RESUMO
We present 2 cases of laryngeal abscesses in the paraglottic space. We revise the existing literature in relation with this nowadays rare entity that requires a quick diagnosis and treatment as it is a fast life threatening disease.
Assuntos
Abscesso , Laringite , Abscesso/diagnóstico , Abscesso/tratamento farmacológico , Abscesso/cirurgia , Amoxicilina/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Ciprofloxacina/uso terapêutico , Ácido Clavulânico/uso terapêutico , Terapia Combinada , Drenagem , Quimioterapia Combinada/uso terapêutico , Emergências , Humanos , Laringite/diagnóstico , Laringite/tratamento farmacológico , Laringite/cirurgia , Excisão de Linfonodo , Masculino , Metilprednisolona/uso terapêutico , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Tireoidectomia , Tobramicina/uso terapêutico , Tomografia Computadorizada por Raios X , Traqueostomia , Traqueotomia , Paralisia das Pregas Vocais/etiologiaRESUMO
Cholesteatoma of the external ear canal is rare in otological practice. The case of a 62-year-old woman with local extension but scant symptoms or signs is reported. The literature is reviewed and the cause and treatment are discussed.
Assuntos
Colesteatoma/cirurgia , Meato Acústico Externo/cirurgia , Idoso , Colesteatoma/complicações , Colesteatoma/diagnóstico por imagem , Diagnóstico Diferencial , Meato Acústico Externo/diagnóstico por imagem , Feminino , Perda Auditiva Neurossensorial/diagnóstico , Perda Auditiva Neurossensorial/etiologia , Humanos , Ceratose/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
A case of lingual abscess visualized by computed tomography is reported. The review of the literature demonstrated the difficulty of diagnosing these cases. Protection and surveillance of the upper airways is important. Computed tomography is the key to diagnosis.
Assuntos
Abscesso Peritonsilar , Doenças da Língua , Adulto , Humanos , Masculino , Abscesso Peritonsilar/diagnóstico , Doenças da Língua/diagnósticoRESUMO
A case occurring in a 62 year-old male with a xantomatous infiltrate taking the pharyngolarynx is reported. Basic features of xantomatosis are described as other manifestations encountered in the ENT-area.
Assuntos
Laringe/fisiopatologia , Faringe/fisiopatologia , Xantomatose/fisiopatologia , Humanos , Laringe/cirurgia , Masculino , Pessoa de Meia-Idade , Faringe/cirurgia , Xantomatose/cirurgiaRESUMO
A case of laryngeal fibrolipoma, a rare tumor, is presented. The histopathology, symptoms, diagnosis, treatment, and related literature are reviewed.
Assuntos
Neoplasias Hipofaríngeas/patologia , Hipofaringe/patologia , Lipoma/patologia , Feminino , Humanos , Neoplasias Hipofaríngeas/diagnóstico , Neoplasias Hipofaríngeas/cirurgia , Hipofaringe/cirurgia , Laringoscopia , Lipoma/diagnóstico , Lipoma/cirurgia , Pessoa de Meia-IdadeRESUMO
Osseous hemangioma is a rare tumour of head and neck localisation. In this work the AA. present a case of the tumour located in the upper maxilla, considering the actual concept and the possibilities of differential diagnosis in relation with both radiologic and anatomopathological characteristics.
Assuntos
Hemangioma/cirurgia , Maxila/cirurgia , Neoplasias Maxilares/patologia , Feminino , Hemangioma/diagnóstico , Hemangioma/ultraestrutura , Humanos , Maxila/ultraestrutura , Neoplasias Maxilares/diagnóstico , Neoplasias Maxilares/ultraestrutura , Pessoa de Meia-IdadeRESUMO
The most common manifestation of mycobacterial infection encountered in E.N.T. practice is cervical lymphadenitis. Mycobacterial cervical lymphadenitis, the so-called scrofula, remains a diagnostic challenge, because it mimics other resembling processes. We present 13 cases of cervical granulomatous lymphadenitis treated from 1967 until 1990.
Assuntos
Mycobacterium/isolamento & purificação , Tuberculose dos Linfonodos/microbiologia , Adolescente , Adulto , Idoso , Criança , Humanos , Masculino , Pessoa de Meia-Idade , Pescoço , Estudos Retrospectivos , Tuberculose dos Linfonodos/complicações , Tuberculose dos Linfonodos/cirurgiaRESUMO
Kikuchi-Fujimoto disease (KFD) is a rare entity of uncertain cause which commonly presents as a lymphoadenopathy unresponsive to antibiotic therapy. Although usually it follows a benign self-limited course KFD has been repeatedly misdiagnosed as lymphoma. With this new case data about the etiology and clinical trend of KFD are added. Review of the literature.
Assuntos
Linfadenite/diagnóstico , Otolaringologia , Criança , Diagnóstico Diferencial , Feminino , HumanosRESUMO
The present clinical and pathological study describes the cases of two patients having infiltrate and ulcerous lesions of the nose, hard palate and rhinopharynx clinically consistent with a malignant midline granuloma. Histologically, infiltrates presented atypical lymphoid cells around small vessels and damage of the vascular wall. Immunohistologic study, using monoclonal antibodies on both fresh and paraffin embedded tissues, led to the positive diagnosis of peripheral lymphoma of T cells.
Assuntos
Neoplasias Faciais/patologia , Doença de Hodgkin/patologia , Linfoma de Células T Periférico/patologia , Neoplasias Primárias Múltiplas/patologia , Adulto , Humanos , Pessoa de Meia-IdadeRESUMO
The union between the inferior portion of the occipital bone and the first two cervical vertebrae is the site of osseous and neurological abnormalities responsible for a wide spectrum of signs and symptoms of otoneurological interest. Often symptoms are vague with an evolution marked by temporary exacerbation or remission. The diagnosis can be difficult, and in our experience is best achieved by combining neurotologic and neurologic evaluation. We discuss the diagnosis of 6 patients with lesions at the craneovertebral junction. Arnold-Chiari malformation was diagnosed most frequently.
Assuntos
Malformação de Arnold-Chiari/diagnóstico , Cerebelo/anormalidades , Vértebras Cervicais/anormalidades , Forame Magno/anormalidades , Adulto , Tonsila do Cerebelo/anormalidades , Tonsila do Cerebelo/diagnóstico por imagem , Malformação de Arnold-Chiari/complicações , Malformação de Arnold-Chiari/diagnóstico por imagem , Audiometria , Cerebelo/diagnóstico por imagem , Vértebras Cervicais/diagnóstico por imagem , Criança , Potenciais Evocados Auditivos , Forame Magno/diagnóstico por imagem , Transtornos da Audição/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Exame Neurológico , Nistagmo Patológico , Radiografia , Doenças Vestibulares/complicações , Doenças Vestibulares/diagnósticoRESUMO
Tumors of the ceruminous glands can affect the auricula and periauricular skin and should be included in the differential diagnosis of lesions of these regions. Correct management of these tumors depends on precise histopathologic classification and diagnosis of their extension. We report a case of cystic adenoid carcinoma of the external auditory canal. Signs and symptoms, histopathology, and treatment of these lesions as reported in the literature are reviewed.
Assuntos
Carcinoma Adenoide Cístico/ultraestrutura , Neoplasias da Orelha/ultraestrutura , Orelha Externa/patologia , Adulto , Carcinoma Adenoide Cístico/diagnóstico , Carcinoma Adenoide Cístico/radioterapia , Carcinoma Adenoide Cístico/cirurgia , Diagnóstico Diferencial , Neoplasias da Orelha/radioterapia , Neoplasias da Orelha/cirurgia , Feminino , Humanos , PrognósticoRESUMO
We present a cervical thymic cyst clinically manifest as a lateral neck mass and studied preoperatively with ultrasound. We point to the sonographic findings that allow us to include the cervical thymic cyst as one of the diagnostic possibilities.
Assuntos
Cistos/fisiopatologia , Timo/fisiopatologia , Adulto , Cistos/diagnóstico , Cistos/diagnóstico por imagem , Cistos/ultraestrutura , Diagnóstico Diferencial , Feminino , Humanos , Doenças Respiratórias/diagnóstico , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/fisiopatologia , UltrassonografiaRESUMO
A case report of mucoepidermoid carcinoma of the larynx es presented and the literature reviewed. The inherent difficulties in histologic mucoepidermoid carcinoma is discussed. At the present time, mucoepidermoid carcinoma of the larynx should be regarded as a separate entity, its treatment based in histological grade as well as clinical behavior.
Assuntos
Carcinoma/diagnóstico , Neoplasias Laríngeas/diagnóstico , Idoso , Carcinoma/patologia , Humanos , Neoplasias Laríngeas/patologia , MasculinoRESUMO
Retrospective study dealing with 100 cases of nodules, polyps and Reinke's edema of the vocal cord, characterizing this pathology classically considered as functional. Broad review of the subject's bibliography.
Assuntos
Edema/patologia , Prega Vocal/patologia , Distúrbios da Voz/diagnóstico , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Pré-Escolar , Edema/cirurgia , Feminino , Humanos , Laringe/cirurgia , Masculino , Microcirurgia , Pessoa de Meia-Idade , Fonação , Prognóstico , Recidiva , Estudos Retrospectivos , Fatores Sexuais , Prega Vocal/cirurgia , Distúrbios da Voz/patologia , Distúrbios da Voz/cirurgiaRESUMO
Report about 2 children affected with the cat scratch disease or lymphoreticulosis. The AA. discuss some etiological and clinic features of the malady, especially emphasizing the typical anatomopathological findings, which in the majority of the occurrences, allow the actual diagnosis. This is a disease of low incidence, but must be bear in mind when dealing with any cervical lump.
Assuntos
Doença da Arranhadura de Gato/diagnóstico , Vértebras Cervicais/fisiopatologia , Doença da Arranhadura de Gato/microbiologia , Doença da Arranhadura de Gato/fisiopatologia , Criança , Diagnóstico Diferencial , Epitélio , Bacilos Gram-Positivos/isolamento & purificação , Granuloma de Células Gigantes/diagnóstico , Granuloma de Células Gigantes/cirurgia , Humanos , Osso Hioide/cirurgia , Masculino , Doenças Mandibulares/diagnóstico , Doenças Mandibulares/fisiopatologia , Neutrófilos/citologiaRESUMO
This study report 3 cases of nodal cystic metastasis in the neck. One of them was diagnosed as an epidermoid carcinoma of unknown origin and the other 2 were an epidermoid carcinoma and an mucoepidermoid carcinoma respectively, arising in the larynx. Treatment of these patients included removal of the cystic metastasis with or without neck dissection and irradiation. Cystic metastasis from squamous cell carcinoma have often been mistaken for primary squamous cell carcinoma of branchiogenic origin. The distinctive histological features of cystic metastasis reviewed after its correct identification, can lead to the discovery of an unsuspected primary lesion and result in specific treatment options.
Assuntos
Branquioma/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Vértebras Cervicais/patologia , Adulto , Idoso , Branquioma/patologia , Carcinoma de Células Escamosas/patologia , Feminino , Humanos , Neoplasias Laríngeas/diagnóstico , Neoplasias Laríngeas/patologia , Neoplasias Laríngeas/cirurgia , Laringectomia , Laringe/patologia , Laringe/cirurgia , Masculino , Pessoa de Meia-Idade , Metástase NeoplásicaRESUMO
We have made a retrospective study about 100 cases of vocal cords nodules, polyps and polypoid degeneration: we study the clinic and diagnostic aspects for this pathology that has been considered of functional cause. We also have made a review of literature.
Assuntos
Edema Laríngeo/diagnóstico , Neoplasias Laríngeas/diagnóstico , Pólipos/diagnóstico , Prega Vocal , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
The relationship between laryngocele and laryngeal carcinoma has already been well established. A distinct entity is the carcinoma arising from the ventricular saccule or a preexisting laryngocele showing a peculiar clinical behavior and pathological features. We present here a case of ventriculosaccular carcinoma of the larynx, discussing the clinical presentation and the immunohistochemical analysis performed using monoclonal antibodies, and the factors which might modulate the aggressiveness of the neoplasm.