Bilobed tongue base associated with multiple branchial anomalies

2021 ◽  
Vol 14 (3) ◽  
pp. e241081
Author(s):  
Sevasti Konstantinidou ◽  
Michelle Wyatt ◽  
Colin Butler ◽  
Claire Frauenfelder
Keyword(s):  
Cardiac Surgery ◽  
Congenital Anomalies ◽  
Anatomical Variation ◽  
Tongue Base ◽  
Posterior Tongue ◽  
Head Neck ◽  
Branchial Anomalies

A bilobed tongue base was identified in an infant with multiple other head, neck and cardiac congenital anomalies. This anatomical variation of the posterior tongue is rare, with only two other cases identified in the literature. We report a case of a 5-month-old boy with a bilobed posterior tongue incidentally identified during workup for cardiac surgery.

Functional Restoration after Subtotal Glossectomy and Laryngectomy

1988 ◽  
Vol 98 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Moises Mitrani ◽  
Yosef P. Krespi
Keyword(s):  
Functional Results ◽  
Pulmonary Complications ◽  
Functional Restoration ◽  
Tongue Base ◽  
Extensive Resection ◽  
Mucosal Defect ◽  
Radiotherapy Alone ◽  
Intractable Aspiration ◽  
Posterior Tongue ◽  
Supraglottic Larynx

Extensive resection of carcinoma that involves the tongue base and supraglottic larynx is accompanied by significant potential morbidity and mortality. This is often indicated by poor rates of cure and the limited palliation afforded by radiotherapy alone. Removal of a significant portion of the posterior tongue frequently results in intractable aspiration. Techniques in reconstruction of the oropharyngeal defect and tongue base have included primary closure, random flaps, and myocutaneous flaps. Each of these techniques has been successful, to some degree, in resurfacing pharyngeal defects. However, the functional results in regard to deglutition are less than satisfactory as a result of aspiration. Frequently, simultaneous or delayed total laryngectomy is performed to deal with the pulmonary complications. Various types of laryngoplasty do not uniformly correct the problems of aspiration and deglutition associated with subtotal glossectomy. Our experience includes eight patients who had advanced squamous cell carcinoma of the tongue base, vallecula, and the supraglottic larynx. All patients underwent partial or subtotal glossectomy and laryngectomy. The mucosal defect was reconstructed with pectoralis myocutaneous flap. In order to reestablish voice, a primary tracheopharyngeal shunt was created with the use of a portion of cricoid and upper trachea. The majority of these patients have had successful rehabilitation of deglutition, mastication, and speech.

scholarly journals Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies

2014 ◽  
Vol 5 (2) ◽  
pp. 57-60
Author(s):  
Sagaya Raj ◽  
Azeem Mohiyuddin ◽  
Kouser Mohammadi ◽  
Shuaib Merchant ◽  
Ravindra P Deo ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Branchial Arch ◽  
Selective Neck Dissection ◽  
Novel Technique ◽  
Branchial Sinus ◽  
Methodical Approach ◽  
A Prospective Study ◽  
Head Neck ◽  
Branchial Anomalies

ABSTRACT Introduction To propose an operation similar to selective neck dissection (levels II, III and IV) as a method of successful management of second arch branchial anomalies. Materials and methods We did a prospective study on patients with branchial arch anomalies from the years 2009 to 2013. They underwent minimal radiological workup. All of them underwent a novel surgical procedure similar to selective neck dissection (levels II, III, IV) that lead to excision of the tract. Patients were followed up for an average period of 2 years. Results We had seven patients which included two branchial sinus, three cysts and two fistulae. All of them were operated and the tract was identified and completely excised by the above approach. None of them had any complications or recurrence on follow-up. Conclusion Branchial arch anomalies are rare congenital problems posing a significant challenge to an ENT surgeon. Inadequate and inappropriate surgeries resulting in recurrences are quite common. Attempts to get either a sinogram or fistulogram are often a failure and cumbersome. Selective neck dissection from levels II to IV is a surgical maneuver which allows access to the involved anatomical segment of the neck. Thus, it is a structured and methodical approach that comprehensively leads to excision of the complete tract. It also reduces the chances of complications. Recurrences are rare with this technique. How to cite this article Merchant S, Mohiyuddin A, Deo RP, Raj S, Nawaz S, Mohammadi K. Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies. Int J Head Neck Surg 2014;5(2):57-60.

Esophageal Atresia with or without Tracheoesophageal Fistula (EA/TEF): Association of Different EA/TEF Subtypes with Specific Co-occurring Congenital Anomalies and Implications for Diagnostic Workup

2017 ◽  
Vol 28 (02) ◽  
pp. 176-182 ◽  
Author(s):  
Nadine Zwink ◽  
Vera Chonitzki ◽  
Alice Hölscher ◽  
Thomas Boemers ◽  
Oliver Münsterer ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Congenital Anomalies ◽  
Tracheoesophageal Fistula ◽  
Anatomical Variation ◽  
Neurodevelopmental Outcome ◽  
Diagnostic Workup ◽  
Neurocognitive Development ◽  
Future Studies ◽  
Clinical Records

Background Esophageal atresia with or without tracheoesophageal fistula (EA/TEF) represents the most common developmental malformation of the upper digestive tract. It is classified into six subtypes according to the classification of Vogt, depending on anatomical variation of this malformation. Around 50% of the patients with EA/TEF present additional anomalies, which often influence, next to the EA/TEF subtype, the overall prognosis of EA/TEF newborns. Here, we investigated the association of the different EA/TEF subtypes with co-occurring congenital anomalies in EA/TEF patients and demonstrate their implications for postnatal diagnostic workup. Materials and Methods We investigated 333 patients of a large German multicenter study born between 1980 and 2012. After evaluation of all available clinical records, 235 patients were included in our analysis. We compared our results with existing data. Results The highest risk for co-occurring anomalies was seen in patients with most common Vogt 3b (p = 0.024), especially for additional gastrointestinal anomalies (p = 0.04). Co-occurring anomalies of the skin were significantly more common in patients with subtype Vogt 2 (p = 0.024). A significant correlation was observed for an impaired neurodevelopmental outcome and EA/TEF Vogt 3a (p = 0.041). Patients with EA/TEF showed a higher risk to present with any additional congenital anomaly compared with the general population (p < 0.001). Conclusion Our results warrant thorough clinical workup for gastrointestinal anomalies especially in patients with Vogt 3b. Moreover, it might be necessary to focus on a thorough aftercare for neurocognitive development in patients with Vogt 3a. The here presented observations need to be confirmed by future studies.

scholarly journals Functional lingual thyroid in an adolescent female: a case report and brief literature review

1970 ◽  
Vol 10 (3) ◽  
pp. 216-219
Author(s):  
AR Roslenda ◽  
H Salina ◽  
KN Gopalan ◽  
SHA Primuharsa Putra
Keyword(s):  
Thyroid Gland ◽  
Posterior Part ◽  
Tongue Base ◽  
Suppressive Therapy ◽  
Lingual Thyroid ◽  
Thyroid Function Tests ◽  
Tissue Mass ◽  
Normal Thyroid ◽  
Normal Thyroid Function ◽  
Posterior Tongue

Background: Lingual thyroid is a rare clinical entity that represents faulty migration of normal thyroid gland. It commonly presents as a benign mass found at the junction of the anterior two-thirds and posterior one-third of the tongue. Although usually asymptomatic, glandular hypertrophy can cause dysphonia, dysphagia, bleeding, or stridor at any time from infancy through adulthood. We report a case that we encountered, discuss the diagnosis and its management, and review the literature. An otherwise asymptomatic 14 year-old girl presented with a posterior tongue mass that had been present since childhood but was never investigated. She was clinically and biochemically euthyroid, with normal thyroid function tests. Physical examination revealed a smooth, globular mass occupying the whole tongue base and valleculae. The epiglottis was slightly displaced posteriorly but the laryngeal inlet was patent. A 99mTcradioisotope scan showed accumulation of tracer in the tongue base and no uptake in the neck. MRI revealed a 1.8-cm diameter soft tissue mass in the posterior part of the tongue. To date she has not required suppressive therapy or surgical intervention. Conclusions: Treatment of lingual thyroid depends on patient symptoms. Most importantly, patients should be followed at regular intervals and educated on the possibility of developing complications. Key words: Lingual thyroid, ectopic thyroid, thyroid gland. DOI: http://dx.doi.org/10.3329/bjms.v10i3.8370 BJMS 2011; 10(3): 216-219

scholarly journals An Anatomical Variant: Low Lying Common Carotid Artery Bifurcation

2013 ◽  
Vol 4 (2) ◽  
pp. 105-106
Author(s):  
Srijon Mukherji ◽  
Yogendra Singh Chauhan
Keyword(s):  
Carotid Artery ◽  
Neck Dissection ◽  
Common Carotid Artery ◽  
Anatomical Variation ◽  
External Carotid ◽  
Anatomical Variant ◽  
Carotid Artery Bifurcation ◽  
The Common ◽  
Carcinoma Of Tongue ◽  
Head Neck

ABSTRACT The common carotid artery usually bifurcates into the internal and external carotid arteries at the level of C3-C4. Injury to common carotid artery during neck dissection is encountered rarly. Knowing the anatomical variation of common carotid like low lying bifurcation would prevent inadvertent injury especially by budding head-neck surgeons. We report a case of 46-yearold male undergoing surgery for carcinoma of tongue with Supraomohyoid neck dissection. He had low-lying bifurcation of the common carotid artery. How to cite this article Chauhan YS, Mukherji S. An Anatomical Variant: Low Lying Common Carotid Artery Bifurcation. Int J Head Neck Surg 2013;4(2):105-106.

Effects of Intraoral Prostheses on Speech in Oropharyngeal Cancer Patients

1996 ◽  
Vol 5 (4) ◽  
pp. 43-55 ◽  
Author(s):  
Laura A. Colangelo ◽  
Barbara Roa Pauloski ◽  
Jerilyn A. Logemann ◽  
David W. Stein ◽  
Quinter C. Beery ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Soft Palate ◽  
Oropharyngeal Cancer ◽  
Speech Intelligibility ◽  
Patient Characteristics ◽  
Tongue Base ◽  
Speech Language Pathologist ◽  
The Individual ◽  
Obturator Prosthesis ◽  
Posterior Tongue

This study investigates specific articulatory problems and compromised speech intelligibility associated with and without the use of an intraoral prosthesis in 13 surgically treated oropharyngeal cancer patients. Ten patients had tonsil and varying amounts of posterior tongue, tongue base, and soft palate resected. Three other patients had soft palate resected with no involvement of oral tongue or tongue base. Three types of intraoral prostheses were employed. One type was a maxillary reshaping/lowering prosthesis, the second type was a soft palate obturator, and the third type was a combined maxillary reshaping/lowering and soft palate obturator prosthesis. Review of the individual cases in relation to improvements in articulation and conversational understandability revealed mixed success with prosthesis usage in the group of 10 patients with posterior resection. In the group of three patients with soft palate resection, however, two patients benefitted from use of obturators. The results identify the need for some criteria in patient selection for intraoral prosthetic rehabilitation. However, in view of the individuality of each patient case in terms of surgical deficit, patient characteristics, and varied prosthodontic/speech-language pathologist teams, it is impossible to develop prescriptions for prosthodontic construction based on surgical deficit alone.

scholarly journals Importance of Preserving Parathyroids in Surgery for Hemiagenesis of Thyroid: Analysis with Review of Literature

2015 ◽  
Vol 6 (4) ◽  
pp. 146-148
Author(s):  
Sudhir Naik ◽  
Rajshekar Halkud ◽  
RM Deekshith ◽  
P Sathya ◽  
Purshottam Chavan ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Congenital Anomalies ◽  
Developmental Anomaly ◽  
Review Of Literature ◽  
Medical College ◽  
Thyroid Hemiagenesis ◽  
Head Neck

ABSTRACT Background/objectives As congenital anomalies of the thyroid are rare and the pathology associated with it warranting total thyroidectomies is still rare, so the inadvertent parathyroidectomies are rarely reported. Unilateral or bilateral hypoplasia or agenesis of one or both thyroid lobes, with or without isthmic agenesis, is a rare developmental anomaly. Meticulous subcapsular dissection with preserving the vascular twigs to the parathyroid is very important in avoiding complications. Materials and methods We report two cases of thyroid hemiagenesis in our medical college institution over a period of 10 years. Both were females in the 6th decade with swelling in the neck. One had a right-sided swelling and the second had a left-sided swelling, both measuring about 5 ⨯ 5 cm. Conclusion So the total thyroidectomy surgery in hemiagenesis cases poses a risk to the parathyroids as the altered anatomy. So the time-tested technique of subcapsular dissection and meticulous preservation of the multiple vasculature of the parathyroids in the fascial compartment provides better results with least morbidity. How to cite this article Naik SM, Halkud R, Chavan P, Appaji M, Sathya P, Bhat SR, Deekshith RM. Importance of Preserving Parathyroids in Surgery for Hemiagenesis of Thyroid: Analysis with Review of Literature. Int J Head Neck Surg 2015;6(4):146-148.

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