The transnasal flexible laryngoesophagoscope as an adjunct during surgical correction of choanal atresia

2012 ◽  
Vol 126 (11) ◽  
pp. 1179-1181 ◽  
Author(s):  
E J Fitzgerald O'Connor ◽  
J S Phillips
Keyword(s):  
Case Report ◽  
General Practitioner ◽  
Choanal Atresia ◽  
Surgical Correction ◽  
Field Of View ◽  
Nasal Discharge ◽  
High Definition ◽  
Operative Field ◽  
History Of ◽  
Nose And Throat

AbstractIntroduction:We report the first published description of transoral use of the transnasal flexible laryngoesophagoscope during surgical correction of choanal atresia.Case report:A four-month-old boy was referred to the ear, nose and throat department by his general practitioner with a two-week history of left-sided, watery, green, nasal discharge. A diagnosis of choanal atresia was made. The child underwent successful surgical correction which incorporated transoral use of a transnasal flexible laryngoesophagoscope.Discussion:When used transorally, the transnasal flexible laryngoesophagoscope's ability to provide omnidirectional visualisation together with high definition picture clarity significantly improves the operative field of view. This endoscope's incorporated suction and insufflation functions and its facility to pass extra instruments via the endoscope port are of particular advantage for this type of procedure.

Bilateral Pharyngoceles (Branchial Cleft Anomalies?) and Endoscopic Surgical Considerations

2005 ◽  
Vol 114 (7) ◽  
pp. 529-532 ◽  
Author(s):  
Christopher Y. Chang ◽  
Julia A. Furdyna
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Surgical Correction ◽  
Laryngeal Nerves ◽  
Branchial Sinus ◽  
Branchial Cleft Anomalies ◽  
History Of ◽  
Branchial Cleft ◽  
Open Versus

A case report of bilateral pharyngoceles without a history of elevated intrapharyngeal pressures is used to support the hypothesis that pharyngoceles may be an adult manifestation of an internal branchial sinus anomaly. The development of a pharyngocele from a branchial sinus origin would suggest a predictable relationship to the hypoglossal, glossopharyngeal, and superior laryngeal nerves, which may influence the choice of surgical approach (open versus endoscopic) and the counseling of patients who are considering surgical correction.

scholarly journals Ectodermal Dysplasia presenting with Atrophic Rhinitis: A Report of Two Cases and a Review of the Literature

2016 ◽  
Vol 9 (1) ◽  
pp. 53-55
Author(s):  
Sampurna Pati ◽  
Sudipta Pal ◽  
Surajit Biswas ◽  
Somnath Saha
Keyword(s):  
Case Report ◽  
Conservative Therapy ◽  
Ectodermal Dysplasia ◽  
Tertiary Care ◽  
Atrophic Rhinitis ◽  
Mucosal Biopsy ◽  
Review Of The Literature ◽  
History Of ◽  
Conventional Manner ◽  
Nose And Throat

ABSTRACT Aims To present two rare cases of ectodermal dysplasia presenting with maggot infestation due to atrophic rhinitis. Study design Case report. Setting A tertiary care referral hospital. Presentation Two male children aged about 5 and 8 years presented to the ear, nose, and throat emergency with a history of maggot infestation of the nose. Results Clinical examination was suggestive of ectodermal dysplasia. Intranasal examination was suggestive of atrophic rhinitis. Maggots were removed in the conventional manner. Following a conservative treatment, skin biopsy and nasal mucosal biopsy were done, which confirmed the diagnosis of ectodermal dysplasia. Conclusion Any ectodermal dysplasia patient should be suspected of having atrophic rhinitis and intranasal conservative therapy should be initiated at the earliest to prevent complications like maggots in the nose. How to cite this article Pati S, Pal S, Saha S, Biswas S. Ectodermal Dysplasia presenting with Atrophic Rhinitis: A Report of Two Cases and a Review of the Literature. Clin Rhinol An Int J 2016;9(1):53-55.

scholarly journals Endoscopic Management of a Large Tornwaldt Cyst: A Case Report

2020 ◽  
Vol 35 (2) ◽  
pp. 44
Author(s):  
Wenrol Espinosa ◽  
Michael Joseph David
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Cystic Mass ◽  
Respiratory Epithelium ◽  
Transoral Approach ◽  
Endoscopic Management ◽  
Nasal Discharge ◽  
Histopathologic Examination ◽  
History Of ◽  
Tornwaldt Cyst

ABSTRACT Objective: To report successful marsupialization of a large Tornwaldt cyst using combined transnasal and transoral endoscopic surgery in a 7-year-old girl who presented with nasal obstruction. Methods:Design: Case ReportSetting: Tertiary Government Training HospitalPatient: One Result: A 7-year-old girl presented with an 11-month history of recurrent yellowish nasal discharge gradually associated with nasal obstruction. Examination revealed a large, well encapsulated, broad-based cystic mass in the nasopharynx immediately adjacent to the posterior choanae, continuing posterior to the soft palate (pushing the uvula anteriorly) and extending inferiorly to the epiglottic area. Computerized Tomography (CT) demonstrated a well-circumscribed, midline hypodense mass with fluid attenuation obstructing the nasopharyngeal area extending inferiorly to the oropharyngeal area. Endoscopic marsupialization via transnasal and transoral approach was successful, and a respiratory epithelium-lined cyst consistent with a Tornwaldt cyst was confirmed by  histopathologic examination Conclusion: Combined transnasal and transoral endoscopic marsupialization is possible a for a large symptomatic Tornwaldt cyst in a pediatric patient with relatively smaller and complex nasal cavities.

scholarly journals Bilateral congenital choanal atresia in a 16-year old girl at Muhimbili National Hospital, Tanzania

2018 ◽  
Vol 20 (3) ◽  
Author(s):  
Zephania Saitabau ◽  
Martin Elimath ◽  
Ndeserua Moshi ◽  
Enica Richard ◽  
Daudi Ntunaguzi
Keyword(s):  
Choanal Atresia ◽  
Nasal Discharge ◽  
Muhimbili National Hospital ◽  
National Hospital ◽  
Resource Limited ◽  
Expressed Breast Milk ◽  
History Of ◽  
High Index Of Suspicion ◽  
Tomography Scan

Background: Bilateral choanal atresia refers to a congenital anomaly whereby a child is born with bilateral imperforate posterior nares. In most cases the diagnosis is established soon after birth. Establishment of the diagnosis requires a high index of suspicion by clinicians. The objective was thus to report an unusual case which went undiagnosed for many years and review the few available literatures.Case presentation: A 16-year old girl presented to the otorhinolaryngology clinic of Muhimbili National Hospital in Tanzania with a long standing history of bilateral nasal obstruction. The condition was reported to be present since birth and this was accompanied by mouth breathing and persistent bilateral nasal discharge. The patient also reported a history suggestive of respiratory distress after birth which necessitated oxygen therapy and difficulty in breastfeeding where she was kept on expressed breast milk during the first few weeks of life. Nasal endoscopy was done clinic and the diagnosis of bilateral congenital choanal atresia was made. Computerized tomography scan of the nose and paranasal sinuses revealed bilateral choanal atresia of mixed type. Surgical perforation of the atretic choanae without stenting was done endoscopically under general anaesthesia.Conclusion: Bilateral congenital choanal atresia is an otorhinolaryngological emergency and should be established promptly both in resource limited settings and in areas where advanced tools are in situ to prevent its morbidity and mortality if it goes unestablished.

scholarly journals First Case Report of Sinusitis withLophomonas blattarumfrom Iran

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Fariba Berenji ◽  
Mahmoud Parian ◽  
Abdolmajid Fata ◽  
Mahdi Bakhshaee ◽  
Fereshte Fattahi
Keyword(s):  
Case Report ◽  
Nasal Discharge ◽  
Case Presentation ◽  
Upper Respiratory Infection ◽  
First Case ◽  
Large Numbers ◽  
Direct Microscopic Examination ◽  
History Of ◽  
Upper Respiratory ◽  
Lophomonas Blattarum

Introduction.Lophomonas blattarumis a rare cause of bronchopulmonary and sinus infection. This paper presents a rare case ofLophomonassinusitis.Case Presentation. The patient was a 31-year-old woman who was admitted because of a history of upper respiratory infection and sinusitis. Direct microscopic examination of the sputum and nasal discharge showed large numbers of livingLophomonas blattarumwith irregular movement of flagella. The patient was successfully treated byMetronidazole750 mg t.i.d. for 30 days.Conclusions. This is the first case report ofLophomonas blattarumsinusitis from Iran.

scholarly journals Unilateral rhinorrhoea and button battery: a case report

2019 ◽  
Vol 7 (3) ◽  
pp. e000137
Author(s):  
Geng Ju Tuang ◽  
Nik Roslina Nik Hussin ◽  
Zainal Azmi Zainal Abidin
Keyword(s):  
Case Report ◽  
General Practitioner ◽  
Foreign Body ◽  
Nasal Discharge ◽  
Age Group ◽  
Septal Perforation ◽  
Button Battery ◽  
X Ray ◽  
Paediatric Age ◽  
Endoscopic Retrieval

Unilateral rhinorrhoea in the paediatric age group could be an alarming sign that warrants a clinician attention. These patients are routinely brought to see general practitioner as parents may not be aware of the urgency to intervene surgically. Herein we describe a case of a toddler who presented initially to a general practitioner with unilateral nasal discharge. He was subsequently referred to the otorhinolaryngology department for unresolved rhinitis. The child was examined, and the diagnosis of an embedded foreign body was made. X-ray of the paranasal sinus unveiled an embedded button battery. An emergency endoscopic retrieval of the button battery was performed under general anaesthesia. Unfortunately, the case was complicated with a huge septal perforation.

scholarly journals Nimesulide-induced acute biliary tract injury and renal failure in a kitten: a case report

2008 ◽  
Vol 53 (No. 3) ◽  
pp. 169-172 ◽  
Author(s):  
M.K. Borku ◽  
M. Guzel ◽  
M.C. Karakurum ◽  
K. Ural ◽  
S. Aktas
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Total Bilirubin ◽  
Serum Alkaline Phosphatase ◽  
Clinical Signs ◽  
Nasal Discharge ◽  
Laboratory Findings ◽  
Indirect Bilirubin ◽  
History Of ◽  
Toxic Drugs

A 3-month-old male kitten was presented to our clinic with malaise, vomiting and jaundice. In the anamnesis, we learned that the cat had a history of anorexia, sneezing, and nasal discharge and that the owner had administered 100 mg/day (t.i.d.) nimesulide orally for three days. In the laboratory study, high levels of serum alkaline phosphatase, γ-glutamyl transtransferase, total bilirubin, direct bilirubin, indirect bilirubin, urea, and creatinine were detected. All the clinical signs and laboratory abnormalities returned to normal levels after cessation of the nimesulide and supportive treatment. In this case, clinical and laboratory findings were thought to be compatible with nimesulide-induced acute biliary injury and renal failure. This case report indicates that the household pets are at risk of toxic drugs administered by their owners and great caution should be taken in administering NSAIDs in cats.

scholarly journals Migrated fish bone into the neck: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Vasanthika Sanjeewanie Thuduvage
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Asian Population ◽  
Fish Bone ◽  
Diagnosis Delay ◽  
Lateral Neck ◽  
Case Presentation ◽  
Persistent Symptoms ◽  
History Of ◽  
Nose And Throat

Abstract Background Impaction of foreign body is a common condition presented to ear, nose, and throat department among Asian population. The commonest foreign body seen among this population has been documented as fish bone. Fish bone can migrate to lateral neck space or related organs around the neck and chest. By presenting this case report, we aim to emphasize the importance of taking proper history and make clinicians aware of the possibility of a fish bone migrating into different spaces. This will help to prevent diagnosis delay leading to complications due to migrated fish bone. Case presentation A 50-year-old female Sinhalese patient presented to ear, nose, and throat department with right-sided neck pain for 2 days, who had a history of suspected fish bone impaction a few days ago that subsided without any investigations or treatments. She did not have any symptoms related to throat, and neck examination showed mild swelling and tenderness. Computer tomography revealed a migrated fish bone into the lateral neck close to carotid artery, and the fish bone was removed by neck exploration under general anesthesia without any complications. Conclusion In conclusion, migrated fish bone should be suspected if patient is having persistent symptoms mainly in the neck without having difficulty swallowing and who gives a history of fish bone impaction and having negative laryngoscopic examination. Proper history taking is very important in the assessment of these patients to prevent misdiagnosis of the condition. Clinicians should aware that migrated fish bones are not uncommon and that early suspicion can prevent later diagnosis and complications.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Portal Hypertension ◽  
Liver Disease ◽  
Epigastric Pain ◽  
Umbilical Vein ◽  
History Of ◽  
Clinically Significant ◽  
Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

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