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Oncology ORL

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

Inverted papilloma

Inverted papilloma or schneideriano is a generally benign neoformation polypoid sinus ethmoidal cells or from which originates the maxillary sinuses and commonly cause symptoms when it cantilevers out in nasal cavity.
Despite the benign histological nature, inverted papillomas are able to infiltrate the adjacent structures, deforming and eroding bone structures.

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Laterocervical metastases from occult focus

Many cancers of the head and neck are characterized by an early spread to lymphatic structures. Some malignant cells can move through the lymphatic vessels and accumulate all ’ in a lymph node, where they can grow and give an inflammatory reaction that will increase the size of the lymph node/infectious and we speak then of Lymphadenopathy. Continue reading

The dangers of smoking to the larynx

Smokers are exposing their larynx for a strong and prolonged stress, in fact, cigarette smoke is an important oxidizer which causes a chronic inflammatory State and, in the long run, results in the formation of malignant tumors.

Initially occurs a form of chronic laryngitis that gives a few symptoms and no apparent anomaly all ’ fibroscopico examination, the voice is the first alarm bell and proves more hoarse and “stiff” (sclerofonia). 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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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 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

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