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Pesquisa : C07.550.350 [Categoria DeCS]
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[PMID]:28291218
[Au] Autor:Shkarubo AN; Lubnin AY; Bukharin EY; Shishkina LV; Andreev DN; Koval' KV; Chernov IV; Karnaukhov VV
[Ad] Endereço:Burdenko Neurosurgical Institute, Moscow, Russia.
[Ti] Título:[Endoscopic transnasal surgery for giant fibrous dysplasia of the skull base, spreading to the right orbital cavity and nasopharynx (a case report and literature review)].
[Ti] Título:Endoskopicheskaya transnazal'naya khirurgiya gigantskoi fibroznoi displazii osnovaniya cherepa, rasprostranyayushcheisya v polost' pravoi orbity i nosoglotku (opisanie nablyudeniya i obzor literatury)..
[So] Source:Zh Vopr Neirokhir Im N N Burdenko;81(1):81-87, 2017.
[Is] ISSN:0042-8817
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:BACKGROUND: An extended endoscopic endonasal approach is increasingly used in surgical treatment of space-occupying skull base lesions. The international literature reports only 20 cases of surgical treatment for fibrous dysplasia (PD) of the skull base using the endoscopic endonasal approach. We present our experience with the endoscopic endonasal approach in surgical treatment for giant fibrous dysplasia of the skull base, spreading to the right orbital cavity and nasopharynx. CLINICAL CASE: A 26-year-old male patient presented with cranial pain, Vth nerve dysfunction on the right, right keratopathy. OD=0.2 (near acuity - 0.3), OS=1.0, OD - incomplete eyelid closure of 2 mm, conjunctival injection, mucous discharge, corneal opacity in the lower pole and paracentrally, OS - normal appearance. Severe right-sided exophthalmos (more than 15 mm), impaired nasal breathing on the right, nasal (hemorrhagic) discharge. Magnetic resonance imaging and spiral computed tomography scans revealed a bone density lesion located in the area of the orbit, nasal cavity, maxillary sinus on the right, and labyrinth of the ethmoid bone. The patient underwent endonasal endoscopic resection of the lesion. RESULTS: The lesion was resected totally, which was confirmed by control SCT. Right-sided exophthalmos partially regressed (on the right: exophthalmos of 8 mm; protrusion: OD=23 mm, OS=15 mm; the eyeball was displaced downward and outward). The visual and oculomotor functions did not change. The neurological status remained at the preoperative level. CONCLUSION: Fibrous dysplasia of the skull base is an extremely rare disease. Modern techniques expand the indications for surgery of giant tumors of the skull base using minimally invasive approaches, in particular the endoscopic endonasal approach.
[Mh] Termos MeSH primário: Displasia Fibrosa Óssea
Doenças Nasofaríngeas
Nasofaringe
Órbita
Base do Crânio
Cirurgia Endoscópica Transanal/métodos
[Mh] Termos MeSH secundário: Adulto
Displasia Fibrosa Óssea/patologia
Displasia Fibrosa Óssea/cirurgia
Seres Humanos
Masculino
Doenças Nasofaríngeas/patologia
Doenças Nasofaríngeas/cirurgia
Nasofaringe/patologia
Nasofaringe/cirurgia
Órbita/patologia
Órbita/cirurgia
Base do Crânio/patologia
Base do Crânio/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.17116/neiro201780781-87


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[PMID]:28088924
[Au] Autor:Jervis-Bardy J; Carney AS; Duguid R; Leach AJ
[Ad] Endereço:Child Health Division,Menzies School of Health Research,Charles Darwin University,Darwin.
[Ti] Título:Microbiology of otitis media in Indigenous Australian children: review.
[So] Source:J Laryngol Otol;131(S2):S2-S11, 2017 Jul.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To review research addressing the polymicrobial aetiology of otitis media in Indigenous Australian children in order to identify research gaps and inform best practice in effective prevention strategies and therapeutic interventions. METHODS: Literature review. RESULTS: Studies of aspirated middle-ear fluid represented a minor component of the literature reviewed. Most studies relied upon specimens from middle-ear discharge or the nasopharynx. Culture-based middle-ear discharge studies have found that non-typeable Haemophilus influenzae and Streptococcus pneumoniae predominate, with Moraxella catarrhalis, Staphylococcus aureus and Streptococcus pyogenes isolated in a lower proportion of samples. Alloiococcus otitidis was detected in a number of studies; however, its role in otitis media pathogenesis remains controversial. Nasopharyngeal colonisation is a risk factor for otitis media in Indigenous infants, and bacterial load of otopathogens in the nasopharynx can predict the ear state of Indigenous children. CONCLUSION: Most studies have used culture-based methods and specimens from middle-ear discharge or the nasopharynx. Findings from these studies are consistent with international literature, but reliance on culture may incorrectly characterise the microbiology of this condition. Advances in genomic technologies are now providing microbiologists with the ability to analyse the entire mixed bacterial communities ('microbiomes') of samples obtained from Indigenous children with otitis media.
[Mh] Termos MeSH primário: Grupo com Ancestrais Oceânicos/etnologia
Otite Média/etnologia
[Mh] Termos MeSH secundário: Austrália/etnologia
Criança
Doença Crônica
DNA Bacteriano/análise
DNA Viral/análise
Progressão da Doença
Orelha Média/microbiologia
Seres Humanos
Doenças Nasofaríngeas/etnologia
Otite Média/microbiologia
Reação em Cadeia da Polimerase/métodos
Viroses/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (DNA, Bacterial); 0 (DNA, Viral)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215116009294


  3 / 1028 MEDLINE  
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[PMID]:27729138
[Au] Autor:Abdel-Fattah G
[Ad] Endereço:Department of Otorhinolaryngology, Pediatric Unit, Faculty of Medicine, Cairo University, Egypt. Electronic address: gamal@email.com.
[Ti] Título:Palatal eversion for the treatment of combined nasopharyngeal stenosis and tonsillar pillars adhesion.
[So] Source:Int J Pediatr Otorhinolaryngol;90:227-230, 2016 Nov.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Rarely the tonsillar pillars and the soft palate became adherent to the posterior nasopharyngeal wall by strong fibrous tissue due to excessive dissection and cauterization during surgery leading to nasopharyngeal stenosis. Therefore, many treatment modalities are being tried to cure this problem. The aim of this study is to explore our results of modifying the basic technique to accommodate those patients with combined nasopharyngeal stenosis and tonsillar pillars adhesions in one stage. STUDY DESIGN: Case series. METHODS: This study was conducted on 10 patients with combined nasopharyngeal stenosis and tonsillar pillars adhesions after adenotonsillectomy. They were subjected to treatment by palatal eversion through dividing the soft palate in the midline to separate each pillar from the pharyngeal wall in continuation with each half of soft palate and removal of the fibrous tissue causing stenosis. This was followed by eversion and fixation of the two palatal divisions on either side to allow complete epithelialization of the stenotic area. Postoperative follow-up was done for one year by the flexible nasopharyngoscopy, perceptual speech analysis, and polysomnography. RESULTS: The flexible nasopharyngosopic examination of the 10 patients at the end of post-operative period revealed a freely mobile soft palate with no nasopharyngeal stenosis or palatal fistula. Velopharyngeal function and speech assessment by perceptual speech analysis was normal in all 10 cases. No obstructive episodes were recorded in polysomnograms. CONCLUSIONS: Palatal eversion is a promising technique in the treatment of post-adenotonsillectomy of combined nasopharyngeal stenosis and tonsillar pillars adhesion. It is recommended to be used on a wider scale of patients and other indications as nasopharyngeal stenosis following uvulopalatoplasty and post nasopharyngeal radiotherapy. The level of evidence: 4 (case series).
[Mh] Termos MeSH primário: Adenoidectomia
Doenças Nasofaríngeas/cirurgia
Palato Mole/cirurgia
Complicações Pós-Operatórias/cirurgia
Fala
Aderências Teciduais/cirurgia
Tonsilectomia
Insuficiência Velofaríngea/cirurgia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/cirurgia
Criança
Pré-Escolar
Constrição Patológica/cirurgia
Dissecação
Endoscopia
Feminino
Seres Humanos
Masculino
Polissonografia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161013
[St] Status:MEDLINE


  4 / 1028 MEDLINE  
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[PMID]:27650653
[Au] Autor:Kansara S; Bell D; Johnson J; Zafereo M
[Ad] Endereço:Department of Head and Neck Surgery, MD Anderson Cancer Center, The University of Texas Medical School at Houston, USA.
[Ti] Título:Head and neck inflammatory pseudotumor: Case series and review of the literature.
[So] Source:Neuroradiol J;29(6):440-446, 2016 Dec.
[Is] ISSN:2385-1996
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Inflammatory pseudotumor (IP) is an uncommon idiopathic lesion that often imitates malignancy clinically and radiologically. Inflammatory pseudotumors have been found to occur in various sites but rarely in the head and neck. The histopathology, imaging, and treatment of three unique cases of head and neck inflammatory pseudotumors are described in this case series. Patients in Cases 1 and 2 presented with right level II neck mass and left parotid tail mass, respectively. The patient in Case 3 presented with otalgia, jaw pain and trismus, and a left parapharyngeal space mass. The tumors in Cases 1 and 3 significantly decreased in size with tapered courses of oral corticosteroids. The tumor in Case 2 was surgically excised without disease recurrence. Malignancy must be ruled out with incisional or excisional biopsy. Treatment includes surgical excision, oral corticosteroids, or both. The literature shows that radiotherapy and small-molecule inhibitors may be promising alternatives.
[Mh] Termos MeSH primário: Granuloma de Células Plasmáticas/complicações
Cabeça/patologia
Doenças Nasofaríngeas/complicações
Pescoço/patologia
Pseudotumor Orbitário/complicações
[Mh] Termos MeSH secundário: Adulto
Antígenos CD/metabolismo
Feminino
Granuloma de Células Plasmáticas/diagnóstico por imagem
Cabeça/diagnóstico por imagem
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Doenças Nasofaríngeas/diagnóstico por imagem
Pescoço/diagnóstico por imagem
Pseudotumor Orbitário/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Antigens, CD)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170227
[Lr] Data última revisão:
170227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160922
[St] Status:MEDLINE


  5 / 1028 MEDLINE  
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[PMID]:27531860
[Au] Autor:Surov A; Ryl I; Bartel-Friedrich S; Wienke A; Kösling S
[Ad] Endereço:Department of Radiology, Martin-Luther-University Halle-Wittenberg, Germany alex.surow@medizin.uni-halle.de.
[Ti] Título:MRI of nasopharyngeal adenoid hypertrophy.
[So] Source:Neuroradiol J;29(5):408-12, 2016 Oct.
[Is] ISSN:2385-1996
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nasopharyngeal adenoid hypertrophy (NAH) is a typical benign lesion. Due to involution, nasopharyngeal lymphatic tissue usually is not found in adults beyond the 30th to 40th year of life. However, occasionally NAH has been recognized after the 50th or 60th year. The aim of this study is to identify the frequency of NAH and to analyze its MRI findings in different age groups. From 2007 to 2011, 6693 MR investigations of the head were performed at our institution. MRI was obtained with a 1.5 T MRI device. NAH was identified in 18.0% of the patients. The frequency of NAH varied from 60.3% to 1.0% in the different age groups. The mean size of NAH was 23.2 ± 4.5 mm in cranio-caudal, 31.1 ± 5.2 mm in left-right, and 14.2 ± 4.1 mm in the anterior-posterior direction. The left-right and cranio-caudal sizes of NAH were largest in the 0-9 age group and decreased with age. On T1-w images most lesions (95.4%) were hypointense in comparison to the adjacent musculature. On T2-w fat-saturated images 82.4% of the lesions were hyperintense. After intravenous administration of contrast medium most lesions showed a slight enhancement (58.6%). Moderate enhancement was seen in 32.4% and a marked enhancement was identified in 9.0%. In the 0-9 age group most lesions showed a slight enhancement. Cysts within NAH were identified in 433 cases (35.9%). The frequency of cysts increased continuously with age, namely from 10.9% to 65.2%.
[Mh] Termos MeSH primário: Tonsila Faríngea/diagnóstico por imagem
Tonsila Faríngea/patologia
Imagem por Ressonância Magnética
Doenças Nasofaríngeas/complicações
Doenças Nasofaríngeas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Feminino
Seres Humanos
Hipertrofia/complicações
Hipertrofia/diagnóstico por imagem
Processamento de Imagem Assistida por Computador
Lactente
Recém-Nascido
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:171001
[Lr] Data última revisão:
171001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160818
[St] Status:MEDLINE
[do] DOI:10.1177/1971400916665386


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[PMID]:27497386
[Au] Autor:Dinc ME; Altundag A; Dizdar D; Avincsal MO; Sahin E; Ulusoy S; Paltura C
[Ad] Endereço:Istanbul Gaziosmanpasa Taksim Research and Training Hospital, Department of Otolaryngology, Head and Neck Surgery, Istanbul, Turkey. Electronic address: dremredinc@hotmail.com.
[Ti] Título:An objective assessment of halitosis in children with adenoid vegetation during pre- and post-operative period.
[So] Source:Int J Pediatr Otorhinolaryngol;88:47-51, 2016 Sep.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Although most specialists in otorhinolaryngology and pediatrics find halitosis to be a common problem in children with adenoid hypertrophy, there are no objective data on this topic in the literature. Whether adenoid hypertrophy is a risk factor for halitosis or whether halitosis is a sign of adenoid hypertrophy remains unclear. Thus, the aim of this study was to investigate whether children diagnosed with adenoid hypertrophy have a higher probability of halitosis than do children in the normal population and whether adenoidectomy can decrease oral malodor. METHODS: Forty children with adenoid hypertrophy and 40 healthy subjects aged 5-15 years were included in the study. The children with adenoid hypertrophy underwent adenoidectomy operations and were followed for 3 months. We measured volatile sulfur compounds (VSCs), hydrogen sulfide (H2S), methyl mercaptan (CH3SH), and dimethyl sulfide (CH3)2S using an objective method, a portable gas chromatograph (OralChroma; AbiMedical, Osaka, Japan). RESULTS: The mean CH3SH and (CH3)2S levels were significantly different (p < 0.05) between the adenoid hypertrophy group and the controls. The H2S, CH3SH, and (CH3)2S levels in the third postoperative month were significantly lower (p < 0.05) than those in the preoperative period, and there was no significant difference postoperatively between the patients with adenoid hypertrophy and controls. There was a positive correlation between age and VSC levels, and CH3SH levels were significantly higher in patients with ventilation tube insertion, rather than just adenoidectomy. CONCLUSIONS: There was a statistically significant association between halitosis and adenoid hypertrophy, and a significant improvement in halitosis was obtained following adenoidectomy. The present study provides an association between halitosis and adenoid hypertrophy. If there is no other oral pathology causing halitosis, halitosis can be a sign of adenoid hypertrophy in children.
[Mh] Termos MeSH primário: Adenoidectomia
Tonsila Faríngea/patologia
Halitose/epidemiologia
Doenças Nasofaríngeas/epidemiologia
[Mh] Termos MeSH secundário: Tonsila Faríngea/cirurgia
Adolescente
Testes Respiratórios
Estudos de Casos e Controles
Criança
Pré-Escolar
Cromatografia Gasosa
Feminino
Seres Humanos
Sulfeto de Hidrogênio/análise
Hipertrofia
Japão/epidemiologia
Masculino
Ventilação da Orelha Média
Doenças Nasofaríngeas/cirurgia
Período Pós-Operatório
Compostos de Sulfidrila/análise
Sulfetos/análise
Compostos de Enxofre/análise
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Sulfhydryl Compounds); 0 (Sulfides); 0 (Sulfur Compounds); 2X8406WW9I (methylmercaptan); QS3J7O7L3U (dimethyl sulfide); YY9FVM7NSN (Hydrogen Sulfide)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160807
[St] Status:MEDLINE


  7 / 1028 MEDLINE  
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[PMID]:27492199
[Au] Autor:Leitner N; Schwarzmann L; Zittra C; Palmieri N; Eigner B; Otranto D; Glawischnig W; Fuehrer HP
[Ad] Endereço:Institute of Parasitology, Department of Pathobiology, University of Veterinary Medicine Vienna, Veterinaerplatz 1, 1210, Vienna, Austria.
[Ti] Título:Morphological and molecular identification of nasopharyngeal bot fly larvae infesting red deer (Cervus elaphus) in Austria.
[So] Source:Parasitol Res;115(11):4417-4422, 2016 Nov.
[Is] ISSN:1432-1955
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Nasopharyngeal myiases are caused by larvae of bot flies (Diptera: Oestridae), which have evolved a high specificity for their hosts. Bot flies (n = 916) were collected from 137 (57.6 %) out of 238 red deer (Cervus elaphus) hunted in Vorarlberg and Tyrol (Western Austria). After being stored in 75 % ethanol, larvae were identified to species level and developmental stage using morphological and morphometric keys. Larvae were also molecularly characterized by polymerase chain reaction (PCR) amplification and partial sequencing of the mitochondrial cytochrome oxidase subunit I gene. Morphological and molecular analysis allowed identification of larvae as Cephenemyia auribarbis and Pharyngomyia picta. Genetic variations were also examined within the specimens collected in both geographical locations.
[Mh] Termos MeSH primário: Cervos/parasitologia
Dípteros
Miíase/veterinária
Doenças Nasofaríngeas/veterinária
[Mh] Termos MeSH secundário: Animais
Áustria
Dípteros/classificação
Larva
Tipagem Molecular
Miíase/parasitologia
Doenças Nasofaríngeas/parasitologia
Nasofaringe/parasitologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160806
[St] Status:MEDLINE


  8 / 1028 MEDLINE  
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[PMID]:27448412
[Au] Autor:Cranford J; Kadakia S; Berzofsky C
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, USA. Electronic address: jcranford@nyee.edu.
[Ti] Título:Palatopharyngoplasty for treatment of nasopharyngeal stenosis secondary to extra-laryngeal tuberculosis.
[So] Source:Am J Otolaryngol;37(6):559-562, 2016 Nov - Dec.
[Is] ISSN:1532-818X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nasopharyngeal stenosis is a rare sequela of extra-laryngeal tuberculosis that can adversely impact the quality of life of afflicted patients. Relying solely on the oropharyngeal airway, patients often complain of inspiratory dryness and decreased sensation of airflow as the nasal mucosa and turbinate complex is entirely excluded from the breathing mechanism. Often times, the oropharyngeal inlet can be narrowed as well, limiting the air flow through the oropharyngeal airway. In those circumstances, patients often require tracheostomy for establishment of a reliable airway. We present the unique case of a previously tracheotomized patient with nasopharyngeal stenosis secondary to tuberculosis successfully treated with a modified palatopharyngoplasty to reestablish a patent naso-oropharyngeal airway. During the follow-up period, the patient was decannulated and highly satisfied with his respiratory status. Although rare and more commonly used in the treatment of sleep apnea, palatopharyngoplasty can be a viable option for the treatment of naso-oropharyngeal stenosis and should be kept in the armamentarium of reconstructive craniofacial surgeons.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/cirurgia
Laringoscopia
Doenças Nasofaríngeas/cirurgia
Palato/cirurgia
Faringe/cirurgia
Tuberculose Laríngea/patologia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/etiologia
Constrição Patológica
Seres Humanos
Masculino
Meia-Idade
Doenças Nasofaríngeas/microbiologia
Doenças Nasofaríngeas/patologia
Tuberculose Laríngea/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160725
[St] Status:MEDLINE


  9 / 1028 MEDLINE  
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[PMID]:27434478
[Au] Autor:Adhami M; Coste A; Escabasse V; Chalumeau F
[Ad] Endereço:Corresponding author: Maya Adhami, MD, Saint George Hospital University Medical Center, Mar Mikhael, Beirut, Lebanon. Email adhamimaya@gmail.com From the Department of Otorhinolaryngology, Saint George Hospital University Medical Center, Beirut, Lebanon (Dr. Adhami); and the Department of Otorhinolaryngology-Head and Neck Surgery, Centre Hospitalier Intercommunal, Créteil, France (Prof. Coste, Dr. Escabasse, and Dr. Chalumeau). The cases described in this article occurred at Centre Hospitalier Intercommunal.
[Ti] Título:The inferior turbinate, an unusual site for a choanal polyp: Two case reports and a review of the literature.
[So] Source:Ear Nose Throat J;95(7):E1-4, 2016 Jul.
[Is] ISSN:1942-7522
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Choanal polyps are unilateral sinonasal lesions that are classified according to their site of origin. The aim of this report is to highlight an unusual form of choanal polyp and to present a thorough literature review. To the best of our knowledge, only 6 cases of a choanal polyp originating in the inferior turbinate have been previously reported in the literature. We describe 2 new cases. One patient was a 14-year-old boy who presented with nasal obstruction, facial headaches, and obstructive sleep apnea; the other patient was a 70-year-old man who presented with right mucopurulent rhinorrhea and right nasal obstruction. In both cases, nasal fibroscopy detected a polyp arising from the right inferior turbinate and extending toward the right choana. Endoscopic sinus surgery was performed in both cases to ensure a complete excision. Cases of choanal polyp arising from the inferior, middle, and superior turbinates and the septum are rare, although some appear to be more common than is generally believed, especially in the pediatric population. We therefore recommend that unusual forms of choanal polyp be included in the differential diagnosis of a unilateral sinonasal mass.
[Mh] Termos MeSH primário: Obstrução Nasal/etiologia
Pólipos Nasais/complicações
Doenças Nasofaríngeas/complicações
[Mh] Termos MeSH secundário: Adolescente
Idoso
Cefaleia/etiologia
Seres Humanos
Masculino
Obstrução Nasal/patologia
Pólipos Nasais/patologia
Doenças Nasofaríngeas/patologia
Nasofaringe
Apneia Obstrutiva do Sono/etiologia
Conchas Nasais
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160720
[St] Status:MEDLINE


  10 / 1028 MEDLINE  
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[PMID]:27300370
[Au] Autor:Luo M; Peng G; Shi L; Ming X; Li Z; Fei S; Ding Q; Cheng J
[Ad] Endereço:Department of Clinical Oncology, Taihe Hospital, Hubei University of Medicine, 442000, Shiyan, Hubei, China.
[Ti] Título:Intensity-modulated radiotherapy for localized nasopharyngeal amyloidosis : Case report and literature review.
[Ti] Título:Intensitätsmodulierte Strahlentherapie bei lokalisierter nasopharyngealer Amyloidose : Kasuistik und Review der Literatur..
[So] Source:Strahlenther Onkol;192(12):944-950, 2016 Dec.
[Is] ISSN:1439-099X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Primary localized amyloidosis is characterized by the deposition of amyloid proteins restricted to one organ, without systemic involvement. Primary nasopharyngeal amyloidosis is an exceedingly rare condition, for which the standard treatment remains unknown. Because of its challenging anatomical position, surgery alone hardly results in complete resection of the localized amyloidosis. Therefore, an interdisciplinary planning board to design optimal treatment is of particular importance. PATIENT AND METHODS: A 39-year-old man presented with a several-week history of nasal obstruction and epistaxis. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed the presence of a retro-odontoid nonenhancing soft tissue mass. RESULTS: The endoscopic biopsy demonstrated that the mass was amyloid in nature. An extensive systemic workup revealed an absence of inflammatory process, systemic amyloidosis, or plasma cell dyscrasia. The patient was treated with a combination of surgery and radiotherapy, showing no evidence of recurrence or progression at his 1­year follow-up. CONCLUSION: Primary solitary amyloidosis is a rare form of amyloidosis. To the best of our knowledge, this is the first report of a nasopharyngeal amyloidosis case treated with excision and radiation leading to complete remission. Because of the difficulty for surgeons to achieve radical resection with such lesions, radiotherapy proved to be an excellent adjuvant treatment in this case.
[Mh] Termos MeSH primário: Amiloidose/patologia
Amiloidose/radioterapia
Doenças Nasofaríngeas/patologia
Doenças Nasofaríngeas/radioterapia
Radioterapia Conformacional/métodos
[Mh] Termos MeSH secundário: Adulto
Amiloidose/diagnóstico por imagem
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Doenças Nasofaríngeas/diagnóstico por imagem
Dosagem Radioterapêutica
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160615
[St] Status:MEDLINE



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