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Pathologies - 2. page

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.

Oral cavity and oropharynx Neck, hypopharynx, larynx, thyroid and salivary glands Pathologies ENT disorders of interest | adminpilolli |

Rinolito

Rinolito right nasal fossa

The rinolito is a concretion of calcium salts that can form in your nose. Typically represents a reaction of our body to a foreign body penetrated in the nose. Formed a hard formation, which can promote infections.
The rinolito can cause pain, bad smell (cacosmia), epistaxis, sinusitis.

TC in the same patient who documents the presence of rinolito
Nose, sinuses and nasopharynx Pathologies | adminpilolli |

Head impulse test

The head impulse test is a clinical examination is very useful in the evaluation of patients with dizziness or balance deficit.
And’ a noninvasive test very quickly but not always easy to evaluate.
It asks the patient to fix a point in the vicinity of the eyes of the operator (the tip of the nose or a shirt button) and they make the patient's head of short, but very quickly to the right or left unpredictably.
Under normal conditions the brain uses information from the sight and the organ of balance and manages to keep the fixed pupils on target.
If the organ of balance does not work correctly, Turning her head to the side sick, the pupil will fail to stay on target and will tend to go sideways; later the brain realizes the mistake and fixes his gaze with a quick movement of the pupil (saccade).

ENT Exams Ear and balance Pathologies | adminpilolli |

Cocaine damage to his nose and face

Fig 1 hard palate drilling from cocaine abuse

Cocaine is a drug with anesthetic and vasoconstrictor effect, hired mainly for nasal.
Cocaine reduces the vascularization of the mucous membranes that crosses causing a major pain (Fig 2). The mucous membranes of the nasal septum and, subsequently, of the entire nasal cavity and nasopharynx go necrosis. You have a repair attempt with abundant secretions and scabs. In most cases the continuous exposure to this drug leads to a complete destruction of structures. In other cases, scarring attempts lead to the formation of granulation tissue (Fig 3) that tends to clog and completely close the nasal passages making breathing impossible.

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Oral cavity and oropharynx Nose, sinuses and nasopharynx Pathologies | adminpilolli |

Pemphigus and Pemphigoid

Soft palate bubbles in patient suffering from Pemphigoid

Pemphigus and Pemphigoid are rare autoimmune disease in which autoantibodies attack proteins of the skin and mucous membranes causing blister.
The blisters can affect all mucous membranes, including those of the mouth and pharynx, and the skin of the whole body causing painful lesions which create a great fluid loss, electrolytes and heat. In case of extensive injuries, dehydration and electrolyte loss may also be fatal. Pemphigus Vulgaris despite a correct therapy sees significant mortality.
Often mucosal lesions of the oral cavity and oropharynx may precede the skin lesions even several months, It is therefore important that the Otolaryngologist suspects this disease to correctly identify the problem and you can set the therapy that is based on immunosuppressive drugs.

Oral cavity and oropharynx Pathologies ENT disorders of interest Uncategorized | adminpilolli |

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 →

Oral cavity and oropharynx Neck, hypopharynx, larynx, thyroid and salivary glands Pediatric ENT Pathologies | adminpilolli |

Carcinoma of the nasal vestibule

Patients with squamous cell carcinoma of the nasal vestibule destro

Rare cancers of the nasal vestibule are malignant neoplasms that originate from the skin of the nasal vestibule, initially they give a very limited symptoms that can become quite painful if infiltration of cartilages andirons and/or bacterial superinfection.
To confirm the diagnosis requires a biopsy sampling, You also ascertain by radiological studies that the disease has given locales or lymph node metastases.
Treatment is surgical and typically requires an excision wide enough to ensure safety in Oncology.
Once removed, the disease can recur to prosthesis or surgical reconstructions using flaps.
The case pictured was reconstructed using a flap parafrontale supported by an ear cartilage graft taken from Helix

Nose, sinuses and nasopharynx Oncology ORL Pathologies | adminpilolli |