RESUMEN
In this investigation we would like to evaluate what changes in cytology of the nasal mucosa occur after surgical removal of adenoids. The investigation was performed on 25 children (10 girls and 15 boys) aged 3-13. Material for the cytological evaluation was obtained from the nasal concha. The children were tested twice: before and one month after the surgery. Cytograms of the nasal mucosa of children with adenoidal hypertrophy before the surgery showed increased number of neutrophils. Cytological normalisation of the nasal mucosa occurs in one month after the surgical removal. In two children percentage of eosinophils in cytograms increased and percentage of neutrophils remained significant after the surgery. Cytological assessment of the nasal mucosa performed before and after surgical removal of the hypertrophied adenoid is helpful in evaluation of the accomplished therapy and may indicate what are the reasons of its failure.
Asunto(s)
Tonsila Faríngea/patología , Mucosa Nasal/patología , Adenoidectomía , Tonsila Faríngea/cirugía , Adolescente , Niño , Preescolar , Femenino , Humanos , Hipertrofia/patología , MasculinoRESUMEN
Authors presents the case of cancer transformation papilloma planoepithelial of lip into squamous cell carcinoma in 26-years old man. They give attention to necessity of radical remove all changes around the lips. It is especially important because of possibility of cancer transformation in every case of papilloma of lip.
Asunto(s)
Carcinoma de Células Escamosas/patología , Transformación Celular Neoplásica/patología , Neoplasias de los Labios/patología , Papiloma/patología , Adulto , Carcinoma de Células Escamosas/cirugía , Humanos , Neoplasias de los Labios/cirugía , Masculino , Papiloma/cirugíaRESUMEN
The authors describe a tonsillolith detected by a 70-year-old man with odynophagy and a history of often tonsillar infections. A diagnosis of peritonsillar abscess was first made. The large concrement was yellowish-gray, measured 41 x 21 x 19 mm, which was one of the largest reported case in the world.
Asunto(s)
Cálculos/patología , Cálculos/cirugía , Mucosa Laríngea/patología , Mucosa Laríngea/cirugía , Laringitis/etiología , Anciano , Cálculos/complicaciones , Diagnóstico Diferencial , Humanos , Enfermedades de la Laringe/patología , Enfermedades de la Laringe/cirugía , Masculino , Absceso Peritonsilar/diagnóstico , Resultado del TratamientoRESUMEN
The authors describe an unusually case of throat tumor and dyspnea in course of Elongated Styloid Process Syndrome. They pay attention to X-ray examination, including CT, in correct diagnosis.
Asunto(s)
Neoplasias Faríngeas/etiología , Hueso Temporal/anomalías , Trastornos de la Articulación Temporomandibular/complicaciones , Disnea/diagnóstico , Disnea/etiología , Humanos , Masculino , Persona de Mediana Edad , Neoplasias Faríngeas/diagnóstico por imagen , Síndrome , Hueso Temporal/diagnóstico por imagen , Trastornos de la Articulación Temporomandibular/diagnóstico , Tomografía Computarizada por Rayos XRESUMEN
On the basis of recent literature review the authors consider pharmacological polypectomy, concentrating on the reasons for high efficacy of steroids. The facts presented prove that in the case of nasal polyps steroids should be used not only as a supplement of surgical procedures. Steroid-therapy a simple, not invasive and effective management procedure should be used regularly reserving surgical procedures for certain specific cases only.
Asunto(s)
Antiinflamatorios/uso terapéutico , Pólipos Nasales/tratamiento farmacológico , Humanos , Pólipos Nasales/cirugía , Esteroides , Resultado del TratamientoRESUMEN
Sarcoidosis is a disease of unknown etiology characterized by non-caseating granulomatous inflammation of various organs, but most frequently involving the lungs of young adults. Sarcoidosis is seldom seen by ear, nose, throat and larynx. The isolated case of sarcoidosis of the larynx is very rare. We present a case of histologically confirmed sarcoidosis of the vocal cord. The clinical aspects, diagnostic problems and therapeutical possibilities of this rare disease are described.
Asunto(s)
Enfermedades de la Laringe/diagnóstico , Sarcoidosis/diagnóstico , Adulto , Femenino , Humanos , Pliegues Vocales/patologíaRESUMEN
The authors describe a case of a man with a large choanal polyp descending into the hypopharynx. The man presented additional symptoms of full aspirin intolerance and pollinosis caused with grass pollen antigens. The Caldwell-Luc procedure was performed and the choanal polyp was successfully removed through the mouth. Postoperatively treatment with leukotriene antagonists and with an intranasal steroids with positive clinical effect was begun. However the patient discontinued the therapeutic process causing polyp recurrence within a short time.
Asunto(s)
Pólipos Nasales/complicaciones , Pólipos Nasales/diagnóstico , Rinitis Alérgica Estacional/complicaciones , Adulto , Aspirina/efectos adversos , Hipersensibilidad a las Drogas/complicaciones , Humanos , Masculino , Pólipos Nasales/terapia , Recurrencia , Negativa del Paciente al TratamientoRESUMEN
Branchiogenic carcinoma is a rare condition and should not be diagnosed in the absence of the criteria laid down by Dr Hayes Martin. The authors describe a 65 year-old woman with a cystic mass on the side of the neck. The woman was admitted to the hospital for possible branchial cyst. The histopathological analysis showed a carcinoma developed on a branchial cyst. The authors stress the importance of careful and repeated clinical examinations, which exclude the possibility of a primary tumor of other localization.
Asunto(s)
Quiste Broncogénico/patología , Carcinoma Broncogénico/patología , Neoplasias de Cabeza y Cuello/patología , Anciano , Biopsia con Aguja , Quiste Broncogénico/complicaciones , Carcinoma Broncogénico/complicaciones , Carcinoma Broncogénico/radioterapia , Resultado Fatal , Femenino , Neoplasias de Cabeza y Cuello/complicaciones , Neoplasias de Cabeza y Cuello/radioterapia , HumanosRESUMEN
Granular cell tumor is an unusual growth of probably neuroectodermal histogenesis, first reported by Abrikossoff in 1926 with the name of myoblastenmyoma. Authors described a case of a 54 year man with laryngeal seat of granular-cell myoblastoma. In this case Abrikossoff tumor was located in the right vocal chord. The tumor was treated successfully surgically by microlaryngoscopy. The etiology, clinical features and diagnostic difficulties are discussed.
Asunto(s)
Tumor de Células Granulares/patología , Tumor de Células Granulares/cirugía , Humanos , Masculino , Persona de Mediana EdadRESUMEN
The authors describe a rare case of hamartoma in the larynx of a 31 years old man. The egg sized tumor was situated in the left aryepiglottic fold filling the lower pharyngeal space. The unfortunate location, patient disdain as well as late diagnosis and proper management caused the histologically benign tumor to enlarge and block the laryngeal entrance that endangering life. After initial tracheotomy the tumor was successfully removed through the mouth.