Controllo endoscopico pre e post intervento di exeresi di neoformazione della corda vocale destra asportato mediante intervento di cordectomia LASER di III tipo dopo vestibulectomia. L’esame istologico definitivo ha confermato un carcinoma squamocellulare G2 pT1a asportato in margini indenni.
Nell’immagine si vede un particolare dell’intervento di asportazione di una cisti sottomucosa della corda vocale sinistra condizionante disfonia. La mucosa della corda vocale è stata incisa, scollata dalla sottostante cisti e ribaltata. L’intervento è stato effettuato in microlaringoscopia diretta in sospensione.
Cisti del dotto tireoglosso infetta di un bambino di 2 years. Nella maggior parte dei casi, la cisti del dotto tireoglosso si presenta come una massa teso-elastica, indolente, mediana del collo. Può andare incontro a sovrainfezione e raramente può essere sede di tumori di origine tiroidea.
In genere la cisti del dotto tireoglosso viene studiata con ecografia, risonanza magnetica e spesso anche con agoaspirato. La diagnosi é meno frequente in età pediatrica.
Il caso della foto é di un bambino di 2 anni la cui diagnosi é stata fatta dopo accesso in PS per sovrainfezione della cisti. Inizialmente era stato concordato di procrastinare l’intervento fino ai 3-4 anni ma il bambino ha avuto plurimi episodi di infezione nonostante drenaggio del pus ed adeguata terapia antibiotica.
É stato quindi effettuato l’intervento all’età di due anni e mezzo asportando, come da tecnica, oltre alla cisti anche il residuo del dotto e il segmento centrale dell’osso ioide con risoluzione della problematica.
In patients with scialolitiasi (Salivary gland calculi) submandibular gland can evaluate excision of Transoral route calculation (through the mouth). The procedure can be performed in most cases under local anesthesia. Continue reading
The laryngomalacia is a congenital disorder characterized by flaccidity of laryngeal cartilages and in particular of the epiglottis that tends to “curl up” and to replicate themselves inside during inspiration. This phenomenon causes an inspiratory stridor also very strong which tends to alarm the parents. Occasionally the laryngomalacia is able to clog the Airways causing a real shortness of breath.
Despite being a congenital stridor problem generally begins after 4-6 weeks, worst progressively up to 6-8 months and tend to resolve spontaneously after the 2 years.
Only rarely is necessary a surgical procedure.
The laryngeal Papillomatosis is a disease caused by viruses belonging to the family of Papovaviridae (HPV) mainly 6 and 11 which is characterized by the appearance of papillary lesions laryngeal mucosa morphology exophytic lesions, characterized by high rate of recurrence after treatment.
The main location of the disease is laryngeal level, the lesions are seen less frequently throughout the aero-digestive tract.
The disease is characterized by recurrent clinical course, time-varying, ranging from spontaneous resolutions up to multiple relapses over periods of wellness 20 years.
And’ a benign disease, However, associated with high morbidity for possible wide diffusion the Airways, for the recurrent and trend for malignant transformation even though infrequent. Continue reading
Forestier's disease or idiopathic skeletal HYPEROSTOSIS (DISH) is a syndrome, with no known cause, characterized by the formation of osteophytes spinal cord with ossification of paravertebral muscles and ligaments.
Osteophyte and ossifications can remain asymptomatic for long, can limit spinal movement. Sometimes they collapse the pharynx and esophagus making it difficult transit of food bolus and cause dysphagia.
Radiological monitoring is recommended in the early stages of ossifications, in the case of important dysphagia can consider surgery.
Accidental ingestion of foreign objects is a frequent cause of evaluation at the emergency room. Foreign bodies can be foodborne (fish bones or bone) or toys (typical of children) or other materials (especially in psychiatric patients) and can penetrate mucous membranes aereodigestive tract and then have an evaluation by the Otolaryngologist. Continue reading
Granulomas are typically the vocal cord lesions located on the posterior third of the vocal cords, at the vocal process.
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