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Neck, hypopharynx, larynx, thyroid and salivary glands

Transoral excision Wharton duct calculation

Fig 1 Discharge of pus and blood from Wharton's duct right pelvic massage oral

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


Laryngomalacia in newborn 30 days

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.

Laryngeal Papillomatosis

Left vocal cord Papillomatosis

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 syndrome

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 bodies

Fish bone penetrated into the lodge right tonsil

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

vocal cord nodules

Vocal cord nodules in girl 8 years, abducted vocal cords

Vocal cord nodules are benign lesions that form for an incorrect use of voice or vocal abuse, both in adults and in children.
Incorrect use of the item may cause chronic microtrauma of the vocal cords which react by creating a thickening to try and protect yourself. Such thickening (the nodules) don't allow a correct closure of the vocal cords during phonation and cause then an entry “dirty” (dysphonia).
It triggers a vicious circle whereby the patient trying to get a better entry further dimension by getting a larynx aggravation endeavors of nodules.

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Laterocervical metastases from occult focus

Many cancers of the head and neck are characterized by an early spread to lymphatic structures. Some malignant cells can move through the lymphatic vessels and accumulate all ’ in a lymph node, where they can grow and give an inflammatory reaction that will increase the size of the lymph node/infectious and we speak then of Lymphadenopathy. Continue reading

The dangers of smoking to the larynx

Smokers are exposing their larynx for a strong and prolonged stress, in fact, cigarette smoke is an important oxidizer which causes a chronic inflammatory State and, in the long run, results in the formation of malignant tumors.

Initially occurs a form of chronic laryngitis that gives a few symptoms and no apparent anomaly all ’ fibroscopico examination, the voice is the first alarm bell and proves more hoarse and “stiff” (sclerofonia). Continue reading