Clinical presentation and treatment of melioidosis in the head and neck region

2018 ◽  
Vol 132 (9) ◽  
pp. 827-831 ◽  
Author(s):  
K Mahawerawat ◽  
P Kasemsiri
Keyword(s):  
Early Diagnosis ◽  
Confidence Interval ◽  
Head And Neck ◽  
Clinical Presentation ◽  
Neck Region ◽  
Oral Antibiotic ◽  
Head And Neck Region ◽  
Indirect Haemagglutination ◽  
Appropriate Treatment ◽  
Life Threatening

AbstractBackgroundAlthough melioidosis in the head and neck region is uncommon, it is a potentially life-threatening infection. Thus, early diagnosis and proper management are very important.ObjectivesTo report the clinical presentation and management of melioidosis in the head and neck.MethodA retrospective study was conducted from 1 January 2013 to 31 October 2016 in Mukdahan Hospital, Thailand. Case records of patients who had presented with culture-positive melioidosis were analysed.ResultsMedical records of 49 patients (23 males and 26 females) were analysed. Patients ranged in age from 1 to 75 years. Clinical presentations included 22 parotid abscesses, 16 neck abscesses and 11 suppurative lymphadenitis cases. Only 35 patients (71 per cent) had high indirect haemagglutination assay titres of ≥ 1:160 (95 per cent confidence interval = 45.35–88.28). Almost half of the patients received intravenous ceftazidime and subsequently oral co-trimoxazole. Oral antibiotic regimens were prescribed for mild localised melioidosis. Overall, 95.65 per cent of patients were in remission and no relapses were observed (95 per cent confidence interval = 85.47–98.80).ConclusionCareful clinical correlation and proper investigation are required to establish an early diagnosis of melioidosis and to initiate appropriate treatment.

scholarly journals Manifestations of Tuberculosis in Ear, Nose, Throat, Head and Neck Region – A Retrospective Study

2020 ◽  
Vol 28 (2) ◽  
pp. 144-150
Author(s):  
Vandana P Thorawade ◽  
S A Jaiswal ◽  
Seema Ramlakhan Gupta
Keyword(s):  
Retrospective Study ◽  
Early Diagnosis ◽  
Lymph Nodes ◽  
Head And Neck ◽  
Salivary Glands ◽  
Neck Region ◽  
Pulmonary Medicine ◽  
Cervical Lymph Nodes ◽  
Head And Neck Region ◽  
Variable Nature

Introduction  Tuberculosis can involve any organ or site. Otorhinolaryngologist may encounter tuberculosis affecting lymph nodes, ear, larynx, deep neck spaces, salivary glands etc. which can mimic other chronic granulomatous conditions or malignancy. To ensure early diagnosis, it is important to recognize its cardinal signs and symptoms and to be aware of potential pitfalls in diagnosis. This study was done to learn the clinical presentation of tuberculosis in ear, nose, throat and head and neck region, and to assess the effectiveness of various investigations and treatment done for the same. Materials and Methods  A retrospective study done in our institution involving 120 patients suffering from tuberculosis in ear, nose, throat and head and neck region who attended pulmonary medicine or ENT OPD or ward between January 2008 to December 2017 that is, 10 years. Study period for data collection and analysis was 1 month. Results Total 120 patients-69 males and 51 females. Most common site was cervical lymph nodes(77.5% patients), followed by larynx(8.3%),middle ear(7.5%),deep neck spaces(2.5%) and salivary glands and nose(1.7% each). Histopathology was highly sensitive(99. 1%).All except one patient responded to first-line antitubercular drugs, the other patient was given treatment for MDR-TB to which he responded. Conclusion Tuberculosis can involve any site in the head and neck region, most common being cervical lymph nodes mainly presenting as neck swelling. Variable nature of manifestations of tuberculosis makes it essential to have high degree of suspicion for early diagnosis.

scholarly journals Clinical presentation and characteristics of lymphoma in the head and neck region

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Katharina Storck ◽  
Markus Brandstetter ◽  
Ulrich Keller ◽  
Andreas Knopf
Keyword(s):  
Head And Neck ◽  
Clinical Presentation ◽  
Neck Region ◽  
Head And Neck Region

Chondroid Syringoma of the Head and Neck: Clinical Management and Literature Review

1996 ◽  
Vol 75 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Achih H. Chen ◽  
Edwin H. Moreano ◽  
Barry Houston ◽  
Gerry F. Funk
Keyword(s):  
Head And Neck ◽  
Normal Tissue ◽  
Clinical Presentation ◽  
Neck Region ◽  
Cutaneous Lesions ◽  
Epithelial Tumor ◽  
Head And Neck Region ◽  
Chondroid Syringoma ◽  
Pleomorphic Adenomas ◽  
Frequent Site

This report describes the case of a chondroid syringoma occurring in the nasofacial groove of a 60-year-old woman. This benign, mixed epithelial tumor is infrequently seen by the otolaryngologist—head and neck surgeon, and therefore may not be included in the differential diagnosis of a nodular lesion on the skin of the head and neck. However, the most frequent site of occurrence for these relatively rare cutaneous lesions is the head and neck region. Histologically, these tumors are quite similar to pleomorphic adenomas of salivary gland origin, and optimal surgical management similarly requires removal of a cuff of normal tissue, rather than a simple shelling out of the lesion. The clinical presentation, pathology and recommended management of this rare tumor are discussed.

scholarly journals Cavernous Hemangioma of the Tongue

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Krishna Kripal ◽  
Senthil Rajan ◽  
Beena Ropak ◽  
Ipsita Jayanti
Keyword(s):  
Oral Cavity ◽  
Head And Neck ◽  
Cavernous Hemangioma ◽  
Lateral Surface ◽  
Benign Tumor ◽  
Clinical Importance ◽  
Neck Region ◽  
Histological Evaluation ◽  
Head And Neck Region ◽  
Appropriate Treatment

Hemangioma is a benign tumor of dilated blood vessels. It is most commonly seen in the head and neck region and rarely in the oral cavity. Hemangiomas in the oral cavity are always of clinical importance and require appropriate treatment. We report here a case of a 34-year-old female patient with a swelling on the lateral surface of tongue which did not respond to the sclerosing agent and was finally confirmed as cavernous hemangioma on histological evaluation.

scholarly journals Role of sclerotherapy in management of low flow vascular malformations

2021 ◽  
Vol 8 (4) ◽  
pp. 1234
Author(s):  
Manpreet Kaur ◽  
Parul Sachdeva ◽  
Rajan Syal ◽  
Savijot Singh
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
Neck Region ◽  
Low Flow ◽  
Vascular Lesions ◽  
Surgical Removal ◽  
Complete Regression ◽  
Head And Neck Region ◽  
Life Threatening

Background: Low flow vascular malformations are most common in the head and neck region. Only symptomatic malformations require treatment. Sclerotherapy followed by surgery was considered the gold standard treatment but in the head and neck region, it may produce cosmetic and physiological defects. In the present study, multiple injections of sclerotherapy with 3% sodium tetradecyl sulphate was used for the treatment of low flow vascular malformations.Methods: Twenty cases of low flow vascular malformations of the oral cavity who presented in the outpatient department of ESIC Model Hospital, Ludhiana from 2014-2016 were selected for the study. Only significantly sized (>4 cm) and easily accessible lesions were included. Staged sequential sclerotherapy with 3% STS under strict fluoroscopy control was used as the sole treatment.Results: A total of 20 patients were taken of which, 25% required three sessions, 65% five to six sessions each and 10% required eight sessions each. All patients showed good results with complete regression and no mucosal ulceration.Conclusions: Staged sequential sclerotherapy with 3% STS should be the treatment of choice in low flow vascular lesions involving mucosal and cutaneous structures of head and neck region especially anterior two-thirds of tongue, palate, gingiva, buccal mucosa and lips. Surgical removal may affect critical neurovascular structures and cause cosmetic deformity. So the removal is advisable in life-threatening conditions, lesions requiring general anaesthesia and single sitting removal.

scholarly journals Efficacy of Sirolimus in Patients Requiring Tracheostomy for Life-Threatening Lymphatic Malformation of the Head and Neck: A Report From the European Reference Network

2021 ◽  
Vol 9 ◽  
Author(s):  
Annegret Holm ◽  
Maroeska te Loo ◽  
Leo Schultze Kool ◽  
Päivi Salminen ◽  
Veronica Celis ◽  
...  
Keyword(s):  
Head And Neck ◽  
Insertion Site ◽  
Neck Region ◽  
Reference Network ◽  
Efficacy And Safety ◽  
Duration Of Treatment ◽  
Lymphatic Malformations ◽  
Head And Neck Region ◽  
European Reference Network ◽  
Life Threatening

Extensive lymphatic malformations (LMs) of the head and neck region may require tracheostomy to secure the airway. Treatment of these life-threatening LMs is usually multimodal and includes sclerotherapy and surgery, among others. Recently, systemic therapy with sirolimus has been introduced as an effective treatment for venous and lymphatic malformations; its efficacy and safety profile in patients with extensive LM requiring tracheostomy are, however, as yet not fully known. We performed a retrospective, multicenter review and identified 13 patients with an extensive LM of the head and neck region, who previously underwent placement of tracheostomy and subsequently received sirolimus treatment with the aim to improve the local respiratory situation and remove the tracheostomy. Under sirolimus therapy, tracheostomy could be reversed in 8/13 (62%) patients, a further 2/13 (15%) patients improved markedly, and removal of the tracheostomy was planned at the time of writing, while 3/13 (23%) patients showed insufficient or absent response to sirolimus, rendering tracheostomy reversal not feasible. The median duration of sirolimus treatment until removal of tracheostomy was 18 months (range, 8 months to 5.6 years). Adverse events of sirolimus therapy were common [10/13 (77%) patients], yet the majority of these were mild [9/10 (90%) patients] and only one severe adverse event was recorded, with ulceration and necrosis at a catheter insertion site. In conclusion, sirolimus can be considered an effective and safe salvage treatment in patients with extensive LM even after placement of a tracheostomy, as closure of the latter was possible in the majority of patients (62%) of our retrospective cohort. A better understanding of when to start sirolimus therapy, of the duration of treatment, and of factors allowing the prediction of treatment response will require further investigation.

Republished: Treatment of hemorrhagic head and neck lesions by direct puncture and n-BCA embolization

2018 ◽  
Vol 10 (10) ◽  
pp. e25-e25
Author(s):  
Gerard Deib ◽  
Amgad El Mekabaty ◽  
Philippe Gailloud ◽  
Monica Smith Pearl
Keyword(s):  
Head And Neck ◽  
Transarterial Embolization ◽  
Neck Region ◽  
Effective Alternative ◽  
Direct Puncture ◽  
Head And Neck Region ◽  
Life Threatening ◽  
Anatomic Variants ◽  
Endovascular Approach ◽  
Vessel Tortuosity

Life-threatening bleeding in the head and neck region requires urgent management. These hemorrhagic lesions, for example, a ruptured pseudoaneurysm, are often treated by transarterial embolization (TAE), but prior intervention or surgery, inflammation, anatomic variants, and vessel tortuosity may render an endovascular approach challenging, time-consuming, and sometimes impossible. We report two cases of severe head and neck hemorrhages successfully embolized with n-butyl cyanoacrylate via direct puncture, and propose this approach as a fast, safe, and effective alternative to TAE.

scholarly journals Incidental Findings in Cone-Beam Computed Tomographic Images: Calcifications in Head and Neck Region

2017 ◽  
Vol 21 (2) ◽  
pp. 100-107 ◽  
Author(s):  
Ali Altındağ ◽  
Hakan Avsever ◽  
Oguz Borahan ◽  
Mesut Akyol ◽  
Kaan Orhan
Keyword(s):  
Head And Neck ◽  
Incidental Findings ◽  
Demographic Data ◽  
Neck Region ◽  
Correct Identification ◽  
Head And Neck Region ◽  
Tomographic Images ◽  
Computed Tomographic ◽  
Appropriate Treatment ◽  
Life Saving

Summary Background/Aim: The use of CBCT in dentistry has been increasing popularity nowadays. CBCT images provide valuable information from anatomic structures and pathologies. Images obtained with CBCT allow for more appropriate treatment planning. The purpose of this study was to assess the calcifications which were found incidentally on CBCT images and to reveal the frequency and characteristics. Material and Methods: A total of 691 CBCT images which obtained from the patients were assessed. Demographic data and calcifications which were found out of primarily interest area were noted. The incidental findings were categorized and analyzed using descriptive statistics. Results: 945 calcifications were discovered on 318(46.02%) of the 691 patients’ images. 373(53.98%) scans showed no calcificated findings. The age range of patients was from 5 to 84 years. The most common calcification was tonsillolith (86.03%), followed by stylohyoid calcifications (6.24%), antrolith and subdermal calcifications (2.33%). Conclusion: Calcified lesions in head and neck region were commonly seen in CBCT images. Although the most of the calcifications are asymptomatic and require no treatment but correct identification of these findings will reduce unnecessary further diagnostic assessments and will provide more appropriate treatment plans. It will also provide the ability comprehensively evaluation of underlying diseases and practitioners will have life-saving information by early diagnosis.

scholarly journals Seven Unique Cases of Chondroid Syringomas Reported in KVG Medical College and Hospital

2011 ◽  
Vol 3 (2) ◽  
pp. 102-104 ◽  
Author(s):  
Sudhir Naik ◽  
Sarika S Naik
Keyword(s):  
Head And Neck ◽  
Clinical Presentation ◽  
Neck Region ◽  
Excisional Biopsy ◽  
Age Group ◽  
Head And Neck Region ◽  
Medical College ◽  
Chondroid Syringoma ◽  
Cutaneous Nodule ◽  
Growing Mass

Abstract Chondroid syringoma is a rare, benign, skin appendageal tumor. Because of the unremarkable clinical presentation of this rare tumor, the diagnosis is made on microscopic examination. The usual presentation is of an asymptomatic, slowly growing mass, typically located in the head and neck region. We present seven cases of chondroid syringomas located over the head and neck region of seven patients in the age group between 32 and 56 years. In the evaluation of a small cutaneous nodule in the head and neck region, chondroid syringoma should also be considered in the differential diagnosis. For such a lesion, excisional biopsy without destroying the esthetic and functional structures is the preferred diagnostic as well as therapeutic approach.

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