Juan Miguel Alemán-Iñiguez, Christian Valencia Padilla
Ecuador. abstract Type 2 neurofibromatosis is a hereditary neurocutaneous entity, characterized by associations with cranial and spinal meningiomas; extra neural cases are infrequent. There are oral meningiomas reports, however their presence at the palatine tonsils have not been described. This is a patient, with type 2 neurofibromatosis inherited from her father. The guest, presented progressive odyno-dysphagia whose etiology was WHO I meningioma in palatine tonsils, while the cranial image showed same lineage meningiomas that were surgically treated. This rare phenomenon in the context of an uncommon disease and the events that would explain the arrival of menigiomatous tissue to the palate are
{"title":"Ectopic palatine tonsil meningioma in type 2 neurofibromatosis: a few times documented phenomenon","authors":"Juan Miguel Alemán-Iñiguez, Christian Valencia Padilla","doi":"10.4322/ahns.2021.0005","DOIUrl":"https://doi.org/10.4322/ahns.2021.0005","url":null,"abstract":"Ecuador. abstract Type 2 neurofibromatosis is a hereditary neurocutaneous entity, characterized by associations with cranial and spinal meningiomas; extra neural cases are infrequent. There are oral meningiomas reports, however their presence at the palatine tonsils have not been described. This is a patient, with type 2 neurofibromatosis inherited from her father. The guest, presented progressive odyno-dysphagia whose etiology was WHO I meningioma in palatine tonsils, while the cranial image showed same lineage meningiomas that were surgically treated. This rare phenomenon in the context of an uncommon disease and the events that would explain the arrival of menigiomatous tissue to the palate are","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"187 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87076418","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}
Reports on oral cancer date back to ancient times, with descriptions made by Egyptians and Hindus1. The Sanskrit medical text Sushruta-sahmita, written between the 4th and 3rd centuries B.C.E., had a section dedicated to HNS, Otorhinolaryngology and Ophthalmology – Shalakya-tantra2. Although this text was more dedicated to the diagnosis of infectious diseases, it included citations for the diagnosis of oropharyngeal cancer as well as descriptions of surgical techniques2. The term cancer was coined in Ancient Greece by Hippocrates, who defined it as an imbalance of the four humors (blood, yellow bile, black bile, and phlegm) and, therefore, it was initially treated using medication in an attempt to correct the humoral proportions1. In turn, experiments and surgical excision techniques were best addressed between the 1st and 2nd centuries C.E. by Archigenes of Apamea, a Greco-Syrian physician, who described block excisions without affecting the nerves, emphasizing the importance of performing hemostasis through cauterization1.
{"title":"A brief summary of the history of head and neck surgery evolution","authors":"F. Hojaij, L. Chinelatto","doi":"10.4322/ahns.2021.0002","DOIUrl":"https://doi.org/10.4322/ahns.2021.0002","url":null,"abstract":"Reports on oral cancer date back to ancient times, with descriptions made by Egyptians and Hindus1. The Sanskrit medical text Sushruta-sahmita, written between the 4th and 3rd centuries B.C.E., had a section dedicated to HNS, Otorhinolaryngology and Ophthalmology – Shalakya-tantra2. Although this text was more dedicated to the diagnosis of infectious diseases, it included citations for the diagnosis of oropharyngeal cancer as well as descriptions of surgical techniques2. The term cancer was coined in Ancient Greece by Hippocrates, who defined it as an imbalance of the four humors (blood, yellow bile, black bile, and phlegm) and, therefore, it was initially treated using medication in an attempt to correct the humoral proportions1. In turn, experiments and surgical excision techniques were best addressed between the 1st and 2nd centuries C.E. by Archigenes of Apamea, a Greco-Syrian physician, who described block excisions without affecting the nerves, emphasizing the importance of performing hemostasis through cauterization1.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86326742","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}
Larissa Parrela Rodrigues, Laura Isoni Auad, B. A. Lima, Vanessa Orlando, M. C. M. D. Castro
A 42-year-old male patient with a congenital facial cutaneous hemangioma on the right side that continued into the ipsilateral external auditory canal and predisposed to the development of cholesteatomatous chronic otitis. The involvement and thickening of the skin of the external auditory canal probably caused the accumulation of debris and consequent formation of cholesteatoma. The patient complained of fetid otorrhea and evolved with progressive hearing loss over time and complications of otitis, requiring a surgical approach to resolve the condition. The description of this clinical case is relevant as no similar cases of cholesteatoma with extensive facial hemangioma as the primary cause have been found in the literature to date.
{"title":"Cholesteatoma secondary to extensive face cutaneous hemangioma","authors":"Larissa Parrela Rodrigues, Laura Isoni Auad, B. A. Lima, Vanessa Orlando, M. C. M. D. Castro","doi":"10.4322/ahns.2021.0007","DOIUrl":"https://doi.org/10.4322/ahns.2021.0007","url":null,"abstract":"A 42-year-old male patient with a congenital facial cutaneous hemangioma on the right side that continued into the ipsilateral external auditory canal and predisposed to the development of cholesteatomatous chronic otitis. The involvement and thickening of the skin of the external auditory canal probably caused the accumulation of debris and consequent formation of cholesteatoma. The patient complained of fetid otorrhea and evolved with progressive hearing loss over time and complications of otitis, requiring a surgical approach to resolve the condition. The description of this clinical case is relevant as no similar cases of cholesteatoma with extensive facial hemangioma as the primary cause have been found in the literature to date.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83069668","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}
M. Tesseroli, A. V. Priante, André Luiz Loureiro de Mattos Filho, Andreza de Lima do Divino de Almeida
Brasil. abstract Introduction: Thyroid surgery has been performed by hospitalization with the admission period exceeding 24 hours. Surgeries that allow same-day discharge reduce spending, promote greater turnover and utilization of hospital beds, and generate high patient satisfaction. However, in the thyroidectomy, the risk of hematoma and hypocalcemia are factors that cause resistance toward early discharge. Objective: The aim of this study is to describe a series of patients undergoing thyroidectomy with same day discharge, focusing on the procedure safety and patient satisfaction. Methods: A prospective study of patients undergoing thyroidectomy with same day discharge, compared with who were discharged on the first postoperative day or after, assessing clinical characteristics, type of surgery, weight of the gland, complications, and patient satisfaction. Results: A total of 105 patients were discharged on the same day, whereas 157 on the first postoperative day or after. There were no significant differences observed in the two groups’ complication rates. No patient who was discharged on the same day required hospital readmission. In the group of patients who were discharged on the same day, patient satisfaction was 98.1%. Conclusion: The same-day discharge procedure, in selected cases, proved to be safe and had a high satisfaction
{"title":"Thyroidectomy with discharge on the same day","authors":"M. Tesseroli, A. V. Priante, André Luiz Loureiro de Mattos Filho, Andreza de Lima do Divino de Almeida","doi":"10.4322/ahns.2021.0004","DOIUrl":"https://doi.org/10.4322/ahns.2021.0004","url":null,"abstract":"Brasil. abstract Introduction: Thyroid surgery has been performed by hospitalization with the admission period exceeding 24 hours. Surgeries that allow same-day discharge reduce spending, promote greater turnover and utilization of hospital beds, and generate high patient satisfaction. However, in the thyroidectomy, the risk of hematoma and hypocalcemia are factors that cause resistance toward early discharge. Objective: The aim of this study is to describe a series of patients undergoing thyroidectomy with same day discharge, focusing on the procedure safety and patient satisfaction. Methods: A prospective study of patients undergoing thyroidectomy with same day discharge, compared with who were discharged on the first postoperative day or after, assessing clinical characteristics, type of surgery, weight of the gland, complications, and patient satisfaction. Results: A total of 105 patients were discharged on the same day, whereas 157 on the first postoperative day or after. There were no significant differences observed in the two groups’ complication rates. No patient who was discharged on the same day required hospital readmission. In the group of patients who were discharged on the same day, patient satisfaction was 98.1%. Conclusion: The same-day discharge procedure, in selected cases, proved to be safe and had a high satisfaction","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87045141","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}
The SBCCP has recently done this with three new demands: robotic surgery, radiofrequency ablation of thyroid nodules, and transoral endoscopic thyroidectomy via a vestibular approach. At the forum of new technologies, these three techniques were discussed and a document was prepared and made available for consultation for 30 days aiming to gather opinions from all SBCCP members who wished to contribute to the improvement of the recommendations.
{"title":"The SBCCP and its recommendations: consensus or dissent?","authors":"A. Gonçalves","doi":"10.4322/ahns.2021.0009","DOIUrl":"https://doi.org/10.4322/ahns.2021.0009","url":null,"abstract":"The SBCCP has recently done this with three new demands: robotic surgery, radiofrequency ablation of thyroid nodules, and transoral endoscopic thyroidectomy via a vestibular approach. At the forum of new technologies, these three techniques were discussed and a document was prepared and made available for consultation for 30 days aiming to gather opinions from all SBCCP members who wished to contribute to the improvement of the recommendations.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79513636","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}
A. L. Santos, Ademir Melo Leite Filho, I. L. Cavalcante, C. Barros, J. Cunha
{"title":"Angina bullosa hemorrhagica: a rare or undiagnosed condition?","authors":"A. L. Santos, Ademir Melo Leite Filho, I. L. Cavalcante, C. Barros, J. Cunha","doi":"10.4322/ahns.2021.0003","DOIUrl":"https://doi.org/10.4322/ahns.2021.0003","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86106353","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}
Gabriela De Martin Silva, Fábio da Cunha Peixoto Ladeira, João Batista de Oliveira Andrade, Scheilla Torres de Oliveira, J. C. D. Neto
{"title":"Laryngotracheal and pulmonary aspergillosis in an adolescent with acute lymphoblastic leukemia: case report","authors":"Gabriela De Martin Silva, Fábio da Cunha Peixoto Ladeira, João Batista de Oliveira Andrade, Scheilla Torres de Oliveira, J. C. D. Neto","doi":"10.4322/ahns.2021.0006","DOIUrl":"https://doi.org/10.4322/ahns.2021.0006","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86166575","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}
G. Caxeiro, Rafael Dias Romero, Davi Knoll Ribeiro
Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: July 2, 2021. Accepted: August 28, 2021. Study was carried out at the Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil. Congresso Brasileiro de Cirurgia de Cabeça e Pescoço 2021. Abstract Introduction: Parathyroidectomy is the only curative approach for primary hyperparathyroidism (HPTP). Several techniques are studied for a more targeted surgery. One of them consists of intraoperative PTH measurement (IO-PTH), which can be collected from a Peripheral Vein (PV) or from a Central Vein (CV), using the Internal Jugular Vein (VJI). Objective: The aim of this study was to analyze the peculiarities of the collection sites. Methods: It is a prospective study of patients undergoing parathyroidectomy by HPTP, with PTH values in the peripheral collection and from the ipsilateral VJI at times: initial (T0) and 10 minutes after removal of the diseased gland (T10). Results: 61 participants were evaluated. The median PTH at baseline was 147.9 in the peripheral vein and 476.58 in the central vein. The median at T10 was 36 in the peripheral vein and 33 in the central vein. The central vein values showed a greater reduction, with the peripheral values showing a median decay of 74.35%, while the central values dropped by 82.38%. In the initial collection, PTH values were higher in the central vein, while they tended towards homeostasis after the removal of the diseased gland, regardless of the collection site. Thus, the average decay values from the central vein collections were higher and more significant than those from the peripheral veins. Conclusion: The use of central values thus implies greater reliability for to intraoperative monitoring, with long-term comparative studies still being necessary to determine more targeted and effective surgical approaches.
{"title":"Analysis of central and peripheral pth decay values in patients with primary hyperparathyroidism","authors":"G. Caxeiro, Rafael Dias Romero, Davi Knoll Ribeiro","doi":"10.4322/ahns.2021.0013","DOIUrl":"https://doi.org/10.4322/ahns.2021.0013","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: July 2, 2021. Accepted: August 28, 2021. Study was carried out at the Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil. Congresso Brasileiro de Cirurgia de Cabeça e Pescoço 2021. Abstract Introduction: Parathyroidectomy is the only curative approach for primary hyperparathyroidism (HPTP). Several techniques are studied for a more targeted surgery. One of them consists of intraoperative PTH measurement (IO-PTH), which can be collected from a Peripheral Vein (PV) or from a Central Vein (CV), using the Internal Jugular Vein (VJI). Objective: The aim of this study was to analyze the peculiarities of the collection sites. Methods: It is a prospective study of patients undergoing parathyroidectomy by HPTP, with PTH values in the peripheral collection and from the ipsilateral VJI at times: initial (T0) and 10 minutes after removal of the diseased gland (T10). Results: 61 participants were evaluated. The median PTH at baseline was 147.9 in the peripheral vein and 476.58 in the central vein. The median at T10 was 36 in the peripheral vein and 33 in the central vein. The central vein values showed a greater reduction, with the peripheral values showing a median decay of 74.35%, while the central values dropped by 82.38%. In the initial collection, PTH values were higher in the central vein, while they tended towards homeostasis after the removal of the diseased gland, regardless of the collection site. Thus, the average decay values from the central vein collections were higher and more significant than those from the peripheral veins. Conclusion: The use of central values thus implies greater reliability for to intraoperative monitoring, with long-term comparative studies still being necessary to determine more targeted and effective surgical approaches.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77746225","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}
Multiple Symmetric Lipomatosis (MSL), also known as Madelung’s Disease, is a rare condition characterized by the presence of diffuse, symmetrical, unencapsulated lipomas commonly located on the face, neck, and in the proximal region of the upper limbs. Lesions are generally asymptomatic, grow slowly and progressively, but can lead to cervical mobility limitation and involve deep mediastinal structures. The disease is more prevalent in men of Mediterranean origin aged 30-60 years and is associated with chronic alcoholism. Diagnosis is based on clinical findings and complementary imaging tests. Generally, the most accepted treatment approach is surgical excision of the lesions, although several alternative treatments have been described. This study reports the clinical case of an MSL patient treated with multiple surgical resections. It describes the diagnosis and compares the clinical findings and treatment of the patient with the main correlated comorbidities in the literature.
{"title":"Madelung s disease: clinical findings and patient management","authors":"Caroline Cunico, J. Matias, N. Ahumada","doi":"10.4322/ahns.2021.0010","DOIUrl":"https://doi.org/10.4322/ahns.2021.0010","url":null,"abstract":"Multiple Symmetric Lipomatosis (MSL), also known as Madelung’s Disease, is a rare condition characterized by the presence of diffuse, symmetrical, unencapsulated lipomas commonly located on the face, neck, and in the proximal region of the upper limbs. Lesions are generally asymptomatic, grow slowly and progressively, but can lead to cervical mobility limitation and involve deep mediastinal structures. The disease is more prevalent in men of Mediterranean origin aged 30-60 years and is associated with chronic alcoholism. Diagnosis is based on clinical findings and complementary imaging tests. Generally, the most accepted treatment approach is surgical excision of the lesions, although several alternative treatments have been described. This study reports the clinical case of an MSL patient treated with multiple surgical resections. It describes the diagnosis and compares the clinical findings and treatment of the patient with the main correlated comorbidities in the literature.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78103008","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}
A. Frascino, Maria Tereza Assis de Almeida, M. Fava, Tales Cerioni, F. Hojaij
Financial support: None. Conflicts of interest: The authors declare no conflict of interest. Submitted: October 22, 2020. Accepted: October 25, 2020. The study was carried out at Instituto da Criança do Hospital das Clínicas Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brasil. ETHICAL MATTERS: This case report was approved by patient’s parents through signed consent form. This case was conducted as part of a research the previously approved by Research Ethics Committee (CEP/ CONEP number 1.034.483/2015). abstract
{"title":"Bilateral dentigerous cyst in suprarenal tumor child: a case report","authors":"A. Frascino, Maria Tereza Assis de Almeida, M. Fava, Tales Cerioni, F. Hojaij","doi":"10.4322/ahns.2021.0001","DOIUrl":"https://doi.org/10.4322/ahns.2021.0001","url":null,"abstract":"Financial support: None. Conflicts of interest: The authors declare no conflict of interest. Submitted: October 22, 2020. Accepted: October 25, 2020. The study was carried out at Instituto da Criança do Hospital das Clínicas Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brasil. ETHICAL MATTERS: This case report was approved by patient’s parents through signed consent form. This case was conducted as part of a research the previously approved by Research Ethics Committee (CEP/ CONEP number 1.034.483/2015). abstract","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77910887","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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