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.
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.
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 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
Obstruction of physiological drainage away mucus retention may result in a paranasal sinus. The mucus accumulating can stretch and deform the breast causing pain and risk of over-infections.
And’ need surgery, opening and draining of mucocele.
In the video you can see the entry for a mucocele front right arising after sinus surgery
Trauma and foreign bodies can cause infections of the ear, If the pus can't escape outside can accumulate in the Hall, creating a swelling.
Sometimes an ear trauma can cause bleeding that accumulates in the Hall by creating a otoematoma, a swelling that look very similar to an abscess but in the absence of infectious processes.
The turbinates are bone covered with mucous membrane that define the lateral wall of the nasal cavity. In each nasal passage there are 3 the turbinates are always present (bottom, medium, top) and one accessory (Supreme).
The turbinates are able to increase or decrease their thickness checking blood flow of the submucosa: they can adjust the air flow ’. The inferior turbinates are mainly responsible for this phenomenon since the passage of the higher air ’ in the lower part of the nasal cavity. Continue reading
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
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