scholarly journals Intraoral transnasal approach for surgical extraction of bilateral deeply impacted mesiodens: A case report

Author(s):  
Reza Sharifi ◽  
Shervin Shafiei ◽  
Hamidreza Moslemi ◽  
Meysam Mohammadi khah

Traditional palatal and vestibular surgical approaches for removing deeply impacted mesiodens with a crown facing the nasal floor are accompanied by significant complications. Herein, we describe a novel modified intranasal approach to minimize the complications. Also, it can be performed under local anesthesia with proper preoperative workup.

2016 ◽  
Vol 9 ◽  
pp. CCRep.S40012
Author(s):  
G. Kagmeni ◽  
R. Cheuteu ◽  
Y. Bilong ◽  
P. Wiedemann

We reported a case of unusual intraocular Loa loa in a 27-year-old patient who presented with painful red eye. Biomicroscopy revealed a living and active adult worm in the anterior chamber of the right eye. After surgical extraction under local anesthesia, parasitological identification confirmed L. loa filariasis.


2021 ◽  
Vol 9 (11) ◽  
Author(s):  
Reza Sharifi ◽  
Shervin Shafiei ◽  
Hamidreza Moslemi ◽  
Meysam Mohammadi khah

Author(s):  
Eduardo Anitua ◽  
Beatriz Anitua ◽  
Mohammad Hamdan Alkhraisat ◽  
Laura Piñas ◽  
Asier Eguia

2021 ◽  
pp. 1-6
Author(s):  
Daniel Schaerer ◽  
Javan Nation ◽  
Robert C. Rennert ◽  
Adam DeConde ◽  
Michael L. Levy

<b><i>Introduction:</i></b> Nasal chondromesenchymal tumors (NCMT) are rare benign neoplasms that usually present in children &#x3c;1 year of age. They can display rapid growth and significant local bony remodeling that can mimic a malignant process. Of the ∼50 published cases to date, few have documented the need for neurosurgical intervention. We herein report a NCMT in an infant treated with a staged cranial and transnasal approach, as well as summarize the available literature on this pathology. <b><i>Case Report:</i></b> A newborn male with a compromised airway was noted to have a large sinonasal lesion. After stabilization, MRI demonstrated a 4-cm enhancing mass with diffuse sinus involvement and significant extension into the anterior cranial fossa, with displacement of the optic apparatus and hypothalamic pituitary axis. After an initial biopsy, the patient underwent a bifrontal craniofacial approach at 2 months of age, followed by a second-stage transnasal endoscopic approach at 15 months which resulted in a complete resection. There were no neurosurgical complications. Pathology was consistent with a NCMT. <b><i>Discussion:</i></b> Although rare, neurosurgical involvement is critical for the treatment of NCMTs with intracranial extension. Staged cranial and endonasal endoscopic approaches may be needed for complete resection of such lesions.


2009 ◽  
Vol 123 (11) ◽  
Author(s):  
J Yiotakis ◽  
T Vamvakidis ◽  
E Iakovou ◽  
L Manolopoulos

AbstractIntroduction:Verrucous carcinoma is a variant of well differentiated squamous cell carcinoma characterised by an exophytic, warty growth which is slowly but locally invasive and which can cause extensive local destruction if left untreated.Case report:We report the first known case of veruccous carcinoma of the paranasal sinuses with rapid orbital invasion. A 58-year-old man presented with right-sided nasal obstruction, a huge right intranasal lesion, intractable dacryocystitis and cutaneous involvement of the nasolacrimal sac region. The tumour was partially removed using an endoscopic transnasal approach. Post-operatively, and while waiting for the histological result, the patient developed signs of rapid invasion of the orbit, with uniocular visual acuity deficit. He underwent combined radiochemotherapy, with a moderate response.Conclusion:Knowledge of the potentially aggressive nature of verrucous carcinoma may be helpful in early management of intraorbital invasion and salvaging of the eye.


2021 ◽  
Vol 3 ◽  
pp. 67-69
Author(s):  
Shalini Agarwal ◽  
Jyoti Siwach ◽  
Ramneet Wadi ◽  
Nipun Gupta

We report a case of a 55-year-old male patient who presented with swelling over his right elbow of 5-year duration. An ultrasound examination revealed an echogenic mass within the olecranon bursa. On magnetic resonance imaging, the mass revealed the signal intensity of fat, and it was attached to the bursal lining by means of a pedicle. There was no restriction on diffusion-weighted images and no significant contrast enhancement. Excision was performed under local anesthesia. The excised specimen revealed mature fat cells on histopathology.


Neurosurgery ◽  
2010 ◽  
Vol 66 (suppl_3) ◽  
pp. A96-A103 ◽  
Author(s):  
Harminder Singh ◽  
James Harrop ◽  
Paul Schiffmacher ◽  
Marc Rosen ◽  
James Evans

Abstract BACKGROUND Chordomas are primarily malignant tumors encountered at either end of the neural axis; the craniovertebral junction and the sacrococcygeal junction. In this article, we discuss the surgical management of craniovertebral junction chordomas. OBJECTIVE In this paper, we discuss the surgical management of craniovertebral junction chordomas. RESULTS The following approaches are illustrated: transoral-transpalatopharyngeal approach, high anterior cervical retropharyngeal approach, endoscopic transoral approach, and endoscopic transnasal approach. No single operative approach can be used for all craniovertebral chordomas. Therefore, the location of the tumor dictates which approach or approaches should be used.


2014 ◽  
Vol 7 (3) ◽  
pp. 621-624
Author(s):  
Jennifer Garland ◽  
Elizabeth O'Leary ◽  
Joseph Haggerty ◽  
Thomas G. Zorc

2015 ◽  
Vol 7 (2) ◽  
pp. 68-71
Author(s):  
Gaurav Ashish ◽  
Rajan S Sundereshan ◽  
Ajay Philip

ABSTRACT Shwannoma, better known as neurilemmomas, are benign, slow growing, usually solitary and encapsulated tumor, originating from Schwann cells of the nerve sheath. They are exceedingly rare in the base of tongue and, therefore, not immediately thought of as a differential diagnosis of oropharyngeal tumors. However, the key to the diagnosis lies in the histopathologic examination. A number of surgical approaches have been proposed for tongue base Schwannomas with varying degree of postoperative morbidity. We report a case where a 19-year-old woman presented to us with progressive dysphagia, occasional dysarthria, and was found to have a large tongue base lesion. Diagnosis was confirmed by imaging studies and biopsy. Transoral laser assisted excision of the tumor was done. Histologic identification of Antoni A and B areas along with strong and diffuse staining with S-100 stain confirmed the diagnosis of Schwannoma. How to cite this article Ashish G, Sundereshan RS, Philip A. Transoral Laser Excision of Schwannoma in Base of Tongue: A Case Report with Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2):68-71.


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