scholarly journals Grisel’s Syndrome: A Rare Complication following Adenotonsillectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Abdulkadir Bucak ◽  
Sahin Ulu ◽  
Abdullah Aycicek ◽  
Emre Kacar ◽  
Murat Cem Miman
Keyword(s):  
Head And Neck ◽  
Imaging Techniques ◽  
Rare Complication ◽  
Neck Region ◽  
Neck Surgery ◽  
Upper Respiratory Tract ◽  
Head And Neck Region ◽  
Grisel’S Syndrome ◽  
History Of ◽  
Or History

Grisel’s syndrome is a nontraumatic atlantoaxial subluxation which is usually secondary of an infection or an inflammation at the head and neck region. It can be observed after surgery of head and neck region. Etiopathogenesis has not been clearly described yet, but increased looseness of paraspinal ligament is thought to be responsible. Patients typically present with painful torticollis. Diagnosis of Grisel’s syndrome is largely based on suspicion of the patient who has recently underwent surgery or history of infection in head and neck region. Physical examination and imaging techniques assist in diagnosis. Therefore, clinicians should be aware of acute nontraumatic torticollis after recently applied the head and neck surgery or undergone upper respiratory tract infection. In this paper, a case of an eight-year-old male patient who had Grisel’s syndrome after adenotonsillectomy is discussed with review of the literature.

Myeloid Sarcoma of the Head and Neck Region

2013 ◽  
Vol 137 (11) ◽  
pp. 1560-1568 ◽  
Author(s):  
Jane Zhou ◽  
Diana Bell ◽  
L. Jeffrey Medeiros
Keyword(s):  
Head And Neck ◽  
Low Frequency ◽  
Neck Region ◽  
Immunohistochemical Analysis ◽  
Myeloid Sarcoma ◽  
Head And Neck Region ◽  
Bone Marrow Disease ◽  
Highly Sensitive ◽  
History Of ◽  
High Degree

Context.—Myeloid sarcoma of the head and neck region can pose diagnostic challenges because of the low frequency of myeloid sarcoma and the potential for tumors of almost any lineage to occur in the head and neck. Objective.—To study the clinicopathologic and immunohistochemical characteristics of myeloid sarcoma in the head and neck region and to review the differential diagnosis. Design.—We searched for cases of myeloid sarcoma involving the head and neck region for a 24-year period at our institution. The medical records and pathology slides were reviewed. Additional immunohistochemical stains were performed. Results.—We identified 17 patients, age 17 to 85 years. Most tumors involved the oral cavity. Myeloid sarcoma was the initial diagnosis in 9 patients (53%); the remaining 8 patients (47%) had a history of bone marrow disease. Immunohistochemical analysis using antibodies specific for lysozyme, CD43, and CD68 were highly sensitive for diagnosis but were not specific. By contrast, assessment for myeloperoxidase in this study was less sensitive but more specific. We also used antibodies specific for CD11c and CD33 in a subset of cases, and these reagents seem helpful as well. Conclusions.—The clinical presentation of myeloid sarcoma involving the head and neck, particularly the mouth, is often nonspecific, and a high degree of suspicion for the possibility of myeloid sarcoma is needed. Immunohistochemistry is very helpful for establishing the diagnosis.

TMJ pain as a presentation of metastatic breast cancer to the right mandibular condyle

2021 ◽  
Vol 14 (3) ◽  
pp. e241601
Author(s):  
Victor Ken On Chang ◽  
Samuel Thambar
Keyword(s):  
Breast Cancer ◽  
Metastatic Breast Cancer ◽  
Head And Neck ◽  
Cancer Metastasis ◽  
Mandibular Condyle ◽  
Metastatic Breast ◽  
Neck Region ◽  
Head And Neck Region ◽  
History Of ◽  
The Right

Cancer metastasis to the oral and maxillofacial region is uncommon, and metastasis to the mandibular condyle is considered rare. We present a case of a 56-year-old woman with a history of invasive ductal cell carcinoma of the right breast, 10 years in remission, presenting with a 6-month history of symptoms typical of temporomandibular joint (TMJ) dysfunction. Imaging revealed an osteolytic lesion of her right TMJ and subsequent open biopsy confirmed the diagnosis of metastatic breast cancer. Despite the rarity of metastatic cancer to the head and neck region, it is still important for clinicians from both medical and dental backgrounds to consider this differential diagnosis, particularly in patients with a history of hormonal positive subtype of breast cancer. Given that bony metastasis can manifest even 10 years after initial diagnosis, surveillance which includes examination of the head and neck region is important, and may include routine plain-film imaging surveillance with an orthopantomogram (OPG).

scholarly journals Effect of the COVID-19 Pandemic on the Activity of Physicians Working in the Areas of Head and Neck Surgery and Otorhinolaryngology

2020 ◽  
Vol 24 (03) ◽  
pp. e258-e266 ◽  
Author(s):  
Luiz Paulo Kowalski ◽  
Rui Imamura ◽  
Gilberto de Castro Junior ◽  
Gustavo Nader Marta ◽  
Aline Lauda Freitas Chaves ◽  
...  
Keyword(s):  
Head And Neck ◽  
Online Survey ◽  
Acute Infection ◽  
Neck Region ◽  
Neck Surgery ◽  
Medical Specialties ◽  
Head And Neck Region ◽  
Professional Activities ◽  
High Level ◽  
The Impact

Abstract Introduction Coronavirus disease 2019 (COVID-19) is an acute infection caused by the new coronavirus (SARS-CoV-2) and it is highly transmissible, especially through respiratory droplets. To prepare the health system for the care of these patients also led to a restriction in the activity of several medical specialties. Physicians who work with patients affected by diseases of the head and neck region constitute one of the populations most vulnerable to COVID-19 and also most affected by the interruption of their professional activities. Objective The aim of the present study was to assess the impact of the COVID-19 pandemic on the practice of head and neck surgeons and otorhinolaryngologists in Brazil. Methods An anonymous online survey of voluntary participation was applied, containing 30 questions regarding demographic aspects, availability of personal protective equipment (PPE), and impact on the routine of head and neck surgeons and otorhinolaryngologists, as well as clinical oncologists and radiation oncologists who work with head and neck diseases. Results Seven hundred and twenty-nine answers were received in a period of 4 days, ∼ 40 days after the 1st confirmed case in Brazil. With professionals working in public and private services, there was a high level of concerns with the disease and its consequences, limited availability of PPE and a significant decrease in the volume of specialized medical care. Conclusion The study demonstrated a direct impact of the COVID-19 pandemic on the clinical practice of specialties related to the treatment of patients with diseases of the head and neck region already in the beginning of the illness management in Brazil.

scholarly journals Pilomatrixoma of the head and neck: Typical presentation of a rare lesion

Ultrasound ◽  
2019 ◽  
Vol 28 (1) ◽  
pp. 51-53
Author(s):  
Mert Sirakaya ◽  
Sanjay Vydianath
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Hair Follicles ◽  
Branchial Cleft Cyst ◽  
Head And Neck Region ◽  
History Of ◽  
Rare Lesion ◽  
Branchial Cleft ◽  
Clinical Differential Diagnosis ◽  
Benign Tumours

Pilomatrixomas are benign tumours of primitive hair follicles, usually presenting as painless lumps in the head and neck region in children. As they are uncommon, they are often misdiagnosed clinically. We discuss a case of a five-year-old boy presenting with a five-month history of a pre-auricular lump. The initial clinical differential diagnosis was of a dermoid or a branchial cleft cyst. However, on ultrasonography the lesion was typical of a pilomatrixoma. The imaging literature is reviewed to illustrate the sonographic appearances of pilomatrixomas.

scholarly journals Diagnostic dilemmas of head and neck tuberculosis: our experience and review of literature

2020 ◽  
Vol 6 (5) ◽  
pp. 934
Author(s):  
Pallavi Pavithran ◽  
Mahesh S. G.
Keyword(s):  
Head And Neck ◽  
Extrapulmonary Tuberculosis ◽  
Cervical Lymphadenopathy ◽  
Neck Region ◽  
Review Of Literature ◽  
Nodal Disease ◽  
Head And Neck Region ◽  
History Of ◽  
Tuberculous Otitis Media ◽  
High Index Of Suspicion

<p class="abstract"><strong>Background:</strong> The aim of the study was to highlight the varied and changing presentations of head and neck tuberculosis, discuss the difficulties in diagnosis and treatment.</p><p class="abstract"><strong>Methods:</strong> This was a 5 years retrospective analysis of patients with extrapulmonary tuberculosis (EPTB) of the head and neck region.  </p><p class="abstract"><strong>Results:</strong> 43 patients with EPTB were studied. Most had cervical lymphadenopathy (35), 9 had laryngeal, 7 tuberculous otitis media, and one patient each of PNS, oropharyngeal and retropharyngeal involvement. 8 patients had pulmonary TB, 2 had Potts spine, and 5 gave history of previous TB. FNAC was effective in nodal disease, PPD test positive in 20% and HPE was used to make the diagnosis in other types.</p><p class="abstract"><strong>Conclusions:</strong> TB is re-emerging as a significant cause of morbidity. Diagnosing EPTB requires high index of suspicion. Cervical lymphadenopathy is the commonest presentation, followed by larynx, and then ear. FNAC is a reliable and convenient way to diagnose lymphadenopathy. Hitopathological examination needed for confirmation, and for other sites. Further investigations are needed to exclude pulmonary or systemic TB. All patients should be categorised into proper category of anti-tuberculous treatment (ATT) and treated according to ATT regimen.</p>

scholarly journals Extramedullary Plasmacytoma of Head and Neck Region: Report of Six Cases with Different Localizations

2013 ◽  
Vol 5 (3) ◽  
pp. 157-163
Author(s):  
Kerem Öztürk ◽  
Mustafa Şahin ◽  
Raşit Midilli ◽  
Gülce Gürsan ◽  
Nazan Özsan ◽  
...  
Keyword(s):  
Head And Neck ◽  
Soft Tissues ◽  
Plasma Cells ◽  
Neck Region ◽  
Extramedullary Plasmacytoma ◽  
Mastoid Cavity ◽  
Upper Respiratory Tract ◽  
Head And Neck Region ◽  
Systemic Dissemination ◽  
Upper Respiratory

ABSTRACT Extramedullary plasmacytoma (EMP) is a rarely seen neoplasm of plasma cells which may be locally destructive by involving submucosal soft tissues of upper respiratory tract but without systemic dissemination. It comprises less than 1% of head and neck malignities. Clinical presentation depends on tumor's effect and its involvement site. Diagnosis is made with histopathologic examination of tissue biopsy. Responses to its treatment with local radiotherapy and surgery are similar. In this article; it is intended to update our knowledge regarding EMP and remind this rarely encountered disease by presenting various cases detected in nasopharynx, tonsil, buccal mucosa, larynx, mastoid cavity and sphenoid sinus, with literature line. How to cite this article Öztürk K, Şahin M, Midilli R, Gürsan G, Özsan N, Savaş R. Extramedullary Plasmacytoma of Head and Neck Region: Report of Six Cases with Different Localizations. Int J Otorhinolaryngol Clin 2013;5(3):157-163.

scholarly journals Castleman Disease of the Parotid Gland: A Report of a Case

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Fawaz Abo-Alhassan ◽  
Fatemah Faras ◽  
Jassem Bastaki ◽  
Mutlaq K. Al-Sihan
Keyword(s):  
Parotid Gland ◽  
Head And Neck ◽  
Lymphoproliferative Disorder ◽  
Neck Region ◽  
Excisional Biopsy ◽  
Castleman Disease ◽  
Unknown Etiology ◽  
Common Site ◽  
Head And Neck Region ◽  
History Of

Castleman disease is an extremely rare benign lymphoproliferative disorder of unknown etiology. It affects the lymphatic chain in anybody region, although the commonest site is the mediastinum. The head and neck region is the second most common site; however, the salivary glands are rarely affected. We report a case of a 29-year-old Asian lady who presented with a 2-year history of an enlarging left parotid mass. Histopathology of the excisional biopsy confirmed the diagnosis of Castleman disease.

scholarly journals Adaptations of a Tertiary Otorhinolaryngology Head and Neck Surgery Department in Singapore during the COVID-19 Outbreak

2020 ◽  
pp. 000348942094677
Author(s):  
Anna See ◽  
Lih Khuang Go ◽  
Constance E. H. Teo ◽  
Neville Wei Yang Teo ◽  
Song Tar Toh
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Neck Surgery ◽  
World Health ◽  
Upper Respiratory Tract ◽  
Comprehensive Overview ◽  
Rigorous Framework ◽  
Novel Coronavirus ◽  
Health Organization ◽  
Surgery Department

Purpose: The novel coronavirus 2019 (COVID-19) outbreak which was first reported in Wuhan, China has been declared a pandemic by the World Health Organization on March 11, 2020. Otorhinolaryngologists deal intimately with pathologies of the head and neck region and upper respiratory tract and have been reported as a vulnerable group of healthcare workers who may be more susceptible to COVID-19 nosocomial infection. Methods: In this article, we provide a comprehensive overview of the adaptations of Singapore’s largest tertiary Otorhinolaryngology department during the COVID-19 outbreak. This was undertaken via an evidence-based approach. The relevant medical literature and evidence underlying our adaptations are highlighted. Results: A four-pronged strategy including (1) personnel segregation, (2) triaging and decantment, (3) use of personal protective equipment and (4) changes in clinical practice was employed. The strategy was bolstered by drawing upon a collective learnt experience from the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak. Conclusion: A rigorous framework which can preserve operationality while navigating the heightened risks during this outbreak is critical for every Otorhinolaryngology department. As the pandemic continues to evolve and more scientific reports of this disease are made available, approaches will need to be morphed.

scholarly journals Intraorbital Tumours, Schwannoma, Neurofibroma

2020 ◽  
Vol 7 (50) ◽  
pp. 3067-3069
Author(s):  
Vasu Reddy Challa ◽  
Ajay Chanakya Vallabhaneni ◽  
Baleswari G ◽  
Vinusha Reddy Basi Reddy
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Neurofibromatosis Type ◽  
Autonomic Nerve ◽  
Head And Neck Region ◽  
Cystic Changes ◽  
History Of ◽  
Benign Tumours ◽  
Orbital Tumours

Schwannomas are rare benign tumours arising from neuroectodermal Schwann cells. They can arise from cranial, intraspinal, peripheral and autonomic nerve sheaths. Schwannomas represent 1 - 8 % of head and neck tumours. They constitute 25 – 40 % of extracranial tumours in head and neck region.1 Among the schwannomas arising in head and neck region those arising intraorbitally are very rare. The most common benign intra orbital tumours are haemangiomas. They can arise as localised forms or in association with Neurofibromatosis-1 (NF1). In patients with neurofibromatosis-type 1 or in patients with family history of NF, the risk of developing orbital schwannoma is 1.5 %. Schwannomas constitute 1 - 6.5 % of intra orbital tumours.2-6 Of these tumours those undergoing cystic changes are still rare. The most common cystic lesions in the orbit are dermoid cysts or mucoceles.

scholarly journals Radiation-induced Fibrosarcoma of the Larynx: a Case Report and Review of Literature

2021 ◽  
Author(s):  
Wei Gong ◽  
Donghai Huang
Keyword(s):  
Head And Neck ◽  
Surgical Resection ◽  
Rare Complication ◽  
Neck Region ◽  
Head And Neck Carcinoma ◽  
Malignant Tumour ◽  
Primary Treatment ◽  
Head And Neck Region ◽  
Complete Surgical Resection ◽  
Radiation Induced

Abstract Background: Radiation-induced sarcoma (RIS) is a rare complication following radiotherapy of head and neck carcinoma. It occurs mostly within the limits of the irradiated area and always suggests a poor prognosis. Case summary: Herein, we reported one case of a 61-year-old male with laryngeal squamous cell carcinoma (SCC), who had a history of surgery and radiotherapy. In 2014, this patient was admitted in our hospital for increasing hoarseness five years after surgery and radiotherapy. Finally, the patient was diagnosed as fibrosarcoma and was given total laryngectomy, the patient was died in August 2019 within following up. In addition, the clinical and pathological characteristics of similar cases and their probable tumorgenesis were also reviewed. Conclusion: RIS is increasingly important. They usually occur mostly within the limits of the irradiated area. SCC is the most common malignant tumour in the head and neck region, and radiotherapy is a primary adjuvant therapy method. For patients receiving radiotherapy, physicians should follow up more carefully for early detection the RISs. For sarcomas occurring in head and neck region, especially RIS, complete surgical resection is the primary treatment. The choice of radiotherapy and chemotherapy should be more cautious. The prognosis of primary sarcomas or RISs is still controversial. No matter primary sarcomas or RISs, we believe that complete surgical resection should be considered as a top priority in surgery.

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