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Pressure Injury due to Prolonged Face Mask Use during the COVID-19 Pandemic COVID-19大流行期间长时间使用口罩造成的压力损伤
Pub Date : 2022-01-01 DOI: 10.36959/605/563
Hammad Yousef, Neal Timothy W, Sullivan Scott R, Schlieve Thomas
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引用次数: 0
Tracheostomy Tube Blockage with an Unusual Foreign Body- A Reminder of the Importance of the Tracheostomy Emergency Management Algorithm 气管造瘘管堵塞伴异常异物——提醒气管造瘘急诊管理算法的重要性
Pub Date : 2022-01-01 DOI: 10.36959/605/565
Bradish Tom, Shakeel Muhammad
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引用次数: 0
Metastatic Basal Cell Carcinoma to the Parotid Gland 转移到腮腺的基底细胞癌
Pub Date : 2021-12-31 DOI: 10.36959/605/562
Romeo Pascalino B, D. Fraser, Zardawi Ibrahim M, Sørensen Kristian
Basal Cell Carcinoma (BCC) is the most common invasive skin neoplasm in Australia. It carries with it a lifetime development risk of 30% and accounts for approximately 70% of skin cancers Australia wide [1]. BCC is predominantly found in the head and neck region. Reports in the literature state 85% of metastatic BCC will originate in the head and neck [2] as up to 65% of all BCCs arise on the face or head [3]. There have been case reports of BCC metastasizing however it is rare with the documented incidence being somewhere between 0.008% and 0.5% [4]. A review of 850 cases of metastatic BCC concluded that facial BCC with a greater than 3 cm diameter had a 1.9% incidence of metastasis [3]. There have been two documented cases of BCC metastasis to the parotid gland [5], here we present a third with metastasis to the parotid gland and intra-parotid lymph nodes.
基底细胞癌是澳大利亚最常见的侵袭性皮肤肿瘤。它的终生发展风险为30%,约占澳大利亚皮肤癌的70%[1]。基底细胞癌主要见于头颈部。据文献报道,85%的转移性基底细胞癌起源于头颈部[2],高达65%的基底细胞癌发生在面部或头部[3]。有BCC转移的病例报道,但它是罕见的,记录的发病率在0.008%至0.5%之间[4]。对850例转移性BCC的回顾表明,面部BCC直径大于3cm的转移发生率为1.9%[3]。有两例BCC转移到腮腺[5],这里我们报告第三例转移到腮腺和腮腺内淋巴结。
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引用次数: 0
Bilateral Sudden Sensorineural Hearing Loss (SSNHL) Following Lumbar Puncture: A Case Report 腰椎穿刺后双侧突发性感音神经性听力损失1例报告
Pub Date : 2021-12-31 DOI: 10.36959/605/561
V. Bezas, J. Hammersen, P. Issing
Sudden sensorineural hearing loss affects frequently one ear (unilateral). A bilateral sudden SNHL is the rare form of SSNHL (5% of all cases) having mostly as aetiology diseases with a specific clinical pathology. Many case reports of a bilateral SSNHL in the literature include not only adult populations but also paediatric cases. A bilateral SSNHL following a lumbar puncture belongs to the rarest iatrogenic complications and it is an uncommon aetiology causing transient or permanent unilateral or bilateral hearing impairments. We report a case of a 83-year-old woman who developed on her chronic hearing loss a bilateral SSNHL after lumbar puncture and we discuss this case reviewing the current literature.
突发性感音神经性听力损失通常影响一只耳朵(单侧)。双侧突发性SNHL是一种罕见的SSNHL(占所有病例的5%),主要为病因性疾病,具有特定的临床病理。文献中许多双侧SSNHL的病例报告不仅包括成人,也包括儿科病例。腰椎穿刺后的双侧SSNHL属于最罕见的医源性并发症,它是一种罕见的病因,可引起短暂或永久性的单侧或双侧听力损伤。我们报告一例83岁的妇女,她的慢性听力损失发展为双侧SSNHL腰椎穿刺后,我们讨论这个病例回顾目前的文献。
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引用次数: 0
62nd Annual Meeting of the Irish Otorhinolaryngology/Head and Neck Society 第62届爱尔兰耳鼻喉科/头颈学会年会
Pub Date : 2021-12-24 DOI: 10.5005/jp-journals-10001-1429
N. Elsafty, R. Mehanna, L. Nolke, J. McGuinness, J. Russell, R. Fahy, M. Corbett, T. Crotty, L. Chadwick, I. Keogh
Booklet
小册子
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引用次数: 0
Extracranial Head and Neck Schwannomas: An Institutional Experience 颅外头颈部神经鞘瘤:一个机构的经验
Pub Date : 2021-12-17 DOI: 10.5005/jp-journals-10001-1443
K. Prasad, PR Beluregowda, M. Kumar, T. Ramitha
Extracranial schwannomas of head and neck domain are rare neoplasms. Most of the times, these tumors occur as asymptomatic neck swellings which masquerade to cervical lymphadenopathy, carotid body tumors, bronchial cyst, vallecular cyst. We present ten cases of head and neck schwannomas who have been treated and followed up between June 2006 to march 2020 in the department of otorhinolaryngology of Hassan Institute of Medical Sciences, Hassan, Karnataka State, India. These patients have been retrospectively reviewed. The main aim of the study is to know the NOO(nerve of origin) preoperatively and on table. Also to know the unusual sites of schwannoma in head and neck domain.The age group is between 10yrs to 50ys and female predominance of 50% in our study.Seven patients presented with neck swelling and three patients with pressure symptoms. Pre-operative diagnosis is mainly on clinical suspicious. Radiological imaging like CT scan/MRI may be helpful in diagnosis. FNAC is adjunctive tool for diagnosis. Among 10 patients nerve of origin could make out in 7 patients. Three from sympathetic, three from vagus and one from Internal Laryngeal nerve. In three patients nerve of origin could not make out. Intracapsular dissection of the tumor with preservation of nerve of origin is most recent common modality of treatment. Neurological deficit after tumor excision is common in large tumor excision. Early recognition and treatment is best for preservation of the nerve of origin.
头颈部的颅外神经鞘瘤是一种罕见的肿瘤。大多数时候,这些肿瘤表现为无症状的颈部肿胀,伪装成颈部淋巴结病、颈动脉体瘤、支气管囊肿、valmolecure囊肿。我们报告了10例头颈神经鞘瘤病例,这些病例于2006年6月至2020年3月在印度卡纳塔克邦哈桑医学科学研究所耳鼻喉科接受了治疗和随访。对这些患者进行了回顾性审查。本研究的主要目的是了解术前和手术台上的NOO(起源神经)。还要知道头颈部神经鞘瘤的异常部位。在我们的研究中,年龄组在10岁到50岁之间,女性占50%。7名患者出现颈部肿胀,3名患者出现压力症状。术前诊断以临床可疑为主。像CT扫描/MRI这样的放射成像可能有助于诊断。FNAC是诊断的辅助工具。10例患者中,7例患者能辨认出神经起源。三个来自交感神经,三个来自迷走神经,一个来自喉内神经。三名患者的神经来源不明。保留起源神经的肿瘤囊内剥离术是最近最常见的治疗方式。肿瘤切除后的神经功能缺损在大肿瘤切除中很常见。早期识别和治疗是保存起源神经的最佳方法。
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引用次数: 0
Cervical Accessory Nerve Schwannoma: A Case Report 颈副神经鞘瘤1例报告
Pub Date : 2021-12-17 DOI: 10.5005/jp-journals-10001-1440
Anuar Kuri-García, Alberto Guakil-Haber, Marlon Enrique Segovia-Forero, M. Y. Olvera-Suárez
45% have an extracranial presentation in the neck area and can affect peripheral nerves; cranial nerves V, VII, X, XI, and XII; and sympathetic chains. 3 Previous studies have found that the most affected nerve is cranial nerve X or vagus nerve implicated in 37%, with the least affected being cranial nerve XI or accessory nerve in only 4% of cases. 4 Age at presentation is wide-ranging, reported in most series from 19 to 49 years, although it has been reported from 10 up to 70 years, with a mean of 43 ± 15 years, with a slight male predominance. 5,6 The most common presentation from this type of tumors is a painless, slow-growing tumor in the cervical area, but can have a different presentation depending on the involved nerve. 7 Schwannomas are tumors derived from Schwann cells that produce the myelin sheath that covers peripheral nerves, uncommon in the head and neck area. These rare tumors can arise from cranial nerves in their extracranial pathways, from sympathetic chains and peripheral nerves. We report the case of a female patient with a cervical accessory nerve schwannoma and its computed tomography (CT) scan, magnetic resonance imaging (MRI), and histopathologic findings. Surgical excision avoiding nerve manipulation continues to be the first-line therapy in these cases, to avoid or minimize nerve-related complications.
45%在颈部有颅外表现,可影响周围神经;还有同情链。4发病年龄广泛,大多数系列报道的发病年龄为19 - 49岁,但也有报道的发病年龄为10 - 70岁,平均为43±15岁,男性稍占优势。5,6这类肿瘤最常见的表现是宫颈区域无痛、生长缓慢的肿瘤,但根据受累神经的不同,也有不同的表现。神经鞘瘤是源于雪旺细胞的肿瘤,产生覆盖周围神经的髓鞘,在头颈部不常见。这些罕见的肿瘤可起源于颅外通路的脑神经、交感神经链和周围神经。我们报告一例女性患者与颈部副神经鞘瘤及其计算机断层扫描(CT)扫描,磁共振成像(MRI)和组织病理学结果。手术切除避免神经操作仍然是这些病例的一线治疗,以避免或减少神经相关并发症。
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引用次数: 0
Antrochoanal Polyp in an Unusual Case of Follicular Ameloblastoma of Maxilla: A Case Report 上颌骨滤泡性成釉细胞瘤少见的鼻后肛管息肉1例
Pub Date : 2021-12-17 DOI: 10.5005/jp-journals-10001-1441
A. Kulkarni, Mrunal V. Kesari, Y. Patil
Magnetic resonance imaging of paranasal sinuses revealed residual soft tissue mass in the right maxillary sinus, coming onto the anterior, inferior, and posterolateral wall of right maxillary sinus. Besides, this also revealed blockage of sinus drainage pathways of ipsilateral ethmoids and frontal and sphenoid sinuses with resultant retention of fluid in these sinuses (Fig. 5). High-resolution computed tomography thorax revealed no abnormality. Serum parathormone levels were normal. Serum vitamin D and calcium levels were within normal range. Subsequently, the patient was planned for right total maxillectomy. Right-sided total maxillectomy was performed (Fig. 6A). Ipsilateral frontal, ethmoid, and sphenoid sinus clearance was done. Sphenoethmoid recess was cleared. Pterygoid base clearance was done. Reconstruction was done by using fascia lata sling for orbital support and by split thickness skin graft for lining the cavity followed by an obturator. [Clinical photograph of patient at one(1) week post operatively depicting healing cavity (Fig. 7)] Specimen was removed by “en-bloc” resection (Fig. 6B), and was sent for histopathological examination, which confirmed complete clearance of disease and diagnosis of follicular ameloblastoma (Figs 6B and C). As per histological and radiological correlation, the epicenter of the disease was in the maxillary bone; anterior, medial, and posterior walls of maxilla; in the maxillary antrum; and not at all in alveolar process. Follow-up examination at 6 weeks revealed no evidence of any disease. Ca s e De s C r i p t i o n
鼻旁鼻窦磁共振成像显示右上颌窦残余软组织肿块,分布于右上颌窦前壁、下壁和后外壁。此外,这也显示同侧筛窦、额窦和蝶窦引流通路阻塞,导致这些窦内液体潴留(图5)。胸部高分辨率计算机断层扫描未发现异常。血清甲状旁激素水平正常。血清维生素D和钙水平在正常范围内。随后,患者计划行右侧上颌全切除术。行右侧上颌全切除术(图6A)。清除同侧额窦、筛窦和蝶窦。蝶筛隐窝清除。翼状基底清除率完成。重建时采用阔筋膜吊带支撑眶部,并采用裂厚皮肤移植物衬里腔体,随后采用闭孔。【术后1周患者临床照片,显示愈合腔(图7)】采用“整体”切除(图6B),送组织病理学检查,证实疾病完全清除,诊断为滤泡性成釉细胞瘤(图6B和C)。根据组织学和影像学的相关性,疾病的震中位于上颌骨;上颌骨的前、内、后壁;在上颌窦;而在肺泡过程中完全没有。6周随访检查未发现任何疾病。他说:“我认为这是一个很好的例子。
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引用次数: 0
Is Nasal Polyp in Pediatric Cases Same as in Adult Population? 小儿鼻息肉和成人一样吗?
Pub Date : 2021-12-17 DOI: 10.5005/jp-journals-10001-1451
K. Srinivasan, S. Sudarsan, I. Rajkumar, K. R. Shree
Nasal polyposis is a chronic inflammatory disease affecting the nasal cavity and paranasal sinuses. Nasal polyps represent the end-stage local manifestation of chronic inflammatory disease of the sinonasal tract. Morphologically, nasal polyps are edematous grape-like protrusions most often originating in the upper part of the nose around the osteomeatal complex (OMC) on the lateral wall. Polyps can vary widely in size and should be considered a bilateral condition. Aim of our study was to evaluate the characteristics and clinical features of nasal polyps in pediatric and adult population. children and 221 adults) evaluated nasal polyps between 2015 and 2018 were reviewed retrospectively. Demographic characteristics, clinical presentation, management and histological findings were compared of the 232 patients, 11 were children and 221 were adults. Nasal obstruction was the most common presenting symptom in both groups. The incidence of snoring was more common among the pediatric age group as compared to the adult group and was found to be statistically significant. Epistaxis was also found to be more common among the pediatric age group, while sinusitis was noted to be significantly more common among the adult group. On histologic examination, allergic nasal polyp was more common than inflammatory nasal polyp in children as compared to adults. Conclusion: Nasal polyps are more common in adults. Children have unique clinical features such as increased snoring and epistaxis and predominant allergic histology as compared to adults warranting special attention in devising management plan.
鼻息肉病是一种影响鼻腔和鼻窦的慢性炎症性疾病。鼻息肉是鼻腔慢性炎症性疾病的终末期局部表现。从形态学上看,鼻息肉是水肿性葡萄状突起,最常见于鼻上部侧壁骨肿瘤复合体(OMC)周围。息肉大小不等,应视为双侧病变。我们研究的目的是评估儿童和成人鼻息肉的特征和临床特征。儿童和221名成人)在2015年至2018年间评估的鼻息肉进行回顾性审查。对232名患者的人口学特征、临床表现、管理和组织学表现进行了比较,其中11名为儿童,221名为成人。鼻塞是两组患者最常见的症状。与成人组相比,儿童年龄组打鼾的发生率更常见,并且具有统计学意义。鼻出血在儿科年龄组中也更常见,而鼻窦炎在成人组中明显更常见。在组织学检查中,与成人相比,儿童过敏性鼻息肉比炎症性鼻息肉更常见。结论:鼻息肉在成人中更为常见。与成年人相比,儿童具有独特的临床特征,如打鼾和鼻出血增加,以及主要的过敏组织学,因此在制定管理计划时需要特别注意。
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引用次数: 0
Ectopic Sebaceous Glands over Buccal Mucosa: A Case Report on Fordyce Spot 口腔黏膜皮脂腺异位:福代斯斑1例
Pub Date : 2021-12-17 DOI: 10.5005/jp-journals-10001-1444
S. Cherian, P. Bapat, U. Chaturvedi, Sujaya Mazumder, R. Naidu
objective: To highlight the importance of histopathological diagnosis to identify Fordyce spots. Background: These are normal variants in which sebaceous glands are ectopically located over the mucosal surfaces and are not in association with hair follicles. Fordyce spots, or Fordyce granules, can be found on the genital mucosa (glans penis and labia minor), esophagus, gastroesophageal junction, uterine cervix, sole of the foot, thymus, and tongue. Case description: The following two cases are included in our case report: Conclusion: Histopathology is the gold standard of diagnosis in this condition; it is imperative for the pathologist to identify the presence of Fordyce spots. Clinical significance: Fordyce spots over the oral mucosa are reported rarely and is known to have an array of clinical mimics such as malignancies of oral mucosa.
目的:强调组织病理学诊断对Fordyce斑的重要性。背景:皮脂腺异位位于粘膜表面,与毛囊无关的正常变异体。福代斯斑或福代斯颗粒见于生殖器粘膜(阴茎龟头和小阴唇)、食道、胃食管交界处、子宫颈、足底、胸腺和舌头。病例描述:以下两例病例包括在我们的病例报告中:结论:组织病理学是诊断这种情况的金标准;病理学家必须确定福代斯斑的存在。临床意义:口腔黏膜上的福代斯斑很少被报道,并且已知具有一系列临床模拟,如口腔黏膜恶性肿瘤。
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引用次数: 0
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International journal of head and neck surgery
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