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1.
S. Anajar A. Lakhbal R. Abada M. Mahtar 《European annals of otorhinolaryngology, head and neck diseases》2017,134(3):205-206
Introduction
Keratoameloblastoma is an extremely rare odontogenic tumor, as only 18 cases have been reported in the literature.Case report
The authors report a case of keratoameloblastoma in a 32-year-old woman and review the literature concerning the clinical features, radiological appearance, histopathological findings and treatment options.Discussion
Keratoameloblastoma is a rare tumor observed more frequently in males (sex ratio: 3:1) characterized by extensive keratin production in odontogenic islets and fibrous stroma. 相似文献2.
P. Clarós J.V.F. Fokouo A. Clarós 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):63-65
Introduction
Trauma of the orbit and eyeball is common, but intraorbital bullet is a relatively rare event.Clinical cases
The authors report the management of a patient with chorioretinitis sclopetaria secondary to a gunshot wound twenty years previously.Discussion
The clinical, diagnostic and therapeutic aspects of this unusual case of intraorbital foreign body are discussed. 相似文献3.
S. Daldoul A. Moussi S. Sayari M. Ben Moussa 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):43-45
Introduction
The treatment of ischaemic stenosis of colon interposition for oesophageal replacement remains poorly defined.Case report
We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus. Treatment consisted of resection of the stenosis with creation of a new cervical anastomosis after complete release of the colon graft via a neck and upper midline incision in one patient and a new ileocolic graft exclusively replacing the stenotic segment of the oesophagoplasty in the second patient.Discussion
These two cases illustrate the complex treatment modalities required for this complication.Conclusion
The treatment of choice of ischaemic stenosis of colon interposition is resection with creation of a new anastomosis, but repeat graft may sometimes be the only available treatment option. 相似文献4.
H. Yakhlef Y. Marboeuf A. Piquard O. Saint Marc 《European annals of otorhinolaryngology, head and neck diseases》2017,134(4):225-228
Background
Outpatient surgery is a major public health policy issue. It is controversial for total thyroidectomy, which raises the question of hemithyroidectomy. The present study assessed our experience in outpatient hemithyroidectomy.Objectives
To evaluate the rates of postoperative hematoma and unscheduled hospital admission.Material and methods
A multicenter retrospective analysis was conducted in two hospital centers between January 2009 and December 2013. Exclusion criteria for outpatient hemithyroidectomy comprised: ASA score >2, anticoagulant therapy, risk of completion procedure, and associated procedure requiring >12 hours’ surveillance. Data were collated for age, gender, weight, postoperative complications, and unscheduled hospital admission.Results
During the study period, 294 hemithyroidectomies were performed, 130 of which on an outpatient basis (44%). There were no medical contraindications to outpatient surgery in 64% of patients operated on under conventional admission. In the outpatient group, mean age was 44 years. Eight completion thyroidectomies were performed in the outpatient group, and only two patients required admission for surveillance, with no revision surgeries. All patients were satisfied or very satisfied with outpatient management.Conclusion
In our experience, outpatient hemithyroidectomy was safe and reliable. 相似文献5.
R. Wei Chern Gan T. Kamani M. Daniel 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):23-25
Background
Recent advice against codeine use in children prompted our unit to prescribe Oramorph as required, in addition to regular paracetamol and ibuprofen, as post-(adeno)tonsillectomy analgesia. This study investigated whether Oramorph was in fact required.Methods
Following (adeno)tonsillectomy, parents were telephoned and asked whether they used Oramorph.Results
Of 56 children studied, 41 (73.2%) were given Oramorph. In the 15 (26.8%) that were not, this was because parents felt it was not required in 14 children, and in 1 case, it was due to worries about side effects. Overall, 14 carers (25.0%) expressed concerns about Oramorph use, mostly over possible side effects.Conclusion
When regular paracetamol and ibuprofen are used post-(adeno)tonsillectomy, nearly three quarters of children require Oramorph as well. Prescribing Oramorph as required, in addition to regular paracetamol and ibuprofen, is appropriate following adenotonsillar surgery. 相似文献6.
W. Foma E. Pegbessou B. Amana E. Kpemissi 《European annals of otorhinolaryngology, head and neck diseases》2017,134(3):207-208
Introduction
The authors report a case of left parapharyngeal ectopic goitre, in which resection was followed by postoperative Horner's syndrome, and describe the difficult management of this entity.Case report
A 25-year-old woman presented with upper oesophageal dysphagia and a well-demarcated left parapharyngeal mass displacing the great vessels laterally and posteriorly. The mass was resected via an exploratory neck incision. Histological examination of the operative specimen revealed hyperplastic thyroid parenchyma. The postoperative work-up revealed a eutopic and euthyroid thyroid gland. The postoperative course was marked by Horner's syndrome that persisted at 1-year follow-up.Discussion
Parapharyngeal ectopic thyroid coexisting with a functional thyroid is extremely rare. Parapharyngeal masses are usually derived from the parotid gland and nerves. Surgery of the parapharyngeal space can cause injury to the sympathetic trunk, responsible for Horner's syndrome, as in our patient.Conclusion
Ectopic thyroid should be considered as a possible diagnosis of a parapharyngeal mass. Although rare, Horner's syndrome is a dreaded complication of surgery of the parapharyngeal space. 相似文献7.
M. Dréno M. Georges F. Espitalier C. Ferron A. Charnolé B. Dréno O. Malard 《European annals of otorhinolaryngology, head and neck diseases》2017,134(4):237-242
Objectives
Sinonasal mucosal melanoma is a rare disease, representing 4% of nasal cavity and paranasal sinus malignancies. The aim of this study was to assess the clinical characteristics, progression and treatment of this disease and to identify prognostic factors.Material and methods
This retrospective review presents a cohort of 44 patients treated for a melanoma arising from the nasal cavity and paranasal sinuses, in the ENT Head and Neck Surgery Department of the University Hospital of Nantes (France) between 1988 and 2015.Results
Mean age at diagnosis was 71.2 years. The main signs at diagnosis were epistaxis and unilateral nasal obstruction. 25% of patients were initially classified as T4. Surgical treatment was performed in 42 patients. Postoperative radiotherapy was performed in 19 cases and adjuvant immunotherapy in 14 cases. Mean follow-up was 50 months. Cumulative overall survival was 71.5% at 1 year and 33% at 5 years. Clinically, headache, facial pain and trigeminal V2 nerve anesthesia were significant factors for poor prognosis. Exclusively nasal involvement was a factor for better overall survival than sinus involvement. Adjuvant radiation therapy showed a non-significant trend toward improved local control.Conclusions
Mucosal melanoma of the sinonasal cavities has poor prognosis due to high metastatic potential. Surgical resection followed by radiation therapy is the main treatment. There is no consensus regarding new systemic adjuvant treatments in this indication, unlike for primary cutaneous melanoma. 相似文献8.
H.J. Min K.S. Kim 《European annals of otorhinolaryngology, head and neck diseases》2017,134(4):273-275
Introduction
Solitary neurofibroma originating from the external nose is extremely rare, and to our knowledge, only 3 cases have been reported so far in English literatures. It may originate from the ophthalmic (V1) and maxillary (V2) branches of the trigeminal nerve.Case report
We present a rare case of solitary neurofibroma arising from the external nose, which was successfully removed by intranasal approach with intercartilaginous incision.Conclusion
This case emphasizes two important points. First, we should keep in mind that this clinical entity is included in the differential diagnosis of soft tissue masses arising from the external nose. Second, we should choose the best surgical approach for complete removal with the maintenance of cosmetic appearance. 相似文献9.
J.-P. Guichard N. Fakhry J. Franc P. Herman C.-A. Righini D. Taieb 《European annals of otorhinolaryngology, head and neck diseases》2017,134(4):243-248
Objective
To review the optimal techniques for localization and characterization of neck paragangliomas (PGL).Material and methods
Systematic review of the literature from the PubMed/Medline database.Results
Neck PGL are hypervascular tumours essentially arising from paraganglionic tissue situated at the carotid bifurcation (carotid body) and along the vagus nerve. Morphological and functional imaging are indicated to confirm the diagnosis, identify multifocal disease and for local and regional staging. MR angiography is the noninvasive technique of choice. CT scan and especially CT angiography are excellent alternatives for diagnosis and staging. Conventional arteriography remains useful preoperatively for embolization and occlusion tests. Functional imaging allows localization and characterization of PGLs. Somatostatin receptor scintigraphy (SRS) was the reference imaging technique for staging of sporadic PGLs. The indications for PET imaging have been extended over recent years in parallel with the development of new tracers such as [18F]-FDOPA PET or 68Gallium-labelled DOTA peptides. 68Gallium-labelled DOTA peptides has become the first-line imaging modality in the evaluation of cervical PGLs, regardless of the genetic background.Conclusion
Morphological and functional imaging is essential for the staging of neck PGL. 相似文献10.
A. Focquet Y. Péréon S. Ségura C. Ferron O. Malard F. Espitalier 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):13-18
Objectives
To study the diagnostic and prognostic contribution of laryngeal electromyography in unilateral vocal-fold immobility in adults.Material and methods
A retrospective study included patients with unilateral vocal-fold immobility undergoing laryngeal electromyography between 2007 and 2015. Neurogenic, normal or myogenic findings were compared to the clinical aspect. Prognosis for recovery was assessed from motor unit potentials on laryngeal electromyography, and compared to subsequent progress on laryngoscopy.Results
Sixty-three patients (mean age, 59 years) were initially included; 2 were subsequently excluded from analysis. Mean time from onset of immobility to laryngeal electromyography was 7 months. 85% of the 61 patients showed neurogenic findings, indicating neural lesion; 13% showed normal electromyography, indicating cricoarytenoid joint ankylosis; and 1 patient showed a myogenic pattern. Neurogenic cases were usually secondary to cervical surgery. Thirty-eight patients were followed up. In total, 75% of patients showing reinnervation potentials recovered. The positive predictive value of laryngeal electromyography was 69.2%.Conclusion
Laryngeal electromyography is effective in specifying the origin of unilateral vocal-fold immobility in adults. It also has a prognostic role, lack of reinnervation potentials being a possible indication for early medialization surgery. 相似文献11.
D.T. Nguyen C. Rumeau M. Felix-Ravelo P.-L. Nguyen-Thi R. Jankowski 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):19-22
Objective
Assessment of sinonasal symptoms on a self-reported questionnaire is thoroughly subjective, but indispensable for quantifying symptoms. The present study sought to compare responses on the DyNaChron questionnaire just before and just after consultation for chronic sinonasal dysfunction.Materials and methods
78 patients (mean age, 43.1 ± 16.9 years) consulting for chronic sinonasal dysfunction took part in a prospective study, responding to the computerized version of the DyNaChron self-reported questionnaire, in a dedicated room, just before and just after medical interview and physical examination.Results
Most patients tended to grade symptoms as less severe after consultation. Significant differences in mean score were found for nasal obstruction (difference of 0.94/10), anterior (0.40) and posterior rhinorrhea (0.26), olfactory disorder (0.65), and facial pain and headache (0.65), but not for chronic cough.Conclusion
Self-reported scores for chronic sinonasal dysfunction differ slightly from before to after consultation. They are therefore to be interpreted with caution, taking account of possible factors of bias. 相似文献12.
V. Escabasse E. Bequignon B. Vérillaud L. Robard J. Michel O. Malard L. Crampette 《European annals of otorhinolaryngology, head and neck diseases》2017,134(3):195-199
Objective
The authors present the guidelines of the French Society of Otorhinolaryngology concerning the management of epistaxis during antithrombotic therapy.Methods
A review of the literature was performed by a multidisciplinary work group. Guidelines were drafted, then re-edited by a reading group independent of the work group to produce the final text. The proposed recommendations were graded A, B, C or expert opinion, on decreasing levels of evidence.Results
Before any decision to modify antithrombotic treatment, it is recommended to screen for overdose and assess the risk of thrombosis. In stented patients, dual antiplatelet therapy must be maintained during the month following stenting and, if possible, for 3 months. In epistaxis with antivitamin K (AVK) overdose controlled by packing, corrective measures are based on the International Normalized Ratio (INR). In uncontrolled epistaxis, it is recommended to stop AVK, administer antidotes and regularly monitor INR. In case of intravascular embolization, it is not recommended to alter anticoagulant treatment. 相似文献13.
A. Laborde R. Nicot T. Wojcik J. Ferri G. Raoul 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):7-11
Introduction
Ameloblastoma is a rare, benign odontogenic tumour associated with a high recurrence rate. It accounts for 1% of all tumours of the jaws. The purpose of this study was to compare the ameloblastoma recurrence rate according to the type of treatment: radical or conservative.Patients and methods
All patients with a diagnosis of ameloblastoma between 1991 and 2013 were retrospectively identified in order to extract topographic, radiological, and histological data and the type of treatment: conservative (marsupialization, enucleation, curettage) or radical (segmental resection) and to compare the recurrence rate according to the type of treatment.Results
Twenty-seven patients were included, managed by conservative treatment (CT) in 22 cases and radical treatment (RT) in 14 cases. The recurrence rate was 90.9% in the CT group and 9.1% in the RT group (P = 0.025) with a mean follow-up of 56.2 months.Discussion
The recurrence rate after conservative treatment was higher than that after radical treatment. These results are similar to those reported in the literature. The choice of treatment must be adapted to the macroscopic and histological characteristics of each tumour and to the patient. 相似文献14.
L. Robard J. Michel V. Prulière Escabasse E. Bequignon B. Vérillaud O. Malard L. Crampette 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):37-41
Objectives
The authors present the guidelines of the French Oto-Rhino-Laryngology – Head and Neck Surgery Society (Société Française d’Oto-Rhino-Laryngologie et de Chirurgie de la Face et du Cou: SFORL) concerning specific treatment of epistaxis in Rendu-Osler-Weber disease.Methods
A multidisciplinary work-group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, based on the articles retrieved and the group members’ individual experience. They were then read over by an editorial group independent of the work group. The final version was established in a coordination meeting. The guidelines were graded as A, B, C or expert opinion, by decreasing level of evidence.Results
Rendu-Osler-Weber disease is diagnosed from the presence of at least three of Curaçao's four criteria. In acute epistaxis, bidigital compression is recommended. Embolization is reserved for resistant epistaxis. Non-resorbable nasal packing and cauterization are contraindicated. Patient education is essential. Telangiectasia of the nasal mucosa can be treated by various local means. In the event of insufficient control, systemic administration of tranexamic acid is recommended. 相似文献15.
F. Holtz Y. Monnier U. Borner L. Nisa 《European annals of otorhinolaryngology, head and neck diseases》2017,134(4):269-271
Introduction
Carotid artery stenosis following radiotherapy (RT) is a known risk factor for the development of cerebrovascular disease with a risk of subsequent stroke or transient ischaemic attack. In contrast, small vessel disease in the neck following RT has been more rarely described.Case report
The authors report the case of a 61-year-old man who developed partial lingual necrosis 4 years after surgery and postoperative chemoradiotherapy for squamous cell carcinoma of the floor of the mouth. Contrast-enhanced CT scan confirmed subtotal to total occlusion of both lingual arteries. Surgical debridement of the necrosis allowed complete cure of the lesions.Discussion
Small vessel disease is a possible complication in patients treated by RT for head and neck cancer. Although the risk of these complications is not directly related to the total radiation dose, higher doses appear to accelerate the development of vascular lesions. Practitioners must be aware of the possibility of these complications, especially in patients surviving more than 5 years. 相似文献16.
L. Taali M. Abou-Elfadl M. Fassih M. Mahtar 《European annals of otorhinolaryngology, head and neck diseases》2017,134(2):121-122
Introduction
Nasal NK/T-cell lymphoma is a rare clinicopathological entity, formerly called midline lethal granuloma. Following progress in histology and the routine use of immunohistochemistry, nasal NK/T-cell lymphoma was recognized as a distinct entity by WHO in 2001.Case report
The authors report the case of a 22-year-old, insulin-dependent diabetic woman, who presented with mid-facial inflammatory swelling following facial trauma, initially diagnosed and treated as cellulitis of the face. The subsequent course was rapidly progressive and fatal, with the development of midline destructive disease. Histological examinations concluded on NK/T-cell lymphoma.Discussion
The various differential diagnoses of NK/T-cell lymphoma include gangrenous cellulitis, invasive mycotic rhinosinusitis, Wegener's granulomatosis, actinomycosis, and facial T-cell lymphoma. The clinical presentation of this case was atypical, resulting in delayed diagnosis and treatment. Treatment is based on radiotherapy and chemotherapy, but the prognosis remains very poor even when treatment is rapidly initiated. 相似文献17.
K. Oqbani M. Chraïbi N. Harchichi S. Abbaoui 《European annals of otorhinolaryngology, head and neck diseases》2017,134(2):123-125
Introduction
Isolated parasitic swellings of the neck, particularly hydatid cysts, are rare, even in endemic countries. The aim of this study was to assess the epidemiological and clinical features and the diagnostic approach to head and neck hydatid disease.Case report
A 3-year-old boy was hospitalised for an isolated mass of the left side of the neck that had been gradually enlarging for one year. Neck ultrasound demonstrated a hypoechoic cystic structure on the lateral aspect of the neck, measuring 3.5 cm in diameter. Histological examination of the surgical specimen confirmed the diagnosis of hydatid cyst.Discussion
In endemic countries, a diagnosis of hydatid disease should be suspected in all cystic masses of the neck. Epidemiological, clinical, laboratory and radiological features can lead to a presumptive diagnosis of hydatid cyst and aspiration cytology can correct an erroneous diagnosis. Histological examination confirms the diagnosis in these unusual sites. 相似文献18.
19.
M. Risoud G. Mortuaire X. Leroy P. Leblond P. Fayoux 《European annals of otorhinolaryngology, head and neck diseases》2017,134(3):155-160
Objective
Desmoid tumours of the head and neck in children are rare, local invasive and potentially fatal tumours. The purpose of this review is to discuss the management of these tumours in the light of a case series and a review of the literature.Material and methods
This retrospective study summarised the medical data of children treated for desmoid tumours of the head and neck between 1976 and 2014.Results
Five of the 6 children were treated by radical surgical resection, with positive surgical margins (R1) in 2 cases, followed by recurrence requiring further resection. One child with a very advanced lesion was treated by weekly methotrexate and vinorelbine chemotherapy for 18 months, allowing 93% reduction of tumour volume without recurrence.Conclusions
Desmoid tumours of the head and neck in children are more aggressive than their adult counterparts and are associated with high morbidity and mortality and a high recurrence rate. CT and MRI imaging assessment should preferably be performed before biopsy. External beam radiotherapy must be avoided in children as it is less effective than in adults, and is responsible for long-term cosmetic and functional sequelae and even a risk of second tumours. Treatment is surgical whenever radical resection is possible. In patients presenting an excessive risk of morbidity and mortality, chemotherapy devoid of long-term adverse effects (such as methotrexate in combination with a Vinca alkaloid) can be proposed. Long-term follow-up must be ensured due to the risk of recurrence. 相似文献20.
J. Michel V. Prulière Escabasse E. Bequignon B. Vérillaud L. Robard L. Crampette O. Malard 《European annals of otorhinolaryngology, head and neck diseases》2017,134(1):33-35