RESUMEN
Cricoid malformations vary according to their severity and anatomic features. Some of them get a delayed diagnosis in spite of the complex medical care. Objective: To present a case with a laryngeal malformation and our surgery technique. Material, method: A case presentation of a cannulated child, who previously had a heart surgery, with difficult decannulation. RESULTS: The patient was considered to have an acquired subglottic stenosis due to his medical record. A cricoid cartilage malformation was elicited intraoperatively. A submucosal drilling of the redundant cartilage, with a preservation of the covering laryngeal mucosa was performed. Decannulation was possible at 13 days after surgery. Conclusion: Instead of having extensive resection surgery we decided to perform an endolaryngeal submucosal drilling, after laryngofissure, with quick and long lasting success. Laryngeal surgery should always be tailored to the patient needs and the surgeon's preferences.
Asunto(s)
Cartílago Cricoides/anomalías , Cartílago Cricoides/cirugía , Laringe/cirugía , Membrana Mucosa/cirugía , Niño , Preescolar , Endoscopía , Glotis/cirugía , Humanos , Masculino , Cuidados PosoperatoriosRESUMEN
Osteomas of the external ear are uncommon benign tumors that need to be differentiated from the external ear canal exostoses, bony proliferations that are linked mainly to cold-water exposure. Clinical manifestations vary from no symptoms to recurrent local infections and external ear cholesteatoma. Objective: presenting a rare case that we did not find described in the published literature. A patient with multiple long-term asymptomatic osteomas of both external ear canals presented to our department. Material: Data recorded from the patient's medical record was reviewed and analyzed. Surgery was performed and histology confirmed the presumptive diagnosis. Results: There was a discrepancy between the local severity of the disease, with a complete obstruction of his ear canals, and the long-term disease-free status of the patient. Conclusion: We hypothesized about the etiology of these multiple bilateral osteomas of the EAC, in light of the clinical and surgical findings.