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.
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.
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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