scholarly journals Recurrent Rhinosporidiosis: Coblation Assisted Surgical Resection—A Novel Approach in Management

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Iram Khan ◽  
Shweta Gogia ◽  
Alok Agarwal ◽  
Ajay Swaroop
Keyword(s):  
Chronic Granulomatous Disease ◽  
Surgical Resection ◽  
Upper Airway ◽  
Surgical Excision ◽  
Interesting Case ◽  
Granulomatous Disease ◽  
Male Resident ◽  
Surgical Tool ◽  
Novel Approach ◽  
History Of

Recurrent rhinosporidiosis is a chronic granulomatous disease with a known tendency to reoccur. Coblation EVAC 70 is a novel surgical tool which seems to provide excellent option in management of this notorious disease. We present an interesting case and the innovative approach in its management, using Coblation system.Introduction. Rhinosporidiosis seeberi causes a chronic granulomatous disease of upper airway, usually involving the nose and nasopharynx, and has a notorious tendency to reoccur. The current line of management is surgical excision of the lesion along with cauterization of the base, which does not prevent reoccurrence of the disease.Case Presentation. A 65-year-old male resident of rural India reported a history of breathing difficulty and change in voice. Patient is a Hindu priest by profession, who according to their rituals has to take bath in local pond or river.Conclusion. Rhinosporidiosis is a difficult to treat pathology due to its tendency to reoccur. Till date the management of the disease is far from satisfactory. Coblation system which has already found its roots in otorhinolaryngology can be used as a novel tool in surgical resection of recurrent rhinosporidiosis and has added advantage of low temperature dissection along with clear surgical field due to constant suctioning.

Lytic lesion of skull: a rare presentation of chronic granulomatous disease

2020 ◽  
Vol 13 (9) ◽  
pp. e235423
Author(s):  
Gurinder Kumar
Keyword(s):  
Chronic Granulomatous Disease ◽  
Serratia Marcescens ◽  
Gene Mutation ◽  
Lytic Lesion ◽  
Granulomatous Disease ◽  
Case Scenario ◽  
Rare Presentation ◽  
History Of ◽  
Work Up

An 18-month-old boy presented with lytic lesion of skull and recurrent abscesses with Serratia marcescens. The extensive work up revealed a gene mutation confirming the diagnosis of chronic granulomatous disease (CGD). This case scenario underscores the importance of exploring the possibility of immunodeficiency if there is a history of recurrent abscesses with atypical organism. The case also demonstrates that CGD can present as lytic lesion of skull.

Evaluation and Management of the Lingual Thyroid Gland

1996 ◽  
Vol 105 (4) ◽  
pp. 312-316 ◽  
Author(s):  
James D. Williams ◽  
Oleh Slupchinskij ◽  
Anthony P. Sclafani ◽  
Claude Douge
Keyword(s):  
Thyroid Gland ◽  
Upper Airway ◽  
Oral Intake ◽  
Surgical Excision ◽  
Initial Therapy ◽  
Clinical Findings ◽  
Lingual Thyroid ◽  
Appropriate Treatment ◽  
History Of ◽  
Gland Enlargement

Lingual thyroid gland is a rare clinical entity that is due to failure of descent of the gland anlage early in the course of embryogenesis. It may present with symptoms of dysphagia, upper airway obstruction, or even hemorrhage at any time from infancy through adulthood. We present two illustrative cases of lingual thyroid gland along with a protocol for diagnosis and management of the condition. Elements in the diagnostic and therapeutic evaluation are described with attention to the clinical findings, laboratory tests, and radiographic imaging studies employed in confirming the diagnosis and planning appropriate treatment The natural history of the condition is reviewed and a treatment strategy is outlined that focuses on the use of suppressive doses of thyroid hormone as the initial therapy. Surgical excision of the gland is reserved for more advanced cases of gland enlargement resulting in airway compromise, severe dysphagia that limits oral intake, or ongoing hemorrhage.

scholarly journals An Interesting Case Report of Frontal Sinus Keratocyst

2019 ◽  
Vol 9 (1) ◽  
pp. 100
Author(s):  
Alireza Mohebbi ◽  
Mohammad Aghajanpour
Keyword(s):  
Case Report ◽  
Surgical Resection ◽  
Frontal Sinus ◽  
Interesting Case ◽  
Ophthalmological Examination ◽  
Eyelid Edema ◽  
Complete Surgical Resection ◽  
Orbital Wall ◽  
History Of ◽  
The Right

Purpose: To report an unusual case of frontal sinus keratocyst. Case Report: A 31 year old woman presented with a history of swollen right eye and visual field impairment. The ophthalmological examination revealed right superior eyelid edema and some degrees of proptosis. CT scan with iodine injection evidenced the opacification of the right frontal sinus with superior orbital wall lysis. Complete endoscopic surgical resection of a mass containing foul smelling keratin material was performed via Draf type III. The patient became symptomatic after 6 years. Imaging studies showed neo- osteogenesis in the far lateral end of right frontal sinus. Frontal trephination was done and the remnant of keratocyst was removed and the septum interfacing the cell and the right frontal sinus was walled down entirely. Conclusion: Although frontal sinus keratocyst is benign but can spread to the surrounding structures leading to several complications. Therefore, complete surgical resection is necessary to avoid recurrence.

scholarly journals Lingual thyroid causing dysphonia: case report

2004 ◽  
Vol 122 (2) ◽  
pp. 67-69 ◽  
Author(s):  
Alfio José Tincani ◽  
Antonio Santos Martins ◽  
André Del Negro ◽  
Priscila Pereira Costa Araújo ◽  
Gilson Barretto
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Upper Airway ◽  
Surgical Excision ◽  
Clinical Findings ◽  
Ectopic Thyroid ◽  
Lingual Thyroid ◽  
Recurrent Hemorrhage ◽  
Appropriate Treatment ◽  
History Of

CONTEXT: Lingual thyroid gland is a rare clinical entity that is caused by the failure of the thyroid gland to descend to a normal cervical location during embryogenesis. The occurrence of an ectopic thyroid gland located at the base of the tongue may cause problems for the patient, with symptoms of dysphagia, dysphonia, upper airway obstruction or even hemorrhage at any time from infancy through adulthood. CASE REPORT: We report on a case of lingual thyroid gland in a 41-year-old female patient. The embryology and diagnosis of ectopic thyroid are discussed and its management is outlined. Features of the diagnostic and therapeutic evaluation are described with attention to the clinical findings, laboratory tests, thyroid scan and computed tomography imaging studies employed in the confirmation of diagnosis and planning of appropriate treatment. The history of the condition is reviewed and a treatment strategy is outlined. Surgical excision of the gland is reserved for cases of gland enlargement that result in compromised airways (dysphagia or dysphonia) or recurrent hemorrhage.

scholarly journals Lingual Thyroid Gland: A Case Report

2020 ◽  
Vol 14 (2) ◽  
pp. 107-109
Author(s):  
Md Shahriar Islam ◽  
Lipika Sanjowal ◽  
SM Abdul Awual ◽  
Mohd Rafiul Alam ◽  
Md Rafiqul Islam ◽  
...  
Keyword(s):  
Thyroid Tissue ◽  
Upper Airway ◽  
Oral Intake ◽  
Surgical Excision ◽  
Initial Therapy ◽  
Clinical Findings ◽  
Lingual Thyroid ◽  
Recent Onset ◽  
History Of ◽  
One Year

Ectopic thyroid tissue can be found anywhere between the foramen cecum and the normal position of the thyroidgland. Although very uncommon, it is most often found in the region of the foramen cecum, in patients in whom thegland fails to descend. It may present with symptoms of dysphagia, upper airway obstruction, or even hemorrhage atany time from infancy through adulthood. We present the case of a twelve-year-old male child with a midline cervicalmass clinically presented with high dysphagia suffering for one year. Dysphagia worsened over the past two monthsand was accompanied by increasing in nocturnal dyspnoea and recent onset of sleep apnea. Elements in the diagnosticand therapeutic evaluation are described with attention to the clinical findings, laboratory tests, and radiographicimaging studies employed in confirming the diagnosis and planning appropriate treatment. The natural history of thecondition is reviewed and a treatment strategy is outlined that focuses on the use of suppressive doses of thyroidhormone as the initial therapy. Surgical excision of the gland is reserved for more advanced cases of glandenlargement resulting in airway compromise, severe dysphagia that limits oral intake, or ongoing hemorrhage. Faridpur Med. Coll. J. Jul 2019;14(2): 107-109

Chronic Granulomatous Disease of the Upper Airway

2021 ◽  
pp. 014556132110546
Author(s):  
Brad Bradshaw ◽  
Hussein Jaffal ◽  
Christian A. Wysocki ◽  
Lyndsey A. Grover ◽  
Ron B. Mitchell ◽  
...  
Keyword(s):  
Chronic Granulomatous Disease ◽  
Upper Airway ◽  
Granulomatous Disease

scholarly journals Adult-diagnosed Chronic Granulomatous Disease: The Need to Increase Awareness

2021 ◽  
Author(s):  
Joseph Baxter ◽  
Derek Smith ◽  
Charles Webb
Keyword(s):  
Chronic Granulomatous Disease ◽  
Lupus Erythematosus ◽  
Fungal Infections ◽  
Genetic Disorder ◽  
Immunosuppressive Drugs ◽  
Granulomatous Disease ◽  
Multiple Systems ◽  
Life Saving ◽  
Life Threatening ◽  
History Of

ABSTRACT Chronic granulomatous disease is genetic disorder characterized by the inability of phagocytes to produce sufficient oxidative burst needed to kill intracellular organisms. Patients have recurrent, life-threatening infections involving multiple systems including the lungs, skin, lymph nodes, and liver. The majority of patients with chronic granulomatous disease are diagnosed in childhood although some may present in adulthood due to a milder phenotype. Unfortunately, these patients may also present with concomitant autoimmune diseases. We describe a 48-year-old woman with a history of immune thrombocytopenia and systemic lupus erythematosus on immunosuppressive therapy. She developed subsequent bacterial and fungal infections initially attributed to immunosuppressive drugs. Further evaluation revealed the diagnosis of chronic granulomatous disease. We review the diagnosis and treatment of chronic granulomatous disease in hopes to increase awareness of this disease in adulthood in order to initiate potential life-saving prophylactic antibiotics.

scholarly journals Supratentorial Atypical Rhabdoid Teratoid Tumor – A Case Report

2018 ◽  
Vol 37 (01) ◽  
pp. 67-70
Author(s):  
Paulo Mesquita Filho ◽  
Ana Vartha ◽  
Fernanda De Carli ◽  
Gregori Manfroi ◽  
Marcelo De Cesaro ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Surgical Resection ◽  
Posterior Fossa ◽  
Surgical Excision ◽  
Primitive Neuroectodermal Tumors ◽  
Neuroectodermal Tumors ◽  
History Of ◽  
Cns Malignancies

AbstractAtypical rhabdoid teratoid tumors (ARTTs) are rare embryonic tumors, usually localized in the posterior fossa and diagnosed in children under 3 years-old. The treatment includes surgical resection, radio and chemotherapy, and the prognostic is unfavorable, with an average median survival of 1 year. We present the case of a 3-year-old patient, with history of headache and vomiting, followed by absence seizures, temporal automatism, syncope accompanied by sialorrhea and sphincteric loss succeeded by a postictal period. Surgical excision was performed and the anatomopathological study confirmed ARTT. The ARTTs are embryonic tumors, a category in which medulloblastoma and primitive neuroectodermal tumors (PNETs) represent the most common central nervous system (CNS) malignancies in childhood.

Bronchogenic cysts as a cause of infantile stridor: case report and literature review

2011 ◽  
Vol 125 (10) ◽  
pp. 1094-1097 ◽  
Author(s):  
J Goswamy ◽  
S de Kruijf ◽  
G Humphrey ◽  
M P Rothera ◽  
I A Bruce
Keyword(s):  
Case Report ◽  
Bronchogenic Cyst ◽  
Upper Airway ◽  
Surgical Excision ◽  
Mass Effect ◽  
Inspiratory Stridor ◽  
External Compression ◽  
History Of ◽  
Neck Lump ◽  
Bronchogenic Cysts

AbstractIntroduction:Cystic lesions related to the upper airway are an unusual cause of infantile stridor. Such a lesion may exert a mass effect, with subsequent airway compromise.Case report:A six-month-old boy was transferred to our unit with a right-sided, level IV neck lump and a three-month history of chronic cough and, latterly, inspiratory stridor. Computed tomography revealed a large, unilocular, cystic, cervicothoracic lesion causing marked compression of the trachea. Airway endoscopy subsequently revealed the larynx to be displaced to the left, with severe external compression of the trachea from just below the subglottic level to immediately above the carina. The mediastinal lesion was excised via an external approach. The histological diagnosis was a bronchogenic cyst.Conclusion:Bronchogenic cysts are a rare cause of infantile stridor, and should be considered in the differential diagnosis of cystic cervical and mediastinal masses. Surgical excision is the treatment of choice.

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