Transnasal endoscopic approach with powered instrumentation for treating squamous papilloma in the nasopharyngeal surface of the soft palate

2013 ◽  
Vol 127 (5) ◽  
pp. 516-518 ◽  
Author(s):  
J-H Lee ◽  
Y-O Lee ◽  
C-H Lee ◽  
K-S Cho

AbstractObjective:To demonstrate a safe and effective method for complete resection of squamous papilloma in the nasopharyngeal surface of the soft palate. This technique was used on a patient in whom the papilloma had twice recurred following uvulopalatopharyngoplasty.Methods:Case report and review of the relevant literature.Results:The patient reported in this paper had recurrent squamous papilloma in the nasopharyngeal surface of the soft palate following uvulopalatopharyngoplasty. He also suffered from nasal regurgitation when drinking water. This lesion, which was difficult to access, was successfully treated via a transnasal endoscopic approach using powered instrumentation.Conclusion:This case report highlights a novel approach for the complete removal of a recurrent papilloma in a relatively inaccessible location. Compared with a transoral approach such as uvulopalatopharyngoplasty, the transnasal endoscopic approach using powered instrumentation could provide a safer, faster, easier and less invasive means of treating squamous papilloma in the nasopharyngeal surface of the soft palate, especially for a lesion that recurs following a transoral approach.

2021 ◽  
Vol 11 (44) ◽  
pp. 174-180
Author(s):  
Ionut Tanase ◽  
Mihaela Neagu ◽  
George Dascalescu

Abstract BACKGROUND. Synovial sarcomas of the soft tissue are a particular type of sarcomas that rarely appear in the head and neck region. CASE REPORT AND COMMENTS. We present the case of a 27-year-old patient diagnosed in 2017 with soft palate biphasic synovial sarcoma who presented with recurrent microepistaxis, nasal obstruction, left cephalalgia and aural fullness in the left ear. The clinical examination showed a tumor with approximately 4/6 cm in diameter, covered with sero-sanguinolent secretions, pulsating in nature, completely obstructing the left choana. The surgical treatment consisted of complete removal of the tumor under endoscopic guidance with electrocauterization of the insertion area, without further postoperative radiotherapy. The histopathological aspect was suggestive for pleomorphic sarcoma, poorly differentiated, confirming the local recurrence of the tumor. The patient also presented lung metastasis from undifferentiated malignant tumor. CONCLUSION. The particularity of this case is represented by the extremely rare occurrence of synovial sarcoma in the head and neck region, especially at the level of the soft palate. Complete resection of the tumor with negative margins represent the mainstay of treatment, associated with adjuvant radiotherapy, with an important role in improving disease-specific survival.


2020 ◽  
pp. 1-2
Author(s):  
Priyansha Rathore ◽  
Shiva Shankar Gummaluri

Squamous papilloma is one of the common lesions of oral cavity. These are about less than 1cm size and care should be taken in diagnosing them as they resemble verruciform xanthoma, condyloma etc . Papilloma occurs most commonly on tongue, lips and soft palate. We present a case report of oral squamous papilloma that occurred on right labial mucosa of lower lip. Tissue was surgically excised and subjected to histopathological examination. Histopathological reports confirmed the lesion as squamous papilloma. Post operatively patient had no complications and healing was fine.


2018 ◽  
Vol 9 (6) ◽  
pp. 539-542
Author(s):  
Anulekha CK ◽  
Hari priya ◽  
Taruna M ◽  
Chittaranjan B ◽  
Parameshwari B

Defects related to Velopharyngeal insufficiency has always been a critical and sensitive issue to manage as it requires rehabilitation of the palatal defect along with maintaining the integrity of speech, mastication and esthetics. The primary goal of prosthodontist in each case is to construct a prosthesis, which will restore the defect, improve Esthetics and thereby benefit the morale of patient. In case of completely edentulous maxilla with the defect involving the hard and soft palate, Meatus obturator plays an important role by contributing to retention and stability of the prosthesis by engaging the posterior nasal undercuts. This case report describes the novel approach to fabricate Meatus obturator for a patient suffering from Velopharyngeal insufficiency.


2022 ◽  
Vol 3 (3) ◽  

BACKGROUND Coccydynia refers to debilitating pain in the coccygeal region of the spine. Treatment strategies range from conservative measures (e.g., ergonomic adaptations, physical therapy, nerve block injections) to partial or complete removal of the coccyx (coccygectomy). Because the surgical intervention is situated in a high-pressure location close to the anus, a possible complication is the formation of sacral pressure ulcers and infection at the incision site. OBSERVATIONS In this case report, the authors presented a minimally invasive, fully endoscopic approach to safely perform complete coccygectomy for treatment of refractory posttraumatic coccydynia. LESSONS Although this is a single case report, the authors hope that this novel endoscopic approach may achieve improved wound healing, reduced infection rates, and lower risk of penetration injury to retroperitoneal organs in patients requiring coccygectomy.


2014 ◽  
Vol 3 (2) ◽  
pp. 77-80
Author(s):  
Emel ÇADALLI TATAR ◽  
Emin ÇAVUŞ ◽  
Ömer BAYIR ◽  
Güleser SAYLAM ◽  
Hakan KORKMAZ

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Leonardo Mancini ◽  
Alessia Pisaneschi ◽  
Vincenzo Mancini ◽  
Marino Ginoble ◽  
Vincenzo Quinzi ◽  
...  

Tooth decay is a multifactorial disease. Fermentable sugar, host factors, and cariogenic microbial flora are several agents that influence dental structure. In literature, alternative protocols for treating cavities are always of interest in terms of reducing pain and preserving tissue. In this case report, the use of a new gel-based on papain, which has a chemical effect on bacteria and allows the consistency of the altered tissue to be modified, leads to a less traumatic removal of the infected tissue. In this case report, BRIX3000, a gel with papain as its main ingredient, was used to treat an interproximal cavity on an upper premolar of a 35-year-old man frightened of the turbine. After a clinical check of all the systematic conditions and a first view of the oral cavity, the protocol was explained to the patient, and informed consent was obtained. The protocol involved applying the papain gel directly to the cavity, and after 2.5–3 minutes, it was removed. The complete removal of the infected tissue was achieved in three steps. The patient reported no discomfort, and the cavity was completely treated and ready to be restored. In conclusion, BRIX3000 seems to be a good alternative to the turbine in cavity treatment, particularly in patients who have discomfort during traditional treatments and are frightened of the turbine.


2020 ◽  
Vol 5 ◽  
pp. 29-29
Author(s):  
Ningyu An ◽  
Junfeng Piao ◽  
Wei Yang ◽  
Jinyan Zhu ◽  
Junxiu Liu ◽  
...  

2013 ◽  
Vol 2 (3) ◽  
pp. 112-115
Author(s):  
Emel ÇADALLI TATAR ◽  
Ömer BAYIR ◽  
Esma ALTAN ◽  
Aysun GÖKÇE ◽  
Ali ÖZDEK ◽  
...  

2017 ◽  
Vol 31 (2) ◽  
pp. 161-164
Author(s):  
Gheorghe Ungureanu ◽  
Ioan Stefan Florian

Abstract Trigeminal schwannomas (TS) are rare tumors that are located in the posterior and middle cranial fossae in about a quarter of the cases. The presentation pattern is different according to the involved compartment and the goal of surgery is complete removal. We present the case of a 35-year old woman who presented a left sided TS extending from the posterior to the middle fossa and cavernous sinus. We review the relevant literature regarding diagnosis and surgical treatment of these tumors.


Sign in / Sign up

Export Citation Format

Share Document