scholarly journals Concomitant Anomalous Branching of Facial Nerve and Double Parotid Duct: A Case Report

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Amro Mohamed Soliman ◽  
Elvy Suhana Ramli ◽  
Srijit Das ◽  
Norzana Abd Ghafar
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Branching Pattern ◽  
Anterior Border ◽  
Parotid Duct ◽  
Male Cadaver ◽  
The Right

The facial nerve divides within the parotid gland into upper temporozygomatic and lower cervicofacial branches. The two branches further subdivide and emerge from the parotid gland as five main branches. We observed a rare anomalous branching pattern of the facial nerve along with double parotid duct on the right side of a 50-year-old male cadaver. The two parotid ducts emerged at the level of the anterior border of parotid gland then united to form one single duct thereby opened into the oral cavity. The first duct (D1) emerged from the upper one third of the anterior border of the parotid gland and traversed horizontally for 9 mm to join the second duct. Knowledge of anomalous branching pattern of facial nerve and double parotid ducts may be beneficial for maxillofacial surgeons.

scholarly journals A communicating artery between axillary and radial artery - a case report

2012 ◽  
Vol 01 (02) ◽  
pp. 102-105
Author(s):  
Komala N. ◽  
Aruna N.
Keyword(s):  
Case Report ◽  
Radial Artery ◽  
Surgical Procedures ◽  
Axillary Artery ◽  
Branching Pattern ◽  
Arterial Variations ◽  
Male Cadaver ◽  
Arterial Grafting ◽  
The Right ◽  
Pedicle Flaps

AbstractVariations in the branching pattern of axillary artery have been observed quite frequently. In a male cadaver aged around 45 years allotted for undergraduate dissection a communicating artery between axillary and radial artery was found on the right side during routine dissection. Such arterial variations are important for clinicians in angiographic examinations, removes ambiguity during diagnostic interventions and surgical procedures. Thereby it ensures competency and reduces complications in cardiac catheterization, pedicle flaps, arterial grafting etc.

A rare variation in the formation of the lower trunk of the brachial plexus its embryological basis and clinical importance - a case report

2012 ◽  
Vol 6 (4) ◽  
pp. 49-52
Author(s):  
N Satyanarayana ◽  
R Guha ◽  
P Sunitha ◽  
GN Reddy ◽  
G Praveen ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Clinical Importance ◽  
Medical Sciences ◽  
Nerve Roots ◽  
Rare Variation ◽  
Lower Trunk ◽  
Male Cadaver ◽  
The Right

Brachial plexus is the plexus of nerves, that supplies the upper limb.Variations in the branches of brachial plexus are common but variations in the roots and trunks are very rare. Here, we report one of the such rare variations in the formations of the lower trunk of the brachial plexus in the right upper limb of a male cadaver. In the present case the lower trunk was formed by the union of ventral rami of C7,C8 and T1 nerve roots. The middle trunk was absent. Upper trunk formation was normal. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 49-52 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6727

Myoepithelial Carcinoma ex Pleomorphic Adenoma: Rare Case Report with Clinicopathologic and Immunohistochemical Features

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S86-S87
Author(s):  
M Khazaeli ◽  
Z Kamaluddin ◽  
M Taherian
Keyword(s):  
Case Report ◽  
Parotid Gland ◽  
Pleomorphic Adenoma ◽  
Nasal Passage ◽  
Carcinoma Ex Pleomorphic Adenoma ◽  
Sublingual Gland ◽  
Myoepithelial Carcinoma ◽  
Minor Salivary Glands ◽  
Myoepithelial Differentiation ◽  
The Right

Abstract Introduction/Objective Myoepithelial carcinoma is identified by nearly exclusive myoepithelial differentiation and evidence of malignancy. It may arise de novo or in preexisting benign tumors including pleomorphic adenoma and benign myoepithelioma. It occurs most commonly in the parotid gland followed by submandibular glands, minor salivary glands, and occasionally in the sublingual gland. Nasopharyngeal origin has been rarely reported. Methods/Case Report An afebrile 19-year-old female presented to the emergency department with persistent facial pressure, otalgia (right side greater than left side), rhinorrhea, and several episodes of epistaxis. One month before, she has been treated with Amoxicillin for three days with no relief, where Augmentin started for her for five days. About four days prior presentation, she was placed on Prednisone and Cefdinir. Over the next several days, she began having throat pain with difficulty swallowing. Routine blood work revealed a leukocytosis of 14.2 with normal differentiation. CT of the neck showed a large soft tissue mass centered at the right nasopharynx. Flexible nasal endoscopy performed bilaterally to reveal the nasopharynx is entirely obstructed with a lobulated mass filling the nasopharynx. On the right side, it extends into the posterior nasal passage filling the sphenoethmoid recess and the posterior floor of the nasal passage. Outpatient biopsy from nasopharynx mass is also performed. Results (if a Case Study enter NA) Mass biopsy reveals a mucinous and chondromyxoid background with mixed epithelial and myoepithelial differentiation. The is squamous metaplasia of myoepithelial cells and prominent mitotic activity and apoptotic activity. Immunohistochemistry was positive for CK5/6, calponin, BCL2, SMA, BerEp4, Sox10, and a proliferative index up to 40%. Based on this information Myoepithelial Carcinoma ex-pleomorphic adenoma of the nasopharynx is the diagnosis. Conclusion Carcinoma ex pleomorphic adenoma is usually a high-grade malignancy. It occurs most commonly in the parotid gland, followed by submandibular glands, minor salivary glands, and occasionally in the sublingual gland. Our case is one of the few cases of myoepithelial carcinoma arising in nasopharyngeal pleomorphic adenoma.

scholarly journals Bilateral Anatomical Variation in the Formation of Trunks of the Brachial Plexus - A Case Report

2018 ◽  
Vol 35 (01) ◽  
pp. 9-13
Author(s):  
E. Lasch ◽  
M. Nazer ◽  
L. Bartholdy
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Scientific Literature ◽  
Case Reports ◽  
Anatomical Variation ◽  
Male Cadaver ◽  
Motor Nerves ◽  
The Right

AbstractThis study presents a bilateral variation in the formation of trunks of brachial plexus in a male cadaver. The right brachial plexus was composed of six roots (C4-T1) and the left brachial plexus of five roots (C5-T1). Both formed four trunks thus changing the contributions of the anterior divisions of the cervical nerves involved in the formation of the cords and the five main somatic motor nerves for the upper limb. There are very few case reports in the scientific literature on this topic; thus making the present study very relevant.

scholarly journals A rare branching pattern of ulnar nerve in the lower arm

2014 ◽  
Vol 31 (03) ◽  
pp. 159-161
Author(s):  
O. Oyedun ◽  
O. Onatola ◽  
C. Kanu ◽  
O. Zelibe
Keyword(s):  
Case Report ◽  
Ulnar Nerve ◽  
Surgical Repair ◽  
Medial Epicondyle ◽  
Branching Pattern ◽  
Medial Aspect ◽  
Nerve Blockade ◽  
Male Cadaver

Abstract Introduction: The ulnar nerve is one of the two terminal branches of the medial cord. It passes down the medial aspect of the arm and runs posterior to medial epicondyle to enter the forearm without branching. Previously, ulnar nerve variations have been consistently located in origin or course of the distal branches. Case Report: In this present case, an unreported rare bifurcation of ulnar nerve was seen in the left lower arm of a 65 year male cadaver with the resulting posteromedial and anterolateral branches arising above the medial epicondyle in.Its phylogeny and implications are discussed in detail. Conclusion: A lack of awareness of variations might complicate surgical repair and may cause ineffective nerve blockade.

scholarly journals Bilateral temporal bone fractures: a case report

2017 ◽  
Vol 4 (1) ◽  
pp. 271
Author(s):  
Kiran Natarajan ◽  
Koka Madhav ◽  
A. V. Saraswathi ◽  
Mohan Kameswaran
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Facial Paralysis ◽  
Bone Fractures ◽  
Clinical Manifestations ◽  
Csf Leak ◽  
The Right ◽  
Temporal Bones

<p>Bilateral temporal bone fractures are rare; accounting for 9% to 20% of cases of temporal bone fractures. Clinical manifestations include hearing loss, facial paralysis, CSF otorhinorrhea and dizziness. This is a case report of a patient who presented with bilateral temporal bone fractures. This is a report of a 23-yr-old male who sustained bilateral temporal bone fractures and presented 18 days later with complaints of watery discharge from left ear and nose, bilateral profound hearing loss and facial weakness on the right side. Pure tone audiometry revealed bilateral profound sensori-neural hearing loss. CT temporal bones &amp; MRI scans of brain were done to assess the extent of injuries. The patient underwent left CSF otorrhea repair, as the CSF leak was active and not responding to conservative management. One week later, the patient underwent right facial nerve decompression. The patient could not afford a cochlear implant (CI) in the right ear at the same sitting, however, implantation was advised as soon as possible because of the risk of cochlear ossification. The transcochlear approach was used to seal the CSF leak from the oval and round windows on the left side. The facial nerve was decompressed on the right side. The House-Brackmann grade improved from Grade V to grade III at last follow-up. Patients with bilateral temporal bone fractures require prompt assessment and management to decrease the risk of complications such as meningitis, permanent facial paralysis or hearing loss. </p>

scholarly journals Variant Branching Pattern of Axillary Artery: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Swamy Ravindra Shantakumar ◽  
K. G. Mohandas Rao
Keyword(s):  
Case Report ◽  
Cardiovascular Diseases ◽  
Axillary Artery ◽  
Diagnostic Procedures ◽  
Common Trunk ◽  
Branching Pattern ◽  
Undergraduate Medical Students ◽  
Medical College ◽  
The Third ◽  
Male Cadaver

During routine dissection of an approximately 50-year-old male cadaver for the undergraduate medical students at Melaka Manipal Medical College, Manipal University, Manipal, we came across a variation in branching pattern of right axillary artery. The second part of axillary artery gave rise to a common trunk which divided into the subscapular and lateral thoracic arteries. The third part of right axillary artery gave rise to anterior and posterior circumflex humeral arteries. Variations in the branching pattern of axillary artery are important for the surgeons performing interventional or diagnostic procedures in cardiovascular diseases.

Pneumoparotitis: A New Diagnostic Technique and a Case Report

1998 ◽  
Vol 107 (4) ◽  
pp. 356-358 ◽  
Author(s):  
Ólafur Gudlaugsson ◽  
Árni Jón Geirsson ◽  
Kolbrún Benediktsdóttir
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Oral Cavity ◽  
Parotid Gland ◽  
Subcutaneous Emphysema ◽  
Diagnostic Technique ◽  
New Method ◽  
Computed Tomography Scan ◽  
Open Biopsy ◽  
Tomography Scan

Pneumoparotitis is a rare cause of parotid gland swelling. We report a case of self-induced pneumoparotitis that resulted in subcutaneous emphysema and pneumomediastinum after an open biopsy of the parotid gland. We suggest a new method for diagnosing this condition. This is done by insufflation of the cheeks with contrast in the oral cavity. A reflux of air and contrast is subsequently demonstrated by a computed tomography scan of the area.

scholarly journals Idiopathic sialectasia of Stensen’s duct treated by marsupialisation of ectatic segment

2015 ◽  
Vol 23 (3) ◽  
pp. 134-138
Author(s):  
Indranil Pal ◽  
Saumitra Kumar ◽  
Anindita Sinhababu ◽  
Kushal Chatterjee
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Parotid Gland ◽  
Superficial Parotidectomy ◽  
Parotid Duct ◽  
Uncommon Condition ◽  
Stensen’S Duct ◽  
Stensen's Duct

Introduction:Sialectasis of parotid duct is an uncommon condition characterised by abnormal dilatation of a part or whole of the Stensen's duct. It may lead to recurrent parotid infections as well as a cause of concern for the patient. Superficial parotidectomy is the accepted surgical treatment for this condition. Case Report: A case of idiopathic dilatation of parotid duct is presented. It was treated by marsupialisation of the sialectatic segment.This procedure proved to be much simpler and safer than superficial parotidectomy whilst being equally effective. Conclusion: In cases of Stensen's duct sialectasis without any abnormality of the parotid gland, marsupialisation of the ectatic segment should be the treatment of choice.

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