Asunto(s)
Antropometría/métodos , Pabellón Auricular , Estética/psicología , Fotograbar , Actitud del Personal de Salud , Pabellón Auricular/anomalías , Pabellón Auricular/diagnóstico por imagen , Pabellón Auricular/cirugía , Encuestas de Atención de la Salud , Humanos , Cirugía Plástica/métodos , Cirugía Plástica/psicologíaRESUMEN
INTRODUCTION: Neck lumps in young adults are not uncommon, and most represent benign, reactive lymphadenopathy. Cystic swellings are less common. Spontaneous cervical lymphocoeles are very rare, and present as fluctuant, asymptomatic, cystic swellings in the neck in otherwise fit individuals. CASE REPORTS: We report two healthy young women who presented with spontaneous cervical lymphocoeles and who were treated successfully with surgical excision. The timing of surgical intervention was influenced in both cases by their imminent wedding celebrations. CONCLUSIONS: Whilst sclerotherapy has been advocated by some authors, we found it unhelpful; however, surgery provided definitive treatment.
Asunto(s)
Linfocele/cirugía , Adulto , Femenino , Humanos , Linfocele/diagnóstico , Imagen por Resonancia Magnética , Cuello/patología , Cuello/cirugía , Tomografía Computarizada por Rayos XRESUMEN
INTRODUCTION: After treatment of epistaxis, patients are routinely supplied with an intranasal bactericidal cream containing neomycin. Neomycin cream is effective in preventing recurrent paediatric epistaxis. This study aimed to assess whether there is an increased rate of nasal bacterial infections in adult epistaxis patients. METHODS: Between October 2004 and April 2005, nasal swabs were taken from adult patients presenting with epistaxis, and from a control group comprising elective ENT patients. RESULTS: There were 23 controls and 26 epistaxis patients. Staphylococcus aureus was grown in 21 per cent and 23 per cent, respectively. There was no significant difference in bacterial carriage rates between the epistaxis and control groups. CONCLUSIONS: The epistaxis and control groups demonstrated the same bacterial species and the same proportion of bacterial carriage. Although the majority of bacterial species encountered were sensitive to neomycin, a significant proportion was not. These results do not support the routine use of neomycin in the prevention of recurrent adult epistaxis.
Asunto(s)
Antibacterianos/uso terapéutico , Portador Sano/tratamiento farmacológico , Epistaxis/microbiología , Neomicina/uso terapéutico , Infecciones Estafilocócicas/tratamiento farmacológico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Epistaxis/tratamiento farmacológico , Humanos , Persona de Mediana Edad , Prevención Secundaria , Infecciones Estafilocócicas/prevención & control , Resultado del Tratamiento , Adulto JovenRESUMEN
BACKGROUND: Small defects of the inner canthus can be difficult to repair with an aesthetically satisfactory result, due to the difficulty in matching skin types and the resulting donor site scars. METHODS: We describe a technique which we have employed for repairing skin defects around the inner canthus, using a cutaneous advancement flap from the upper eyelid, based on the superior palpebral artery. RESULTS: Complete excision of the lesion was possible, and a cosmetically acceptable result was obtained. CONCLUSIONS: By using this technique, skin is moved within one aesthetic unit, thus maximising skin type matching and cosmetic results. In addition, the technique creates a donor site which can be easily hidden within the natural creases of the upper lid, and the arterial supply maximises the chances of flap survival.