scholarly journals A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children

2021 ◽  
Vol 9 ◽  
Author(s):  
Ying Xu ◽  
Fugen Han ◽  
Dongjie Seng ◽  
Lan Jiang ◽  
Shengcai Wang ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Head And Neck ◽  
Clinical Characteristics ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Ct Scanning ◽  
Diagnosis And Treatment ◽  
Imaging Features ◽  
The Impact ◽  
Bronchogenic Cysts

Objective: This study was designed to summarize the clinical characteristics, diagnosis and treatment of pharyngeal bronchogenic cysts in children to help in making the correct diagnosis and developing an appropriate treatment plan.Methods: The clinical data of 13 children with bronchogenic cysts in the pharynx, who were treated in otolaryngology head and neck surgery department between September 2013 and July 2019, were analyzed retrospectively. The clinical characteristics were evaluated, and the related factors for diagnosis and treatment were analyzed. Clinical characteristics and imaging features of three cases whose lesions located in the nasopharyngeal, oropharynx, and laryngopharyngeal were demonstrated.Results: All 13 children were male, the youngest being 4 days old, the oldest 6 years and 6 months, and the median age being 1 year and 4 months. Eight patients were diagnosed during a physical examination, and five patients visited the doctor with different degrees of upper airway obstruction. The mass was located in the nasopharynx in one patient, in the oropharynx in eight patients, and in the laryngopharynx in the other four patients. Computed tomography (CT) scanning, which is helpful for a topical diagnosis, showed a dense homogeneous mass. Electronic nasopharyngoscopy showed cystic masses of different sizes in the pharynx. All the children underwent cyst resection under general anesthesia, and the postoperative pathology result was a bronchogenic cyst. One child was lost to follow-up, but the remaining 12 children were followed up for between 6 months and 6 years, during which no recurrence of a cyst was found.Conclusion: Bronchogenic cysts are a rare cyst of the head and neck, and the most common site of the cyst is the oropharynx. The impact on airway obstruction depends on the location and size of the cyst. CT scanning is of great significance for diagnosis. Surgical treatment should be carried out as soon as possible after diagnosis, as surgery is the most effective way to treat bronchogenic cysts. Follow-ups should be carried out regularly to prevent cyst recurrence.

scholarly journals Parietaria Allergy: An Intriguing Challenge for the Allergist

Medicina ◽  
2018 ◽  
Vol 54 (6) ◽  
pp. 106
Author(s):  
Giorgio Ciprandi ◽  
Paola Puccinelli ◽  
Cristoforo Incorvaia ◽  
Simonetta Masieri
Keyword(s):  
Clinical Practice ◽  
Symptom Severity ◽  
Pollen Season ◽  
Clinical Characteristics ◽  
Allergen Immunotherapy ◽  
Correct Diagnosis ◽  
Mediterranean Area ◽  
Pollen Exposure ◽  
Inflammatory Changes ◽  
The Impact

Parietaria pollen is the most important cause of pollen allergies in the Mediterranean area, as Parietaria is widespread in this region. Many issues are associated with Parietaria allergy, including the duration of the pollen season (many doctors in fact believe that it lasts throughout the year), pollen load (which seems to be increasing over time), the impact of age (on IgE production and symptom severity), inflammatory changes (after pollen exposure), and the choice of allergen immunotherapy (AIT). In addition, molecular diagnostics allows for the defining of a correct diagnosis, differentiating between mere sensitization and true allergy. This review considers these topics and will hopefully help the allergist in clinical practice. Parietaria allergy is an intriguing challenge for the allergist in clinical practice, but it may be adequately managed by knowing the peculiarities of respective territories and the clinical characteristics of each patient.

History and examination

2014 ◽  
pp. xviii-22
Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul
Keyword(s):  
Differential Diagnosis ◽  
Head And Neck ◽  
Medical History ◽  
Imaging Techniques ◽  
Treatment Plan ◽  
Diagnosis And Treatment ◽  
Advanced Imaging

Contents. Relevant pages in other chapters. Principal sources. Listen, look, and learn. Presenting complaint. The dental history. The medical history. Medical examinatio. Examination of the head and neck. Examination of the mouth. Investigations—general. Investigations—specific. Radiology and radiography. Advanced imaging techniques. Differential diagnosis and treatment plan.

scholarly journals Primary lung neoplasms presenting as multiple synchronous lung nodules

2020 ◽  
Vol 29 (157) ◽  
pp. 190142
Author(s):  
Subha Ghosh ◽  
Atul C. Mehta ◽  
Sami Abuquyyas ◽  
Shine Raju ◽  
Carol Farver
Keyword(s):  
Lung Neoplasms ◽  
Correct Diagnosis ◽  
Ct Scanning ◽  
The Body ◽  
Lung Nodules ◽  
Lymphoid Tissues ◽  
Imaging Features ◽  
Primary Malignancy ◽  
Bilateral Lung ◽  
Diagnostic Work

Multiple synchronous lung nodules are frequently encountered on computed tomography (CT) scanning of the chest and are most commonly either non-neoplastic or metastases from a known primary malignancy. The finding may initiate a search for primary malignancy elsewhere in the body. An exception to this rule, however, is a class of rare primary lung neoplasms that originate from epithelial (pneumocytes and neuroendocrine), mesenchymal (vascular and meningothelial) and lymphoid tissues of the lung. While these rare neoplasms also present as multiple synchronous unilateral or bilateral lung nodules on chest CT, they are often overlooked in favour of more common causes of multiple lung nodules. The correct diagnosis may be suggested by a multidisciplinary team and established on biopsy, performed either as part of routine diagnostic work-up or staging for malignancy. In this review, we discuss clinical presentations, imaging features, pathology findings and subsequent management of these rare primary neoplasms of the lung.

scholarly journals Paragangliomas of the Head and Neck: Epidemiology, Radiologic Diagnosis, Treatment

2017 ◽  
pp. 16-27
Author(s):  
N. Yu. Kashtanova ◽  
I. I. Pyatkova
Keyword(s):  
Differential Diagnosis ◽  
Head And Neck ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Professional Activity ◽  
Radiologic Diagnosis ◽  
Surgical Risk ◽  
Rare Tumors ◽  
Diagnostic Signs ◽  
Time Diagnosis

Paragangliomas of the head and neck are extremely rare tumors. During the period of professional activity, a radiologist can meet single patients with parangliomas. So it is important to know the main diagnostic signs when meeting with such patients, вecause on-time diagnosis and treatment contribute to reduce surgical risk. The purpose of this review is to study the most common localizations of paragangliomas of head and neck and describe main visualization characteristics which are necessary for correct diagnosis and differential diagnosis.

Impact and Cost Effectiveness of Videonystagmography

2020 ◽  
pp. 000348942096887
Author(s):  
Garrett Ni ◽  
Christine Kim ◽  
Lakshmi Nair ◽  
Alexander G. Bien ◽  
Daohai Yu ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Treatment Plan ◽  
Cost Effective ◽  
Diagnosis And Treatment ◽  
Medicare Reimbursement ◽  
Treatment Plans ◽  
Vestibular Symptoms ◽  
The Cost ◽  
Evidence Based Guidelines ◽  
The Impact

Objective: Videonystagmography (VNG) is a commonly ordered test to evaluate patients with vestibular complaints. To date, there are no evidence-based guidelines for evaluating patients presenting with vestibular symptoms. This study evaluates the cost effectiveness of VNG and the impact of VNG findings on patient management. Methods: Patient charts were reviewed from 3 institutions to collect the pre- and post-VNG ICD-9/10 diagnosis and treatment plan. VNG findings were recorded to calculate the incidence of abnormal findings and the incidence of change in diagnosis and/or treatment plan. The cost effectiveness of VNG was estimated based on these calculations. Results: A total of 120 patient charts were reviewed. 69/120 (57.5%; 95% CI: 48.2%-66.5%) patients had abnormal findings on their VNG. A change in diagnosis was noted in 24/120 (20.0%; 95% CI: 13.3%-28.3%) patients. A change in treatment plan was noted in 62/120 (51.7%; 95% CI: 42.4%-60.9%) patients, and 11/120 (9.2%; 95% CI: 4.7%-15.8%) had a change in diagnosis that led to change in treatment plan. Using the average Medicare reimbursement for VNG, the cost effectiveness analysis showed a cost of $869.57 per VNG with abnormal findings and a cost of $5454.55 per VNG that lead to a change in diagnosis and treatment plan. Conclusions: VNG findings may not result in changes in clinical diagnosis. However, VNG is impactful at influencing treatment plan changes. VNG results are beneficial for counseling patients, guiding treatment plans, and managing patient expectations. When there is a clear indication, VNG testing can be cost effective in managing patients presenting with vestibular symptoms.

scholarly journals Workup of Suspected Chest Metastases on 18F-FDG-PET/CT in Head and Neck Cancer: Worth the Wait?

2019 ◽  
Vol 98 (3) ◽  
pp. 158-164 ◽  
Author(s):  
Christopher J. Leto ◽  
Daniel Sharbel ◽  
Chien Wei Wang ◽  
Tyler M. Bone ◽  
Robert M. Liebman ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Treatment Initiation ◽  
Treatment Plan ◽  
Primary Treatment ◽  
Tumor Board ◽  
Ct Findings ◽  
Pet Ct ◽  
The Impact

The objective of our study is to assess the impact of equivocal or positive positron emission tomography combined with low-dose noncontrast computed tomography (PET/CT) findings in the chest on treatment for head and neck cancer (HNC). We reviewed charts of patients presented at Augusta University’s Head and Neck Tumor Board (AUTB) between 2013 and 2016 with the following exclusion criteria: <18 years, Veterans Affairs patients, those with incomplete data, and those without a history of head and neck squamous cell carcinoma. The lung/thorax sections of the radiologists’ PET/CT reports were graded as “Positive, Equivocal, or Negative” for chest metastases. Patients who underwent workup for suspected chest metastases were assessed for treatment delays, changes in treatment plans, and complications. In addition, we evaluated the time between AUTB presentation and peri-treatment PET/CT to primary treatment initiation were calculated between groups. There was a total of 363 patients with PET/CT prior to treatment, the read was “Negative” in 71.3% (n = 259), “Equivocal” in 20.9% (n = 76), and “Positive” in 5.8% (n = 21). Of 272 patients with complete treatment data, 22 underwent workup for suspected chest metastases. Mean time from PET/CT to treatment initiation was 27.5 days without workup and 64.9 days with workup ( P < .0001), and from AUTB presentation was 29.1 days without workup and 62.5 days with workup ( P < .0001). Five (19.2%) patients experienced a complication from workup. Twenty (76.9%) patients had no changes in their treatment plan after workup. In conclusion, our results for potential chest metastases on PET/CT in patients with HNC are often not clear-cut. Workup of suspected chest metastasis based on PET/CT findings significantly delays primary treatment initiation and may cause serious complications.

scholarly journals The impact of cone beam computed tomography in diagnosis and endodontic treatment planning decisions - case reports

2021 ◽  
Vol 10 (2) ◽  
pp. e44910212726
Author(s):  
Key Fabiano Souza Pereira ◽  
Thais Helena Turatto ◽  
Lia Beatriz Junqueira-Verardo ◽  
Ana Grasiela da Silva Limoeiro ◽  
Ellen Cristina Gaetti-Jardim
Keyword(s):  
Computed Tomography ◽  
Treatment Planning ◽  
Cone Beam Computed Tomography ◽  
Case Reports ◽  
Treatment Plan ◽  
Root Anatomy ◽  
Diagnosis And Treatment ◽  
Cone Beam ◽  
The Impact ◽  
Clinical Cases

Conventional radiographic techniques have limitations, showing a two-dimensional image of a three-dimensional object, making it difficult to recognize the internal root anatomy in endo-dontic therapy. Cone-beam computed tomography (CBCT) is a diagnostic method that allows the visualization of all structures three-dimensionally, showing promising results compared to periapical radiographs. The objective of this study was to report two clinical cases where CBCT was fundamental to the diagnosis and a better treatment planning of the steps that were taken during the endodontic intervention. The CBCT were performed prior to the treat-ments, the volume of the exams were dynamically analyzed in specific software. The data were interpreted and together with the radiographic image and clinical examination data, the diagnosis and treatment planning were carried out. Given the report and discussion of the two clinical cases, it can be concluded that CBCT proved to be an impacting resource to support diagnosis and decision-making in the treatment of complex endodontic cases. CBCT ensured greater reliability in the diagnosis and treatment plan adopted, increasing the predictability of the endodontic therapy.

scholarly journals The clinical characteristics of coronavirus disease 2019 in mild and ordinary female patients

2020 ◽  
Vol 25 (2) ◽  
pp. 56-64
Author(s):  
Yaona Jiang ◽  
Yaqing Li ◽  
Dong Yuan ◽  
Guanghua Hou
Keyword(s):  
Clinical Characteristics ◽  
Ct Scanning ◽  
Lactic Dehydrogenase ◽  
Diagnosis And Treatment ◽  
C Reactive Protein ◽  
Blood Cell Count ◽  
Youth Group ◽  
Reactive Protein ◽  
Positive Results ◽  
Lung Ct

AIMS: the aim of study was to explore the clinical characteristics of coronavirus disease 2019 in mild and ordinary patients, providing guidance for clinical diagnosis and treatment. MATERIALS AND METHODS: Sixty-four patients with positive results of nucleic acid testing were divided into two groups, called the youth group and the older group, to be compared the differences of clinical characteristics. RESULTS: Sixty-nine cases showed normal or decrease in white blood cell count (WBC). One case decreased in lymphocyte count (LYMPH). Seven cases decreased in lymphocyte proportion (LYMPH%). Seven cases increased in C-reactive protein (CRP). Sixteen cases increased in alanine transaminase (ALT). Nineteen cases increased in aspartate transaminase (AST). One case increased in lactic dehydrogenase (LDH). Six cases decreased in creatine kinase (CK). Three cases increased in globulin (GLOB). Thirty-eight cases decreased in serum creatinine (CRE). Five cases decreased in blood urea nitrogen (BUN). The lung CT scanning results showed no statistic difference between two groups (p 0.05). The level of WBC, NEUT, LDH, BUN, potassium (K+) showed statistic difference between two groups (p ˂ 0.05). CONCLUSIONS: Age was a risk factor in COVID-19. In the course of future diagnosis and treatment, blood test might play an increasingly important role.

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