RESUMEN
Laryngocele is an abnormal dilatation of Morgagni ventricle (saccule) in direct communication with the laryngeal lumen. Symptoms are not characteristic: hoarseness, dyspnea, foreign body sensation and cough. Sometimes it is presented as cervical swelling causing airway obstruction and need an emergency tracheotomy. In this paper, we report a case of upper airway obstruction due to laryngocele associated with a laryngeal carcinoma who was treated by emergency tracheotomy and, finally by total laryngectomy. A review of the literature is also presented.
Asunto(s)
Neoplasias Laríngeas/complicaciones , Neoplasias Laríngeas/patología , Laringe/patología , Carcinoma de Células Escamosas/patología , Diferenciación Celular , Humanos , Neoplasias Laríngeas/diagnóstico por imagen , Laringe/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos XRESUMEN
Branchial cleft anomalies are developmental disorders of the neck. The aim of this study was to evaluate the data of our patients, who have been diagnosed and treated for second branchial abnormalities in the last six years. We report our clinical experience in second branchial anomalies with a review of the literature. Our study is a retrospective one on a number of 23 patients hospitalized within 2001-2007 in ENT Clinic of Craiova for second branchial abnormalities in relation with age, gender, origin environment, clinical and paraclinical context in which the therapeutic decision was made, surgical procedures, post-surgical evolution. Among the anomalies of the second branchial arch, we encountered 10 (43.47%) patients with branchial cyst and 13 (56.52%) patients with branchial sinus. Twelve (52.17%) of the 23 patients were women and 11 (47.83%) were men; 9 (39.13%) patients were diagnosed and treated within the first age decade, seven (30.43%) within the second age decade, five (39.13%) within the third age decade and two (8.71%) in the fourth age decade. Histological examination of the lesions after excision established the diagnosis in all the cases. Second branchial arches anomalies are the most common branchial anomalies. Sinuses are more frequently than cysts and branchial fistulae are extremely rare. There is no gender predilection. The majority of patients (approximately 70%) were diagnosed and treated during their childhood. Treatment for these lesions is complete surgical excision for prevent recurrences.
Asunto(s)
Región Branquial/patología , Branquioma/cirugía , Neoplasias de Cabeza y Cuello/cirugía , Adolescente , Adulto , Femenino , Humanos , Masculino , Estudios RetrospectivosAsunto(s)
Cuerpos Extraños/etiología , Apófisis Mastoides , Músculos , Músculos del Cuello , Hueso Paladar , Heridas por Arma de Fuego/complicaciones , Accidentes de Trabajo , Adulto , Femenino , Cuerpos Extraños/diagnóstico por imagen , Cuerpos Extraños/cirugía , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Intento de Suicidio , Heridas por Arma de Fuego/diagnóstico por imagen , Heridas por Arma de Fuego/cirugíaRESUMEN
After presenting 3 cases of maxillary sinus mucocele, met with all along 22 years, the authors bring forth some etiopathogenic, clinic and radiologic considerations, shown through the data in literature. They underline the complex, polymorphic, uncharacteristic radiological and clinical aspect. The exploratory puncture is of real help for a precise diagnosis, in this case, and is easy to perform. The treatment is always surgical, without excluding the possibility of a recurrence if the cyst caul has not been completely removed.