Pub Date : 2021-03-31DOI: 10.5005/JP-JOURNALS-10001-1401
N. Patel, Pawan Sharma
Ab s t r Ac t Background: Foreign body (FB) ingestion and impaction in the esophagus constitute an important cause of morbidity and mortality worldwide. One-third of foreign bodies retained in the gastrointestinal tract are present in the esophagus and mostly in children require endoscopic removal with rigid esophagoscopy. Aims and objectives: This study seeks to highlight the challenges in the management of esophageal FB using rigid esophagoscopy. It will also evaluate the outcome of management. Their management depends on the anatomic location, shape, size of the foreign body, and duration of impaction. Materials and methods: This was a retrospective study of 60 patients with confirmed esophageal foreign bodies that were managed in the ENT department of SCL Hospital, NHL Medical College, Ahmedabad, from January 2016 to June 2018. Demographic and clinical data were documented, and simple statistical tables were used to illustrate the data. Results: The data of 60 patients were retrieved from ENT emergencies. Fifty (83.33%) patients had radiologic confirmation of foreign bodies in their esophagus, and 10 (16.67%) were further confirmed during esophagoscopy. There were 35 (58.33%) males and 25 (41.67%) females with male:female ratio of 1:1.4. The age range was 1–70 years with a mean of 35 ± 6.88 years. Majority of the foreign bodies, 50 (83.33%), were impacted in the cricopharyngeal sphincter of the esophagus. Dentures ranked highest among the adult population, 15 (25%) cases, while coins ranked highest in the pediatric populations, 20(33.33%) cases. Six (10%) cases presented to the hospital after 72 hours. Complications occurred in 5 (8.33%) cases. Conclusion: The management of impacted esophageal foreign bodies with rigid esophagoscopy was safe, reliable, and an effective procedure despite its challenges.
{"title":"Foreign Bodies in Esophagus: An Experience with Rigid Esophagoscope in ENT Practice","authors":"N. Patel, Pawan Sharma","doi":"10.5005/JP-JOURNALS-10001-1401","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1401","url":null,"abstract":"Ab s t r Ac t Background: Foreign body (FB) ingestion and impaction in the esophagus constitute an important cause of morbidity and mortality worldwide. One-third of foreign bodies retained in the gastrointestinal tract are present in the esophagus and mostly in children require endoscopic removal with rigid esophagoscopy. Aims and objectives: This study seeks to highlight the challenges in the management of esophageal FB using rigid esophagoscopy. It will also evaluate the outcome of management. Their management depends on the anatomic location, shape, size of the foreign body, and duration of impaction. Materials and methods: This was a retrospective study of 60 patients with confirmed esophageal foreign bodies that were managed in the ENT department of SCL Hospital, NHL Medical College, Ahmedabad, from January 2016 to June 2018. Demographic and clinical data were documented, and simple statistical tables were used to illustrate the data. Results: The data of 60 patients were retrieved from ENT emergencies. Fifty (83.33%) patients had radiologic confirmation of foreign bodies in their esophagus, and 10 (16.67%) were further confirmed during esophagoscopy. There were 35 (58.33%) males and 25 (41.67%) females with male:female ratio of 1:1.4. The age range was 1–70 years with a mean of 35 ± 6.88 years. Majority of the foreign bodies, 50 (83.33%), were impacted in the cricopharyngeal sphincter of the esophagus. Dentures ranked highest among the adult population, 15 (25%) cases, while coins ranked highest in the pediatric populations, 20(33.33%) cases. Six (10%) cases presented to the hospital after 72 hours. Complications occurred in 5 (8.33%) cases. Conclusion: The management of impacted esophageal foreign bodies with rigid esophagoscopy was safe, reliable, and an effective procedure despite its challenges.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46042337","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 : 2021-03-31DOI: 10.5005/jp-journals-10001-1423
Anuj H Shah, Rupa P Parikh
(1) To study the depth of tumor invasion in an oral (tongue and buccal mucosa) carcinoma and its correlation with neck metastasis. (2) To know whether the increase in depth of tumor (depth of invasion) increases the chances of cervical nodal metastasis in the oral tongue and buccal mucosa carcinoma and derive cutoff value of depth of invasion at which the metastasis occurs. The study was carried out on 14 tongue and 22 buccal mucosa cases to know the correlation between the depth of tumor and neck node metastasis in the oral (tongue and buccal mucosa) carcinoma. Among 36 cases, 10 cases were pN+. Out of 10 cases, 7 (70%) were having depth ≥12 mm and 30% cases (pN+) having depth between 8 and <10. We found it statistically significant and so as the depth of tumor increases the chances of nodal metastasis increases. We found the cutoff for a depth of invasion in both tongue and buccal mucosa carcinomas as 8 out of 22 patients had DOI >10 mm and among them 4 were pN+ and among 14 tongue cases, 3 cases had DOI >8 mm and all of them were pN+. For tongue 8 mm and for buccal mucosa, 10 mm of the depth of tumor invasion was calculated as the cutoff depth, above which the incidence of nodal metastasis increases to 75% and 66.66%, respectively. Depth of tumor is an important prognostic indicator in the tongue and buccal mucosa carcinoma to know the cervical nodal metastasis. Hence for an increase in depth of tumor cases, neck must be addressed along with primary tumor excision. Radiological investigations [ultrasonography (USG), magnetic resonance imaging (MRI), computed tomography (CT) scan] play an important role in nodal metastasis detection hence should be considered in carcinoma of the oral tongue and buccal mucosa especially in clinically N0 neck. Shah AH, Parikh RP. Clinicopathological Correlation between Depth of Tumor and Neck Node Metastasis in Oral (Tongue and Buccal Mucosa) Carcinoma. Int J Head Neck Surg 2021;12(1):6–10.
{"title":"Clinicopathological Correlation between Depth of Tumor and Neck Node Metastasis in Oral (Tongue and Buccal Mucosa) Carcinoma","authors":"Anuj H Shah, Rupa P Parikh","doi":"10.5005/jp-journals-10001-1423","DOIUrl":"https://doi.org/10.5005/jp-journals-10001-1423","url":null,"abstract":"\u0000\u0000\u0000(1) To study the depth of tumor invasion in an oral (tongue and buccal mucosa) carcinoma and its correlation with neck metastasis. (2) To know whether the increase in depth of tumor (depth of invasion) increases the chances of cervical nodal metastasis in the oral tongue and buccal mucosa carcinoma and derive cutoff value of depth of invasion at which the metastasis occurs.\u0000\u0000\u0000\u0000The study was carried out on 14 tongue and 22 buccal mucosa cases to know the correlation between the depth of tumor and neck node metastasis in the oral (tongue and buccal mucosa) carcinoma.\u0000\u0000\u0000\u0000Among 36 cases, 10 cases were pN+. Out of 10 cases, 7 (70%) were having depth ≥12 mm and 30% cases (pN+) having depth between 8 and <10. We found it statistically significant and so as the depth of tumor increases the chances of nodal metastasis increases. We found the cutoff for a depth of invasion in both tongue and buccal mucosa carcinomas as 8 out of 22 patients had DOI >10 mm and among them 4 were pN+ and among 14 tongue cases, 3 cases had DOI >8 mm and all of them were pN+.\u0000\u0000\u0000\u0000For tongue 8 mm and for buccal mucosa, 10 mm of the depth of tumor invasion was calculated as the cutoff depth, above which the incidence of nodal metastasis increases to 75% and 66.66%, respectively.\u0000\u0000\u0000\u0000Depth of tumor is an important prognostic indicator in the tongue and buccal mucosa carcinoma to know the cervical nodal metastasis. Hence for an increase in depth of tumor cases, neck must be addressed along with primary tumor excision. Radiological investigations [ultrasonography (USG), magnetic resonance imaging (MRI), computed tomography (CT) scan] play an important role in nodal metastasis detection hence should be considered in carcinoma of the oral tongue and buccal mucosa especially in clinically N0 neck.\u0000\u0000Shah AH, Parikh RP. Clinicopathological Correlation between Depth of Tumor and Neck Node Metastasis in Oral (Tongue and Buccal Mucosa) Carcinoma. Int J Head Neck Surg 2021;12(1):6–10.\u0000","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42482236","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 : 2021-03-31DOI: 10.5005/JP-JOURNALS-10001-1400
Nor Hafiza Qualickuz Zanan, M. Azman, MH Kong, M. Yunus
Ab s t r Ac t Aim: To highlight the transcervical transdigastric approach to the parapharyngeal space. Background: The parapharyngeal space (PPS) contains important neurovascular structures and hence requires meticulous dissection when working with tumors in this space. Surgical access to this blind space is limited, and approach would depend on several factors such as location and extension of tumor, fine needle aspiration cytology (FNAC) report if available, as well as surgeon’s preference and experience. There are limited publications describing the transcervical transdigastric approach to tumors in the PPS. Case description: We present two cases of tumor in the PPS that were addressed using the transcervical transdigastric approach. One patient presented with a painless submental mass, while the other had incidental finding of a PPS tumor on computed tomography scan. Both tumors were histologically benign. Conclusion: The transcervical transdigastric approach to the PPS gives adequate exposure to the surgical field of interest and enables complete excision of well-encapsulated PPS tumors. Clinical significance: The transcervical transdigastric approach allows access to the PPS without aggressive dissection, therefore, avoiding the potential morbidity associated with PPS tumor resection.
Ab s t r Ac t目的：强调经颈动脉途径进入咽旁间隙。背景：咽旁间隙（PPS）包含重要的神经血管结构，因此在处理该间隙的肿瘤时需要仔细解剖。手术进入这种盲区是有限的，方法将取决于几个因素，如肿瘤的位置和范围、细针抽吸细胞学（FNAC）报告（如果可用）以及外科医生的偏好和经验。关于PPS中肿瘤的经宫颈跨电极治疗方法的出版物有限。病例描述：我们报告了两例PPS中的肿瘤病例，这些病例是使用经宫颈转导途径治疗的。一名患者出现无痛性颏下肿块，而另一名患者在计算机断层扫描中偶然发现PPS肿瘤。两个肿瘤在组织学上都是良性的。结论：PPS的经宫颈经导管入路可充分暴露于感兴趣的手术领域，并可完全切除包裹良好的PPS肿瘤。临床意义：经宫颈经导管入路可以在没有侵袭性剥离的情况下进入PPS，因此避免了PPS肿瘤切除的潜在发病率。
{"title":"Secret Window to the Parapharyngeal Space: The Transcervical Transdigastric Approach","authors":"Nor Hafiza Qualickuz Zanan, M. Azman, MH Kong, M. Yunus","doi":"10.5005/JP-JOURNALS-10001-1400","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1400","url":null,"abstract":"Ab s t r Ac t Aim: To highlight the transcervical transdigastric approach to the parapharyngeal space. Background: The parapharyngeal space (PPS) contains important neurovascular structures and hence requires meticulous dissection when working with tumors in this space. Surgical access to this blind space is limited, and approach would depend on several factors such as location and extension of tumor, fine needle aspiration cytology (FNAC) report if available, as well as surgeon’s preference and experience. There are limited publications describing the transcervical transdigastric approach to tumors in the PPS. Case description: We present two cases of tumor in the PPS that were addressed using the transcervical transdigastric approach. One patient presented with a painless submental mass, while the other had incidental finding of a PPS tumor on computed tomography scan. Both tumors were histologically benign. Conclusion: The transcervical transdigastric approach to the PPS gives adequate exposure to the surgical field of interest and enables complete excision of well-encapsulated PPS tumors. Clinical significance: The transcervical transdigastric approach allows access to the PPS without aggressive dissection, therefore, avoiding the potential morbidity associated with PPS tumor resection.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"34-36"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44414243","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 : 2021-03-31DOI: 10.5005/JP-JOURNALS-10001-1396
Gaurav Ashish
A 26-year-old man presented with a large, painless, mobile, pedunculated, fluctuant, and nontransilluminant swelling hanging in front of the left ear. He had undergone superficial parotidectomy 9 months ago elsewhere for chronic nonspecific sialadenitis of left parotid gland. The fine needle aspiration was nondiagnostic and revealed turbid dark yellow color fluid. A total parotidectomy was performed to remove the lesion completely as the tumor was involving the deep lobe. Histopathology was consistent with features of low-grade mucoepidermoid carcinoma. Immediate postoperatively the patient had a House and Brackman grade III left facial nerve paresis, which later improved to grade II. This unusual presentation of malignant transformation of chronic nonspecific sialadenitis is one of the rare unique reported cases to our knowledge. How to cite this article: Ashish G, Michael RC. Malignant Transformation of Chronic Nonspecific Sialadenitis: A Rare Clinical Presentation. Int J Head Neck Surg 2021;12(1):31–33.
男性，26岁，左耳前部出现无痛、可移动、有带钉、波动、无透光性肿物。9个月前因左腮腺慢性非特异性涎腺炎行腮腺浅表切除术。细针穿刺无诊断性，显示浑浊的暗黄色液体。由于肿瘤累及腮腺深叶，我们进行了腮腺全切除术以完全切除病变。组织病理学符合低级别黏液表皮样癌的特征。术后患者出现House和Brackman III级左侧面神经麻痹，后来改善为II级。这种不寻常的恶性转化的慢性非特异性涎腺炎的表现是一个罕见的独特报告的情况下，我们的知识。如何引用本文:Ashish G, Michael RC。慢性非特异性涎腺炎的恶性转化:一个罕见的临床表现。国际头颈外科杂志2021;12(1):31-33。
{"title":"Malignant Transformation of Chronic Nonspecific Sialadenitis: A Rare Clinical Presentation","authors":"Gaurav Ashish","doi":"10.5005/JP-JOURNALS-10001-1396","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1396","url":null,"abstract":"\u0000A 26-year-old man presented with a large, painless, mobile, pedunculated, fluctuant, and nontransilluminant swelling hanging in front of the left ear. He had undergone superficial parotidectomy 9 months ago elsewhere for chronic nonspecific sialadenitis of left parotid gland. The fine needle aspiration was nondiagnostic and revealed turbid dark yellow color fluid. A total parotidectomy was performed to remove the lesion completely as the tumor was involving the deep lobe. Histopathology was consistent with features of low-grade mucoepidermoid carcinoma. Immediate postoperatively the patient had a House and Brackman grade III left facial nerve paresis, which later improved to grade II. This unusual presentation of malignant transformation of chronic nonspecific sialadenitis is one of the rare unique reported cases to our knowledge.\u0000How to cite this article: Ashish G, Michael RC. Malignant Transformation of Chronic Nonspecific Sialadenitis: A Rare Clinical Presentation. Int J Head Neck Surg 2021;12(1):31–33.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41791854","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 : 2021-03-31DOI: 10.5005/JP-JOURNALS-10001-1410
S. Neubauer, Raquel Levy, M. Goycoolea, J. Cornejo, Byanka Cagnacci, Catherine Catenacci
Ab s t r Ac t Background: This prospective study evaluated sound localization and brain responses to monaural and binaural stimulation via bone conduction devices in 3 individuals with bilateral conductive hearing loss (1 acquired and 2 congenital). Aims and objectives: To determine the (1) Cortical areas that are activated with pure tones. (2) Potential benefits of bilateral devices. Materials and methods: A new audiological test is described (real-life lateralization test) and applied. NeuroSPECT studies were done using pure tones delivered via bone conduction devices (Baha Attract) stimulating monaurally and binaurally. The tests were performed 2–4 months after the placement of the second device. Results: The use of unilateral devices as well as bilateral devices under our testing conditions did not improve sound localization. There was improvement in lateralization with bilateral devices. In the three subjects, cortical activation with binaural auditory stimulation with the Baha Attract occurred in the same auditory areas compared with monaural stimulation. However, while in the individual with acquired loss, the degree of activation was less intense in binaural compared to monaural stimulation; in the congenital cases, binaural stimulation resulted in summation of stimuli. Conclusion: In congenital bilateral conductive hearing losses that have not been stimulated early, there are central auditory areas that are deprived. Even if these are only two cases, this is suggestive of the importance of bilateral early auditory stimulation in cases of congenital conductive hearing losses and supportive of the use of bilateral rather than unilateral devices.
{"title":"Evaluation of Brain Activation (NeuroSPECT) by Uni- and Bilateral Auditory Stimulation in Patients with Conductive Hearing Loss and Bilateral Bone Conduction Devices","authors":"S. Neubauer, Raquel Levy, M. Goycoolea, J. Cornejo, Byanka Cagnacci, Catherine Catenacci","doi":"10.5005/JP-JOURNALS-10001-1410","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1410","url":null,"abstract":"Ab s t r Ac t Background: This prospective study evaluated sound localization and brain responses to monaural and binaural stimulation via bone conduction devices in 3 individuals with bilateral conductive hearing loss (1 acquired and 2 congenital). Aims and objectives: To determine the (1) Cortical areas that are activated with pure tones. (2) Potential benefits of bilateral devices. Materials and methods: A new audiological test is described (real-life lateralization test) and applied. NeuroSPECT studies were done using pure tones delivered via bone conduction devices (Baha Attract) stimulating monaurally and binaurally. The tests were performed 2–4 months after the placement of the second device. Results: The use of unilateral devices as well as bilateral devices under our testing conditions did not improve sound localization. There was improvement in lateralization with bilateral devices. In the three subjects, cortical activation with binaural auditory stimulation with the Baha Attract occurred in the same auditory areas compared with monaural stimulation. However, while in the individual with acquired loss, the degree of activation was less intense in binaural compared to monaural stimulation; in the congenital cases, binaural stimulation resulted in summation of stimuli. Conclusion: In congenital bilateral conductive hearing losses that have not been stimulated early, there are central auditory areas that are deprived. Even if these are only two cases, this is suggestive of the importance of bilateral early auditory stimulation in cases of congenital conductive hearing losses and supportive of the use of bilateral rather than unilateral devices.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"22-30"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762090","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 : 2021-03-31DOI: 10.5005/JP-JOURNALS-10001-1409
M. Goycoolea, David D Muchow
{"title":"Sustained Release of Antimicrobials in the Middle Ear Using a Biodegradable Support: Ototoxicity Studies","authors":"M. Goycoolea, David D Muchow","doi":"10.5005/JP-JOURNALS-10001-1409","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1409","url":null,"abstract":"","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41347173","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 : 2021-03-31DOI: 10.5005/JP-JOURNALS-10001-1422
K. Rao, V. Shenoy, P. Kamath, A. Gomati
The lingual thyroid gland is a rare clinical entity that was found to occur due to the failure of the thyroid gland to descend into its normal ectopic pretracheal position during embryogenesis. The reported incidence of lingual thyroid is 1 in 100,000, and it is more common in females, with a female:male ratio of 3:1. When located at the base of the tongue, the ectopic gland is often asymptomatic but may cause local symptoms, such as, dysphagia, dysphonia, upper airway obstruction, hemorrhage, and often hypothyroidism. The diagnosis of lingual thyroid is usually made clinically and radionuclide scanning is used to confirm the diagnosis. A case of lingual thyroid is presented for its rarity and differential diagnosis of midline base of the tongue lesions. A 35-year-old woman presented with complaints of increasing difficulty in breathing and a constant foreign object sensation in the throat (FOSIT) for the past one year. Flexible video-laryngoscopic examination revealed a well-demarcated midline tongue base lesion measuring 3 × 3 cm. Technetium 99m scan reported it to be ectopic thyroid gland tissue. Transoral excision of the lesion was done along with cauterization with bipolar cautery. Lingual thyroid is a rare developmental anomaly, the treatment of which is still controversial in view of the rarity of the condition. It should be included in the differential diagnosis of midline masses of the base of the tongue, especially in children and adolescents. The approach to treatment should be transdisciplinary and should not only take into consideration the clinical condition of the lesion but also the hormonal aspects of the patient. Rao KS, Shenoy VS, Kamath PM, et al. Ectopic Lingual Thyroid: A Case Presentation. Int J Head Neck Surg 2021;12(1):37–39.
{"title":"Ectopic Lingual Thyroid: A Case Presentation","authors":"K. Rao, V. Shenoy, P. Kamath, A. Gomati","doi":"10.5005/JP-JOURNALS-10001-1422","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1422","url":null,"abstract":"\u0000\u0000\u0000The lingual thyroid gland is a rare clinical entity that was found to occur due to the failure of the thyroid gland to descend into its normal ectopic pretracheal position during embryogenesis. The reported incidence of lingual thyroid is 1 in 100,000, and it is more common in females, with a female:male ratio of 3:1. When located at the base of the tongue, the ectopic gland is often asymptomatic but may cause local symptoms, such as, dysphagia, dysphonia, upper airway obstruction, hemorrhage, and often hypothyroidism. The diagnosis of lingual thyroid is usually made clinically and radionuclide scanning is used to confirm the diagnosis. A case of lingual thyroid is presented for its rarity and differential diagnosis of midline base of the tongue lesions.\u0000\u0000\u0000\u0000A 35-year-old woman presented with complaints of increasing difficulty in breathing and a constant foreign object sensation in the throat (FOSIT) for the past one year. Flexible video-laryngoscopic examination revealed a well-demarcated midline tongue base lesion measuring 3 × 3 cm. Technetium 99m scan reported it to be ectopic thyroid gland tissue. Transoral excision of the lesion was done along with cauterization with bipolar cautery.\u0000\u0000\u0000\u0000Lingual thyroid is a rare developmental anomaly, the treatment of which is still controversial in view of the rarity of the condition. It should be included in the differential diagnosis of midline masses of the base of the tongue, especially in children and adolescents. The approach to treatment should be transdisciplinary and should not only take into consideration the clinical condition of the lesion but also the hormonal aspects of the patient.\u0000\u0000Rao KS, Shenoy VS, Kamath PM, et al. Ectopic Lingual Thyroid: A Case Presentation. Int J Head Neck Surg 2021;12(1):37–39.\u0000","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47810800","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}
Bilateral deafness caused by temporal bone fracture is an uncommon condition. Precocious simultaneous bilateral co chlear implantation (SiCI) is a valuable option for experienced surgical teams, which can prevent unfavorable results due to cochlear remodeling. In this paper we describe the first successful case of SiCI with local anaesthesia performed on an adult patient who suffered severe head trauma.
{"title":"Simultaneous Bilateral Cochlear Implantation in Posttraumatic Temporal Bone Fracture under Local Anaesthesia - Case Report and Literature Review","authors":"Mangia Lucas Resende Lucinda, Raymundo Fellipy Martins, Amadeu Nicole Tássia, Hamerschmidt Rogério","doi":"10.36959/605/556","DOIUrl":"https://doi.org/10.36959/605/556","url":null,"abstract":"Bilateral deafness caused by temporal bone fracture is an uncommon condition. Precocious simultaneous bilateral co chlear implantation (SiCI) is a valuable option for experienced surgical teams, which can prevent unfavorable results due to cochlear remodeling. In this paper we describe the first successful case of SiCI with local anaesthesia performed on an adult patient who suffered severe head trauma.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73903416","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}
Branchial clefts are most often associated with the pediatric population but can also affect adults. The adult population undergoing branchial cleft excision is poorly described. This study sought to describe the population and outcomes of those undergoing branchial cleft excision.
{"title":"Branchial Cleft Excision in the Adult Population","authors":"G. BrungardtJoseph, C. KahleAdam, P. SchroppKurt","doi":"10.36959/605/552","DOIUrl":"https://doi.org/10.36959/605/552","url":null,"abstract":"Branchial clefts are most often associated with the pediatric population but can also affect adults. The adult population undergoing branchial cleft excision is poorly described. This study sought to describe the population and outcomes of those undergoing branchial cleft excision.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90088662","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}
Sharma Parivrudh, Gomati Ayoub, Gomati Anas, Yong Aiwain, S. Muhammad
Dysphagia is a common symptom in patients presenting to physicians in primary and secondary care. The term dysphagia describes the perception of obstruction during swallowing. The initial consideration when dealing with this symptom is to exclude serious pathology such as a malignancy. In this case report, we describe an unusual combination of two pathologies to account for dysphagia in our patient; a synchronous pathology of pharyngeal pouch and a tongue base squamous cell carcinoma. The combination of these two pathologies occurring together is extremely rare and both pathologies can present with dysphagia as the main presenting symptom. We share this case to raise awareness among colleagues, as to the best of our knowledge this has not been reported in the published literature.
{"title":"Pharyngeal Pouch and Concurrent Tongue Base Squamous Cell Carcinoma: An Unusual and Challenging Dual Pathology Causing Dysphagia","authors":"Sharma Parivrudh, Gomati Ayoub, Gomati Anas, Yong Aiwain, S. Muhammad","doi":"10.36959/605/549","DOIUrl":"https://doi.org/10.36959/605/549","url":null,"abstract":"Dysphagia is a common symptom in patients presenting to physicians in primary and secondary care. The term dysphagia describes the perception of obstruction during swallowing. The initial consideration when dealing with this symptom is to exclude serious pathology such as a malignancy. In this case report, we describe an unusual combination of two pathologies to account for dysphagia in our patient; a synchronous pathology of pharyngeal pouch and a tongue base squamous cell carcinoma. The combination of these two pathologies occurring together is extremely rare and both pathologies can present with dysphagia as the main presenting symptom. We share this case to raise awareness among colleagues, as to the best of our knowledge this has not been reported in the published literature.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87243807","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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