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Endoscopic removal of a foreign body in the ethmoidal region, four years after a penetration injury.
1832 Tracheal cartilaginous sleeve is characterized by the fusion of tracheal rings. Patients with tracheal cartilaginous sleeve may develop frequent respiratory tract infections, coughs, increased mucus production, sporadic cyanosis episodes, and failure to thrive due to alterations in the lower airway. Tracheal cartilaginous sleeve is seen exclusively in craniosynostosis. Craniosynostosis is described as the early fusion of skull sutures and causes abnormal development of the head. Crouzon syndrome is the most common syndromic craniosynostosis. Otolaryngologists may be asked to evaluate and manage breathing difficulties, sleep apnea, and hearing difficulties associated with Crouzon syndrome. Upper airway abnormalities such as hypertrophy of the tonsils and adenoids, midnasal stenosis, and choanal atresia have been reported. Lower airway abnormalities in the presence of obstructive airway symptoms have not been widely studied in Crouzon syndrome. We describe the diagnosis and management of multilevel airway problems in a child with Crouzon syndrome who presented with obstructive sleep apnea. DOI: 10.1016/j.ijporl.2006.01.019
Endoscopic removal of a foreign body in the ethmoidal region, four years after a penetration injury German Fajardo a, Rogelio Chavolla b, Hugo ´s Solorio a Loza b, Antonio Ysunza a,*, Jesu a
Department of Otolaryngology, Hospital Gea Gonzalez, 4800 Calzada Tlalpan, Mexico City, Mexico b Department of Otolaryngology, Hospital General ´xico, Mexico City, Mexico de Me The case of a 14-year-old patient with a foreign body in the ethmoidal region is presented. The patient had a penetrating injury 4 years before the initial clinical evaluation. On examination, the patient showed facial asymmetry with a swelling area on the upper left eyelid at the level of the inner cantus. A CT scan showed partial absence of ethmoidal cell lamellae and the anterior wall of the sphenoidal sinus. The maxillary sinus was partially occupied by an ovoid density projecting over its floor. An endoscopic resection of a foreign body was performed. The object was a pencil point of approximately 4 cm. There were no postoperative complications. The patient was discharged from the hospital 2 days after the surgery. The patient was
Abstracts followed for 8 months; there were no further complications. DOI: 10.1016/j.ijporl.2006.01.020
Tumefactive fibroinflammatory lesion: A rare etiology for a neck mass in a child Kenneth H. Lee a , Palaniappan G. Muthappan d, Frances V. White c, James W. Forsen Jr.a,b,* a
Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8115, St. Louis, MO 63110, USA b Department of Otolaryngology, St. Louis Children’s Hospital, One Children’s Place, St. Louis, MO 63110, USA c Department of Pathology and Immunology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8118, St. Louis, MO 63110, USA d Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8115, St. Louis, MO 63110, USA Tumefactive fibroinflammatory lesions are rare fibrosclerosing disorders that can present in the head and neck. Clinically, their infiltrative and destructive nature would suggest an aggressive malignancy. However, histologically, they are benign and do not metastasize. We present a case of a tumefactive fibroinflammatory lesion in a 4-year old, the youngest patient reported, with a review of this disease entity and discuss its treatment options. DOI: 10.1016/j.ijporl.2006.01.021
Aggressive form of fibrous dysplasia of the mandible in childhood: Case report H.O. Olasoji a,*, V.I. Ugboko a, H.A. Nggada b a
Department of Oral and Maxillofacial surgery, University of Maiduguri Teaching Hospital, P.M.B. 1414, Maiduguri, Nigeria b Department of Histopathology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria Fibrous dysplasia is a benign, developmental fibroosseous bone disease which is usually recognized in childhood, grows slowly, and stabilizes in early adult life. An unusual case of aggressive growth of fibrous
Endoscopic removal of a foreign body in the ethmoidal region, four years after a penetration injury German Fajardo a, Rogelio Chavolla b, Hugo ´s Solorio a Loza b, Antonio Ysunza a,*, Jesu a
Department of Otolaryngology, Hospital Gea Gonzalez, 4800 Calzada Tlalpan, Mexico City, Mexico b Department of Otolaryngology, Hospital General ´xico, Mexico City, Mexico de Me The case of a 14-year-old patient with a foreign body in the ethmoidal region is presented. The patient had a penetrating injury 4 years before the initial clinical evaluation. On examination, the patient showed facial asymmetry with a swelling area on the upper left eyelid at the level of the inner cantus. A CT scan showed partial absence of ethmoidal cell lamellae and the anterior wall of the sphenoidal sinus. The maxillary sinus was partially occupied by an ovoid density projecting over its floor. An endoscopic resection of a foreign body was performed. The object was a pencil point of approximately 4 cm. There were no postoperative complications. The patient was discharged from the hospital 2 days after the surgery. The patient was
Abstracts followed for 8 months; there were no further complications. DOI: 10.1016/j.ijporl.2006.01.020
Tumefactive fibroinflammatory lesion: A rare etiology for a neck mass in a child Kenneth H. Lee a , Palaniappan G. Muthappan d, Frances V. White c, James W. Forsen Jr.a,b,* a
Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8115, St. Louis, MO 63110, USA b Department of Otolaryngology, St. Louis Children’s Hospital, One Children’s Place, St. Louis, MO 63110, USA c Department of Pathology and Immunology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8118, St. Louis, MO 63110, USA d Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8115, St. Louis, MO 63110, USA Tumefactive fibroinflammatory lesions are rare fibrosclerosing disorders that can present in the head and neck. Clinically, their infiltrative and destructive nature would suggest an aggressive malignancy. However, histologically, they are benign and do not metastasize. We present a case of a tumefactive fibroinflammatory lesion in a 4-year old, the youngest patient reported, with a review of this disease entity and discuss its treatment options. DOI: 10.1016/j.ijporl.2006.01.021
Aggressive form of fibrous dysplasia of the mandible in childhood: Case report H.O. Olasoji a,*, V.I. Ugboko a, H.A. Nggada b a
Department of Oral and Maxillofacial surgery, University of Maiduguri Teaching Hospital, P.M.B. 1414, Maiduguri, Nigeria b Department of Histopathology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria Fibrous dysplasia is a benign, developmental fibroosseous bone disease which is usually recognized in childhood, grows slowly, and stabilizes in early adult life. An unusual case of aggressive growth of fibrous