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The scialolitiasi

calcolosottomandibolare
Wharton duct calculation

The term scialolitiasi refers to the inflammatory disease of the major salivary glands due to stone formation (scialoliti) or salivary ducts or in the parenchyma of the glands.
Calculations are made of calcium carbonate or calcium phosphate combined with other organic molecules. The mechanisms by which are formed are not clear, certainly the salivary stagnation and damage of ’ duct epithelium may promote precipitation of salts. Continue reading

Acute otitis media

Picture of acute otitis media right

L ’ acute otitis media is the ’ infection, Typically, bacterial, Dell ’ middle ear. And’ characterized by a very intense pain, often button, that is accentuated by lying, It also causes hearing loss and feeling ovattamento headset, It is often accompanied by fever, headache and malaise. Can follow a ’ infection of the upper Airways or effusive otitis media ’. Continue reading

Tumors of the oropharynx and HPV (Human Papilloma Virus)

Squamous Cell Carcinoma of the oropharynx (emibaselingua right)
Squamous Cell Carcinoma of the oropharynx ’ (emibaselingua right)

Already several years ago surgeons ENT specialists realize that among patients with malignancies (typically with a ’ older than 60 years, smokers and drinkers) There was a small group of young patients and often non-smoking and non-drinkers.

Subsequent research has found and demonstrated the presence of tumors of all ’ within this second group of HPV virus (Human Papilloma Virus).
In recent years, however, was made a propaganda often alarmist and the wrong message that is often perceived by patients is that HPV causes cancer and that being a sexually transmitted viruses means that particular sexual habits cause cancer of the oropharynx.
The media starting with a kernel of truth have distorted reality by making several terrorism.
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Dysphonia

Voluminous Wine Stain left vocal cord polyp
Voluminous Wine Stain left vocal cord polyp

For dysphonia is the difficulty in producing the entry, There are different types of dysphonia (hoarseness, sclerofonia, Aphonia). In some subjects may have problems only in singing (disodia).
The problem may be constant or fluctuating or may occur only after a longer or shorter by use of voice (astenofonia, fatigue or vowel). Continue reading

The 8th cranial nerve Schwannoma (vestibulocochlear nerve)

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Dell ’ VIII cranial nerve Schwannoma massive left

Dell ’ VIII cranial nerve Schwannoma (vestibulocochlear nerve), sometimes improperly called acoustic nerve neurinoma, is a benign tumor that arises from Schwann cells (Schwannoma).

Hits 7-10 subjects per million per year. Shows a slight preference for the female sex and the highest incidence in the 5th decade. Represents the 8-10% of intracranial tumors and 80% of cancers of the pontocerebellar angle. In most cases originates from the vestibular nerve component. And’ almost always unilateral in rare bilateral forms is frequently associated to Neurofibromatosis Type 2.

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The reflux laringopatia

The acid produced by the stomach can go up through the esophagus and pharynx and larynx reach level. The esophagus is a robust organ from symptoms (heartburn, substernal, algie) only after being stressed out a lot by acid. The pharynx and especially the larynx are otherwise very delicate organs and a few drops of gastric acid to cause symptoms.
The symptoms of acid reflux is very nuanced and non-specific laringopatia.

Patients may complain:
-pharyngolaryngeal burning
-chronic dry cough
-foreign body sensation
-dysphonia
-need to scrape the voice

laringopatiadareflussoSymptoms may indicate this problem, to clarify the diagnosis and to rule out more serious especially morbid situations it is important to flexible fiberoptic transnasal in case the symptoms are present for more than 2 weeks.

Typical sign mucosal hyperemia mucous will carilage or mucous, thus.

 

Once you know the diagnosis you should perform careful diet and behavioral norms to reduce gastroesophageal reflux and, at the discretion of the specialist, a drug therapy. The results of the therapy become evident usually after at least 2 weeks

The subtotal laringectomie

The laringectomie are a group of different interventions subtotals facing l ’ objective to remove cancers of the larynx allowing, recovery completed, to breathe, talk and eat naturally.
The main function of the larynx is to correctly route the saliva and food to nurture and l ’ air towards the trachea prevent liquids and food go accidentally into the Airways (inhalation).
Paradoxically, the voice is an ancillary function of the larynx (many animals have the larynx but not speak) You can't recover even after complete removal of the larynx (see talk after total laryngectomy).
The surgeon with these interventions diametrically l ’ Anatomy and physiology of the larynx, After the intervention the ’ neolaringe make completely different movements than the normal situation but fails to effectively protect the airway from food, allows a normal ’ air passage and is capable of producing a good voice. Continue reading

Otosclerosis

L ’ dell ’ disease middle ear and hearing test procedure which determine hearing loss. The mechanisms of Otosclerosis are not completely known, seems to be a strong genetic component with a presumed autosomal dominant transmission mostly incomplete. L ’ Otosclerosis affects mainly women (with a report 2:1) and when life tends to involve both ears.

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Parotidectomy

’ is the intervention of parotidectomy partial or total removal of the Parotid gland.
Parotid gland tumors is made especially to remove both benign and malignant. Only rarely do the problems of Parotid salivary calculi (scialolitiasi) require ’ ’ gland excision and the intervention of parotidectomy.

incisioni_parotidectomia
In red: traditional engraving according to Redon In Blue: cosmetic incision with cervical extension from Rhytidectomy (facial lift)

Engraving
There are several types of engraving which can be used for ’ intervention of parotidectomy.
L ’ most common incision is that according to Redon: you make a cut before all ’ ear starting from the root of ’ elice, go down until dell ’ ear lobe and then climb going back all ’ ear then turn back and go l ’ incision in the neck.
A variant is one that combines the previous incision with removal of wrinkles (facial lift): you make a cut before all ’ ear starting from the root of ’ elice, go down until dell ’ ear lobe and then climb going back all ’ ear, Unlike the previous incision, the denomination takes up all ’ the base of the scalp and then descends while remaining adjacent to the ’ base of the scalp, in this way the hair will cover l ’ incision. Continue reading

Thyroidectomy

Thyroidectomy is removal of the thyroid gland surgery ’.
It is necessary in the event of:
-malignant tumor suspicion or ascertained
-goiter (or struma) whose volume is important and goes to cause cosmetic problems or deviation of the trachea or dyspnoea or dysphagia
-hyperthyroidism is no longer controllable with medical therapy
-graves ' disease with ophthalmopathy Continue reading