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.
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Submucosal cyst of the vocal cord
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.
Infected preauricular cyst
Bambino affetto da cisti preauricolare (primo arco branchiale) infetta. Posteriormente alla cisti, davanti alla radice dell’elice, è possibile osservare lo sbocco del tramite fistoloso.
Infected thyroglossal duct cyst
Infected thyroglossal duct cyst of a child of 2 years. In most cases, The thyroglossal duct cyst presents as a tense-elastic mass, indolent, median of the neck. It can be superinfected and can rarely be the site of thyroid tumors.
Typically, the thyroglossal duct cyst is studied with ultrasound, Magnetic resonance imaging and often also with fine needle aspiration. Diagnosis is less frequent in children.
The case of the photo is of a child of 2 years whose diagnosis was made after access to the ED for superinfection of the cyst. Initially, it was agreed to postpone the surgery until the 3-4 years but the child had multiple episodes of infection despite drainage of pus and adequate antibiotic therapy.
The surgery was then performed at the age of two and a half, removing, as per technique, In addition to the cyst, also the remnant of the duct and the central segment of the hyoid bone with resolution of the problem.
Plasma scalpel intracapsular tonsillectomy (Coblator)
Il Coblator genera un flusso di plasma sulla sua punta che è in grado di vaporizzare i tessuti senza generare una quota significativa di calore, è così possibile asportare un tessuto senza danneggiare quelli adiacenti.
Questa tecnica viene sfruttata in modo molto vantaggioso nell’intervento di tonsillectomia con un approccio leggermente differente dalla tecnica tradizionale. The classic tonsillectomy He plans to remove the entire tonsil, including both his parenchyma and his fibrous capsule that houses it. When using the plasma scalpel (Coblator ®) A slightly different technique is performed, la tonsillectomia intracapsulare con coblation, removing the tonsil parenchyma but leaving the fibrous capsule of the tonsil in place.
Acute Otomastoidite
Mastoid cells are communicating with the middle ear and the pus that forms in the middle ear in all cases of acute otitis media It flows into the mastoid cells.
In some rare cases, the infection involves the periosteum and the bone causing a Osteitis, process underlying the acute mastoiditis proper.
The mastoiditis is characterized by earache, ovattamento headset, fever, ear swelling sore that displace the auricle anteriorly and laterally.
The pus can cut through bone and get underneath the skin behind the ear or flowing into the neck, in other cases much more severe pus can get inside the skull causing a brain abscess.
The acute mastoiditis is a serious infection that needs often intravenous antibiotic therapy.
In many cases the antibiotics fail to arrive at the infected bone and surgery is needed to remove diseased bone which mastoidectomy.
Transoral excision Wharton duct calculation
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
Churg-Strauss disease
The autoimmune disease systemic Vasculitis Churg Strauss is associated with the presence of anti-neutrophil (antineutrophil cytoplasm antibodies-TERI Weigel) that may have lead to severe asthma, fever, Eosinophilic, renal and cardiac insufficiency, peripheral neuropathy; many patients develop pulmonary infiltrates, sinusitis, hypertension, abdominal pain, diarrhea, skin lesions (Purple, subcutaneous nodules).
L & #8217; asthma is the presenting symptom in most patients.
ENT evaluation can demonstrate the presence of rhinitis and nasal polyps framing stage.
The role of & #8217; Otolaryngologist may be important to clarify the diagnosis due to nasal polypoid growths of endometrial biopsy and #8217;: quick and safe outpatient procedure.
The ENT specialist will have to try and treat symptomatic therapy nasal problems and treating any complications. Surgical approaches to sinusitis should be evaluated very carefully given the greater tendency to recurrence of polyps in these patients and given the Comorbidities dates from the same disease.
Acute tonsillitis
For acute tonsillitis means inflammation of the pharyngeal tonsils, often associated with inflammation of the tonsils and adenoids retrolinguali in a context of pharyngitis.
In the first years of life are mainly viral while from 5-6 years are predominantly bacterial. Continue reading
Rendu-Osler-Weber disease
The Rendu-Osler-Weber Syndrome is a rare genetic disease with autosomal dominant leading to Dysplasia of blood which makes them more fragile with bleeding tendency.
It is also called hereditary hemorrhagic telengectasia (hereditary hemorrhagic telangiectasia [HHT]). Continue reading