Conclusion: Most cases of OOCC in the studied population do not seem to be associated with HPV infection. The prevalence of HPV infection in our population indicates that public policies should focus on preventing alcohol and tobacco use, fostering immunization, and providing comprehensive sex education.
{"title":"Human Papilloma Virus infection in individuals with oral cavity and oropharynx cancer treated at a tertiary hospital in Salvador, state of Bahia, Brazil","authors":"Uri Ramos Firmo, A. L. S. Anjos, Thiago Peres da Silva, J. Reis, J. Ferreira","doi":"10.4322/ahns.2023.0006","DOIUrl":"https://doi.org/10.4322/ahns.2023.0006","url":null,"abstract":"Introduction: Oropharyngeal and oral cavity carcinoma (OOCC) ranks as the fifth most common cancer in men, in Brazil. Traditionally, OOCC has been linked with smoking and alcohol consumption in older individuals; however, the emergence of these cancers in younger individuals has been associated with Human Papillomavirus (HPV) infection. Despite this connection, there are currently no available data estimating the prevalence of this infection in our population. Objective: Investigate HPV infection in patients diagnosed with OOCC treated at a tertiary cancer-specialized hospital in Salvador, state of Bahia, Brazil. Methods: Retrospective, observational, descriptive study on patients diagnosed with OOCC at Hospital Aristides Maltez (HAM) from 2017 to 2020. Clinical and epidemiological data were collected from medical records and analyzed by the SPSS ® 22.0 software considering a statistical significance level of 5% ( p <0.05) . Results: Of the 39 individuals with OOCC, 43.6% were over 60 years old, and 79.5% were male. Ten individuals (25.6%) were HPV-positive due to p16 expression. These patients were older (63.0 ±10) compared with HPV-negative individuals ( p =0.03). The older population was associated with more advanced conditions among HPV-negative patients ( r =0.397; p =0.04). The prevalence of HPV infection among OOCC patients, based on p16 expression by immunohistochemistry assay, was 25.6%. The group with HPV-positive OOCC had a higher mean age. Conclusion: Most cases of OOCC in the studied population do not seem to be associated with HPV infection. The prevalence of HPV infection in our population indicates that public policies should focus on preventing alcohol and tobacco use, fostering immunization, and providing comprehensive sex education.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79429660","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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