Medial meatal fibrosis: current approach

1996 ◽  
Vol 110 (5) ◽  
pp. 417-420 ◽  
Author(s):  
Giuseppe Magliulo ◽  
Roberta Ronzoni ◽  
Piera Cristofari
Keyword(s):  
Surgical Management ◽  
Skin Graft ◽  
Fibrous Tissue ◽  
Complete Removal ◽  
Current Approach ◽  
Rare Entity ◽  
Bony Canal

AbstractMedial meatal fibrosis is a rare entity which is linked to inflammatory and traumatic factors. This pathology significantly benefits from surgical management. Criteria for achieving successful results are strict and concern the complete removal of the fibrous tissue and covering of the bony canal with skin graft. The aim of this paper is to present our experience with this rare pathology and to discuss current approaches.

Petrous Apex Cephaloceles: Radiology Features and Surgical Management of a Rare Entity

2020 ◽  
Author(s):  
Madeline Epsten ◽  
Mehmet Kocak ◽  
Andre Beer Furlan ◽  
Bledi C. Brahimaj ◽  
Richard W. Byrne ◽  
...  
Keyword(s):  
Surgical Management ◽  
Petrous Apex ◽  
Rare Entity

scholarly journals Petrous apex cholesterol granuloma: pictorial review of radiological considerations in diagnosis and surgical histopathology

2013 ◽  
Vol 127 (4) ◽  
pp. 339-348 ◽  
Author(s):  
M Hoa ◽  
J W House ◽  
F H Linthicum ◽  
J L Go
Keyword(s):  
Differential Diagnosis ◽  
Surgical Management ◽  
Fibrous Tissue ◽  
Tissue Reaction ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Surgical Drainage ◽  
Radiological Features ◽  
Pictorial Review ◽  
Appropriate Treatment

AbstractBackground:Petrous apex cholesterol granulomas are expansile, cystic lesions containing cholesterol crystals surrounded by foreign body giant cells, fibrous tissue reaction and chronic inflammation. Appropriate treatment relies on an accurate radiological diagnosis and an understanding of the distinguishing radiological features of relevant entities in the differential diagnosis of this condition.Methods:Firstly, this paper presents a pictorial review of the relevant radiological features of petrous apex cholesterol granuloma, and highlights unique features relevant to the differential diagnosis. Secondly, it reviews the histopathological and radiological findings associated with surgical drainage of these lesions.Results:Radiological features relevant to the differential diagnosis of petrous apex cholesterol granuloma are reviewed, together with radiological and histopathological features relevant to surgical management. Following surgical management, histopathological and radiological evidence demonstrates that the patency of the surgical drainage pathway is maintained.Conclusion:Accurate diagnosis of petrous apex cholesterol granuloma is essential in order to instigate appropriate treatment. Placement of a stent in the drainage pathway may help to maintain patency and decrease the likelihood of symptomatic recurrence.

scholarly journals Histopathology of intersymphyseal band and its correlation with continence in bladder exstrophy repair

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Bharati K. Kulkarni ◽  
Nandita Saxena ◽  
Shyam S. Borwankar ◽  
Hemant N. Lahoti ◽  
Pooja Multani ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Urinary Incontinence ◽  
Surgical Management ◽  
Bladder Neck ◽  
Fibrous Tissue ◽  
Bladder Exstrophy ◽  
Significant Percentage

Abstract Background Urinary incontinence is a major problem in operated exstrophy patients. Most of the repairs described in literature stress on the importance of dividing the intersymphyseal band (ISB) to place the bladder in the pelvis. But the origin of this band and its importance has hardly been discussed in literature. The purpose of this study is to establish the nature of tissue the ISB is composed of. This can be used to determine its role in the surgical management of exstrophy epispadias complex (EEC) patients. Results Thirty out of 33 operated patients demonstrated smooth muscle with/without fibrous tissue in the sections taken through the ISB. A significant percentage of patients (χ2= 38.319, p < 0.0001) in whom this band was reconstructed around the bladder neck gradually became continent/partly continent with an increase in the dry interval with time. Conclusion It can be a considerable factor to pay attention to the step of wrapping the ISB around the bladder neck during EEC repair. This serves to function as the smooth muscle of the bladder neck as proven histologically in our operated patients. It may have a role to support future continence in these patients.

scholarly journals Post-traumatic bronchobiliary fistula

2019 ◽  
Vol 12 (4) ◽  
pp. e228294 ◽  
Author(s):  
Niladri Banerjee ◽  
Amulya Rattan ◽  
Pratyusha Priyadarshini ◽  
Subodh Kumar
Keyword(s):  
Early Diagnosis ◽  
Surgical Management ◽  
Gold Standard ◽  
Complete Recovery ◽  
Rare Entity ◽  
Bronchobiliary Fistula ◽  
Confirmatory Tests ◽  
Post Traumatic ◽  
Torso Trauma ◽  
Individualised Treatment

Post-traumatic bronchobiliary fistula (BBF) is a rare entity, with only a few cases reported worldwide. Bilioptysis is pathognomonic of the condition, however, bronchoscopy and bronchoalveolar lavage along with CT are used for confirmation. We describe this condition in a young woman who presented to us with bilioptysis following a laparotomy for blunt torso trauma. Diagnosis was made of BBF, followed by surgical management and complete recovery. We emphasise the signs of early diagnosis, confirmatory tests, individualised treatment and advocate surgical management as the gold standard of treatment.

Mucocele of the sphenoid sinus: a rare entity to keep in mind

2019 ◽  
Vol 8 (2) ◽  
pp. 1-5
Author(s):  
Marrakchi jihene ◽  
Mejbri Maha ◽  
Sana Mahfoudhi ◽  
Besbes Ghazi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Surgical Management ◽  
Sphenoid Sinus ◽  
Diagnosis And Treatment ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Tomography Scan

Isolated sphenoid sinus mucocele (SSM) is a rare entity that can result in serious sequelae if diagnosis and treatment are inappropriately delayed. Typically, mucoceles are asymptomatic, and they are accidentally identified after computed tomography scan or magnetic resonance imaging of the maxillofacial area performed for other pathologic issues. We report a case of isolated SSM that only presented with headache for over a year, and also review the literature regarding surgical management of such entity.

Surgical Management of Intrinsic Tumors of the Facial Nerve

Neurosurgery ◽  
2017 ◽  
Vol 83 (4) ◽  
pp. 740-752 ◽  
Author(s):  
Sampath Chandra Prasad ◽  
Melissa Laus ◽  
Manjunath Dandinarasaiah ◽  
Enrico Piccirillo ◽  
Alessandra Russo ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Surgical Management ◽  
Nerve Palsy ◽  
Surgical Intervention ◽  
Facial Nerve Palsy ◽  
Hearing Preservation ◽  
Rare Entity ◽  
Facial Nerve Function ◽  
Tumor Removal ◽  
The Mean

Abstract BACKGROUND Intrinsic tumors of the facial nerve are a rare entity. Dealing with this subset of tumors is challenging both in terms of decision making and surgical intervention. OBJECTIVE To review the outcomes of surgical management of facial nerve tumors and cable nerve graft interpositioning. METHODS A retrospective analysis was performed at a referral center for skull base pathology. One hundred fifteen patients who were surgically treated for facial nerve tumors were included. In case of nerve interruption during surgery, the cable nerve interpositioning technique was employed wherein the facial nerve palsy lasted for less than 1-yr duration. In cases of facial nerve palsy lasting for greater than 1 yr, the nerve was restituted by a hypoglossal facial coaptation. RESULTS Various degrees of progressive paralysis were seen in 84 (73%) cases. Sixty nine (60%) of the tumors involved multiple segments of the facial nerve. Sixty-two (53.9%) tumors involved the geniculate ganglion. Seventy four (64.3%) of the cases were schwannomas. Hearing preservation surgeries were performed in 60 (52.1%). Ninety one (79.1%) of the nerves that were sectioned in association with tumor removal were restituted primarily by interposition cable grafting. The mean preoperative House-Brackmann grading of the facial nerve was 3.6. The mean immediate postoperative grading was 5.4, which recovered to a mean of 3.4 at the end of 1 yr. CONCLUSION In patients with good facial nerve function (House-Brackmann grade I-II), a wait-and-scan approach is recommended. In cases where the facial nerve has been interrupted during surgery, the cable nerve interpositioning technique is a convenient and well-accepted procedure for immediate restitution of the nerve.

scholarly journals Huge adrenal myelolipoma: A rare entity

2015 ◽  
Vol 5 (2) ◽  
pp. 46-49
Author(s):  
G Pandey ◽  
B Thakur ◽  
M Devkota
Keyword(s):  
Adrenal Gland ◽  
Surgical Management ◽  
Histopathological Examination ◽  
Rare Entity ◽  
Retroperitoneal Mass ◽  
Adrenal Myelolipoma ◽  
Uncommon Tumor

Adrenal myelolipoma is a benign uncommon tumor of adrenal gland which is mostly diagnosed incidentally. Huge adrenal myelolipoma are very rare. Histopathological examination gives the confirmed diagnosis. Here we present a 76 years old female with huge retroperitoneal mass, diagnosed as adrenal myelolipoma on the basis of histopathological examinations. Surgical management is the treatment of choice for large symptomatic tumors.

scholarly journals Unilateral extended suboccipital approach for a C1 dumbbell schwanoma

2015 ◽  
Vol 22 (1) ◽  
pp. 38-42
Author(s):  
R.M. Gorgan ◽  
Angela Neacşu ◽  
A. Giovani
Keyword(s):  
Vertebral Artery ◽  
Fibrous Tissue ◽  
Cranial Nerves ◽  
Gain Control ◽  
Complete Removal ◽  
Craniovertebral Junction ◽  
Lateral Approach ◽  
Far Lateral Approach ◽  
Far Lateral ◽  
Lower Cranial Nerves

Abstract Craniovertebral junction tumors represent a complex pathology carrying a high risk of injuring the vertebral artery and the lower cranial nerves. Dumbbell C1- C2 schannomas are very rare tumors in this location. We present a case of a 66 years old male accepted for left laterocervical localized pain, headache and vertigo, with a large C1 dumbbell schwannoma extending in lateral over the C1 arch and displacing the C3 segment of the vertebral artery superiorly and anteriorly. Complete removal of the tumor was achieved using a far lateral approach. The approach is discussed with focus on the vertebral artery anatomy as the approach should give enough space to gain control of the artery without creating instability. Safe removal of C1 nerve root schwanomas can be achieved even if they compress and displace the vertebral artery by entering a fibrous tissue plane between the tumor and the vertebral artery.

scholarly journals Surgical Management for Refractory Bleb Dysesthesia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Agnieszka Dyrda ◽  
Alfonso Anton ◽  
Juan Pablo Figueroa-Vercellino ◽  
Marta Pazos
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Surgical Management ◽  
Rare Complication ◽  
Fibrous Tissue ◽  
Case Series ◽  
Long Term Results ◽  
Radial Incision ◽  
First Choice ◽  
Ocular Discomfort

Purpose. To present long-term results of modified bleb-limiting conjunctivoplasty as a successful treatment for intractable bleb dysesthesia and to review the literature on the surgical management of dysesthetic bleb. Methods. Consecutive case series and literature review. We present four cases of surgically reduced painful blebs. Our technique consisted of the following steps: (1) conjunctival, radial incision to the bare sclera in the desired limit of the bleb; (2) suturing with buried, interrupted sutures at the nearest edge of the filtering bleb; (3) lower limbal peritomy including unwanted area of the extended bleb; (4) dissection and removal of the underlying fibrous tissue when present; (5) conjunctival and resorbable sutures. In addition, a systematic literature review was performed. Only reports presenting outcomes of surgical treatment of bleb dysesthesia after filtering procedure were included in review. Results. Four eyes were included consecutively in the study in a period of 4 years. On average, they developed circumferential bleb dysesthesia 9.3 ± 4.7 months after uneventful combined phacotrabeculectomy with Mitomycin C as primary procedure. Surgical reduction was decided after failure of lubricants in controlling ocular discomfort. Two cases showed a dense fibrous tissue beneath the conjunctiva that was excised to ensure filtration. In all cases, a rapid disappearance of symptoms with very good aesthetic and functional outcome was observed. After 12-month follow-up, patients remained asymptomatic and maintained intraocular pressure of 10.7 ± 1.2 mmHg without treatment. A systematic review of the literature obtained 15 eligible case series (n = 123) with rates of success within 46–100%, favoring less aggressive approaches to reduce bleb size. Conclusion. Bleb dysesthesia is a rare complication of filtering glaucoma surgery. This modified bleb-limiting conjunctivoplasty technique (with removal of subjacent fibrous tissue if present) is able to target the underlying etiology providing ocular discomfort relief while maintaining bleb function and may be considered as first-choice surgical treatment.

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