SURGICAL MANAGEMENT OF PLEXIFORM AMELOBLASTOMA PRESENTING AS EXOPHYTIC GROWTH – A RARE ENTITY

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.

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

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0013.2796 ◽

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.

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Surgical Management of Intrinsic Tumors of the Facial Nerve

Neurosurgery ◽

10.1093/neuros/nyx489 ◽

2017 ◽

Vol 83 (4) ◽

pp. 740-752 ◽

Cited By ~ 4

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.

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Huge adrenal myelolipoma: A rare entity

Journal of Chitwan Medical College ◽

10.3126/jcmc.v5i2.13157 ◽

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.

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Medial meatal fibrosis: current approach

The Journal of Laryngology & Otology ◽

10.1017/s0022215100133869 ◽

1996 ◽

Vol 110 (5) ◽

pp. 417-420 ◽

Cited By ~ 13

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.

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Benign fibrous histiocytoma (dermatofibroma) of the face: A rare entity requiring aggressive surgical management

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2010.02.016 ◽

2010 ◽

Vol 63 (8) ◽

pp. e647 ◽

Cited By ~ 3

Author(s):

Y. Ismail ◽

S. Watson

Keyword(s):

Surgical Management ◽

Fibrous Histiocytoma ◽

Benign Fibrous Histiocytoma ◽

Rare Entity ◽

The Face

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Scrotal necrosis and no Fournier’s in sight: a rare case of juvenile gangrenous vasculitis

BMJ Case Reports ◽

10.1136/bcr-2018-226530 ◽

2019 ◽

Vol 12 (2) ◽

pp. e226530 ◽

Cited By ~ 1

Author(s):

Jeremy Nettleton ◽

Hugh Crawford-Smith ◽

Anthony Adimonye ◽

Faith McMeekin

Keyword(s):

Wound Healing ◽

Case Report ◽

Surgical Management ◽

Complete Resolution ◽

Rare Case ◽

Disease Course ◽

Rare Entity ◽

Distinct Entity ◽

The Uk ◽

Antibiotic Cover

Juvenile gangrenous vasculitis of the scrotum is a rare entity, of which to our knowledge we describe the first documented case in the UK. It follows a typical disease course, demonstrated by an 18-year-old male who presented with three necrotic scrotal lesions; proceeded by 3 days of fever, pharyngitis and lethargy. Previous cases have been managed successfully with systemic steroids. On this occasion, surgical debridement was made of the necrotic areas under antibiotic cover and complete resolution was achieved with excellent wound healing and no evidence of recurrence. This case report discusses the importance of disease recognition and the merits of surgical management. We also add to the debate as to whether this disease is a variation of pyoderma gangrenosum or a distinct entity itself within the pantheon of scrotal gangrene.

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Malrotated Subhepatic Caecum with Subhepatic Appendicitis: Diagnosis and Management

Case Reports in Surgery ◽

10.1155/2016/6067374 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3

Author(s):

Hock Chin Chong ◽

Feng Yih Chai ◽

Dhayal Balakrishnan ◽

Siti Mohd Desa Asilah ◽

Irene Nur Ibrahim Adila ◽

...

Keyword(s):

Acute Appendicitis ◽

Surgical Management ◽

Severe Pain ◽

Rare Condition ◽

Final Diagnosis ◽

Diagnostic Approach ◽

Rare Entity ◽

Epigastric Region ◽

Diagnosis And Management ◽

Surgical Emergency

Subhepatically located caecum and appendix is a very rare entity. It occurs due to the anomaly in fetal gut rotation that results in an incomplete rotation and fixation of the intestine. Appendicitis, which is a common surgical emergency, in combination with the abnormal subhepatic location, presents a great challenge in its diagnosis and management. Here, we describe a 42-year-old male with chronic dyspepsia who presented with sepsis and severe pain at his right hypochondriac and epigastric region. The final diagnosis was acute appendicitis of the subhepatic appendix. Our discussion focuses on the diagnostic approach and clinical and surgical management. We hope that our report will increase the awareness among the clinicians and hasten the management of such rare condition to avoid complications.

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