CLINICAL CHARACTERISTICS, RESULTS OF SURGICAL TREATMENT IN CONGENITAL CYST AND FISTULAS OF THE OTORHINOLARYNGOLOGY

2017 ◽  
pp. 226-232
Author(s):  
Manh Hoang Le ◽  
Tu The Nguyen ◽  
Van Dung Phan
Keyword(s):  
Surgical Treatment ◽  
Clinical Characteristics ◽  
Neurological Complications ◽  
University Hospital ◽  
Type I ◽  
Branchial Cleft Cyst ◽  
Congenital Cyst ◽  
Pathologic Features ◽  
Key Words Cyst ◽  
Branchial Cleft

Background: To study the clinical characteristics, results of surgical treatment in congenital cyst and fistulas of the otorhinolaryngology. Patients: 74 patients diagnosed congenital cyst and fistulas of the otorhinolaryngology was treated with surgery, from May 2016 to June 2017 at Hue University Hospital, Hue Central Hospital and Da Nang Hospital for women and children. Main outcome measure: diagnosis, the clinical and pathologic features, the method and the results of surgical treatment. Results: We identified 74 patients, 83.8% of them had the preauricular fistula, 9.5% had thyroglossal fistula, 4.1% had type II branchial cleft cyst, 1.4% had type I branchial cleft cyst and 1.4% had pyriform sinus fistula. The pathologic feature: inflammation, abscess accounted for 52.7%, normal accounted for 47.3%. Complications after surgery: 1.4% of mild complications are hematoma and 1.4% of infection after surgery, without neurological complications. Recurrence after surgery: 1.4%. Conclusions: In all types of congenital cyst and fistulas of the otorhinolaryngology, preauricular fistula is the highest, the most common form of injury is inflammation, abscesses. Complications after surgery are mild, without neurological complications. Key words: cyst, fistula, congenital, results of surgical treatment

Two cases of nasopharyngeal branchial cleft cyst treated by powered instrument assisted marsupialisation

2013 ◽  
Vol 127 (6) ◽  
pp. 614-618 ◽  
Author(s):  
Y W Kim ◽  
M-J Baek ◽  
K H Jung ◽  
S K Park
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Sleep Apnoea ◽  
Invasive Technique ◽  
Branchial Cleft Cyst ◽  
First Case ◽  
Branchial Cleft ◽  
The Right

AbstractObjective:We report two extremely rare cases of symptomatic nasopharyngeal branchial cleft cyst treated by powered instrument assisted marsupialisation.Methods:Case report and literature review concerning nasopharyngeal branchial cleft cyst and surgical treatment methods.Results:The first case was a two-year-old boy with a 1 × 2 cm, cystic, oropharyngeal mass, who also had severe snoring and sleep apnoea. The second case was a 56-year-old man with right nasal obstruction and a sensation of fullness in the right ear. In both cases, we performed endoscopic marsupialisation using a powered instrument. There was no recurrence in either case over two years of follow up.Conclusion:Powered instrument marsupialisation is a simple, effective and less invasive technique for the treatment of nasopharyngeal branchial cleft cyst.

scholarly journals Stuburo krūtininės ir juosmeninės dalies lūžių operacinio gydymo rezultatai

2012 ◽  
Vol 11 (3-4) ◽  
pp. 101-107
Author(s):  
Valentinas Uvarovas ◽  
Igoris Šatkauskas ◽  
Andrius Vaitiekus ◽  
Šarūnas Venckus ◽  
Artūras Kiškis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Spinal Column ◽  
Neurological Complications ◽  
University Hospital ◽  
Average Score ◽  
Full Time ◽  
Ability To Work ◽  
Disability Score ◽  
Number Of Patients ◽  
Group B

TikslasĮvertinti pacientų darbingumo pokyčius po stuburo lūžių operacinio gydymo.Ligoniai ir metodaiRetrospektyviai išanalizuoti 121 ligonio, operuoto 2007–2010 m. RVUL Ortopedijos ir traumatologijos centre dėl nestabilių stuburo krūtininės ir juosmeninės dalių lūžių be neurologinių komplikacijų duomenys. Į galutinę analizę įtraukti 44 ligoniai, kurie suskirstyti į tris socialines grupes: A – dirbantys ne visu krūviu, turintys neįgalumą, pensininkai; B – dirbantys visu krūviu; C – bedarbiai. Atlikta ligonių nedarbingumo analizė ir gydymo rezultatų vertinimas naudojant Oswestry klausimyną.RezultataiIš tirtų 44 ligonių moterų buvo 17 (38,6 proc.), vyrų – 27 (61,4 proc.). Amžiaus vidurkis buvo 41,9 ± 15,9 (21–75) metų. Vidutinis laikas iki operacijos buvo 9,5 ± 12,2 (1–50) dienos. A grupėje nedarbingumas po operacijos padidėjo nuo 5 (11,4 proc.) iki 21 (47,7 proc.), B grupėje darbingumas grįžo 21 (63,6 proc.) iš 33, C grupėje bedarbių sumažėjo nuo 6 (13,6 proc.) iki 2 (4,6 proc.) po gydymo. Ligoniai Oswestry klausimynu ištirti vidutiniškai po 19,1 ± 3,85 (12–24) mėnesių po traumos. Iš visų ištirtų 44 ligonių sunkus ir luošinantis neįgalumas pagal Oswestry skalę nustatytas 18 (40,9 proc.), o lengvas ir vidutinis neįgalumas – 26 (59,1 proc.). Vidutinis Oswestry klausimyno balų skaičius buvo 36 ± 21,5 (0–76).IšvadosPo stuburo lūžių operacinio gydymo darbingumas grįžta 63,6 proc. prieš traumą visu krūviu dirbusių pacientų. Po traumos gydymo dirbančių ne visu krūviu, turinčių neįgalumą, pensininkų padaugėjo nuo 11,4 iki 47,7 proc. Iš visų operuotų pacientų dažniau nustatytas lengvas ir vidutinis neįgalumas nei sunkus.Reikšminiai žodžiai: stuburas, lūžiai, operacinis gydymas, fiksacijos tipas, socialinės grupės.Outcome of surgical treatment of thoracic and lumbar spine fractures ObjectiveTo evaluate the disability score after the surgical treatment of spinal column fractures.Materials and methodsData on 121 patients with unstable thoracic and lumbar spinal column vertebrae fractures without neurological complications, who underwent surgical fixation in the Centre of Traumatology and Orthopaedics in the Republic Vilnius University Hospital in 2007–2010, was retrospectively analyzed; 44 fixations were enrolled into the final study, and all the patients were grouped into three groups according to the level of disability: A – retirees, people having disability and working not full time; B – working full time; C – unemployed. The results of the disability and surgical treatment were analyzed by using the Oswestry scale.ResultsOf the 44 treated patients, 17 (38.6 perc.) were women and 27 (61.4 perc.) – men. The average age of the patients was 41.9 ± 15.9 (range, 21–75). The average time until the surgery was 9.5 ± 12.2 (1–50) days. The number of patients with disability in group A increased from 5 (11.4 perc.) to 21 (47.7 perc.), in group B the ability to work full time returned to 21 (63.6 perec.) out of 33, in group C the number of unemployed after surgery decreased from 6 (13.6 perc.) to 2 (4.6 perec.). The Oswestry disability scale was used 19.1 ± 3.85 (12–24) months after surgery. Severe disability was diagnosed to 18 (40.9 perc.) patients, minimal and moderate to 26 (59.1 perc.). The average score according to the Oswestry scale was 36 ± 21.5 (0–76).ConclusionsAfter surgical treatment, the ability to work returned to 63.6 perc. of the patients who were able to work full time before the trauma. After the trauma and surgery, the number of retirees and disabled patients increases from 11.4 perc. to 47.7 perc. The minimal and moderate disability among the operated on patients is identified more often than the severe one.Keywords: spinal column, fractures, surgical treatment, fixation type, social groups.

scholarly journals Stuburo krūtininės ir juosmeninės dalies lūžių operacinio gydymo rezultai

2013 ◽  
Vol 12 (4) ◽  
pp. 204-211
Author(s):  
Valentinas Uvarovas ◽  
Igoris Šatkauskas ◽  
Andrius Vaitiekus
Keyword(s):  
Surgical Treatment ◽  
Spinal Column ◽  
Neurological Complications ◽  
University Hospital ◽  
Average Score ◽  
Full Time ◽  
Disability Score ◽  
Vilnius University ◽  
The Republic ◽  
Group B

TikslasĮvertinti pacientų darbingumo pokyčius po stuburo lūžių operacinio gydymo.Ligoniai ir metodaiRetrospektyviai išanalizuoti 121 ligonio, operuoto 2007–2010 m. RVUL Ortopedijos ir traumatologijos centre dėl nestabilių stuburo krūtininės ir juosmeninės dalių lūžių be neurologinių komplikacijų, duomenys. Į galutinę analizę įtraukti 44 ligoniai,kurie suskirstyti į tris socialines grupes: A – dirbantys ne visu krūviu, turintys neįgalumą, pensininkai; B – dirbantys visu krūviu; C – bedarbiai. Atlikta ligonių nedarbingumo analizė ir gydymo rezultatų vertinimas naudojant Oswestry klausimyną.RezultataiIš tirtų 44 ligonių moterų buvo 17 (38,6 %), vyrų – 27 (61,4 %). Amžiaus vidurkis – 41,9 ± 15,9 (21–75) metų. Vidutinis laikas iki operacijos buvo 9,5 ± 12,2 (1–50) dienos. Po gydymo A grupėje nedarbingumas po operacijos padidėjo nuo 5 (11,4 %) iki 21(47,7 %), B grupėje darbingumas grįžo 21 (63,6 %) iš 33, C grupėje bedarbių sumažėjo nuo 6 (13,6 %) iki 2 (4,6 %). Pacientai Oswestry klausimynu ištirti vidutiniškai po 19,1 ± 3,85 (12–24) mėnesių po traumos. Iš visų ištirtų 44 ligonių sunkus ir luošinantis neįgalumas pagal Oswestry skalę nustatytas 18 (40,9 %), o lengvas ir vidutinis neįgalumas – 26 (59,1 %) pacientams. Vidutinis Oswestry klausimyno balų skaičius buvo 36 ± 21,5 (0–76).IšvadosPo stuburo lūžių operacinio gydymo darbingumas grįžta 63,6 % prieš traumą visu krūviu dirbusių pacientų. Po traumos gydymo dirbančių ne visu krūviu, turinčių neįgalumą, pensininkų padaugėja nuo 11,4 % iki 47,7 %. Dažniau nustatomas lengvas irvidutinis nei sunkus visų operuotų ligonių neįgalumas.Reikšminiai žodžiai: stuburas, lūžiai, operacinis gydymas, fiksacijos tipas, socialinės grupės.Outcome of surgical treatment of thoracic and lumbar spine fractures ObjectiveTo evaluate the disability score after the surgical treatment of spinal column fractures.Materials and methodsData of 121 patients with unstable thoracic and lumbal spinal column vertebrae fractures without neurological complications, who underwent surgical fixation in the Centre of Traumatology and Orthopaedics of the Republic Vilnius University Hospital between years 2007 to 2010, were retrospectively analyzed. Fourty-four fixations were enrolled into the final study and all the patients were grouped into 3 groups according to the level of disability: A – pensioners, people having disability and working not full time, B – working full time, C – unemployed. The results of the disability and surgical treatment were analyzed by using the Oswestry scale.ResultsSeventeen (38.6%) out of the 44 treated patients were women and 27 (61.4%) were men. The average age of the patients was 41.9 ± 15.9 (range, from 21 to 75). The average time that passed until the surgery was 9.5 ± 12.2 (1–50) days. The number ofpatients with disability in group A increased from 5 (11.4%) to 21 (47.7%), in group B the ability to work full time returned to 21 (63.6%) out of 33, in group C the number of unemployed after surgery decreased from 6 (13.6%) to 2 (4.6%). The Oswestrydisability scale was used 19.1 ± 3.85 (12–24) months after the surgery. Severe disability was diagnosed to 18 (40.9%) patients, and minimal and moderate to 26 (59.1%). The average score according to the Oswestry scale was 36 ± 21.5 (0–76).ConclusionsAfter the surgical treatment, the abilty to work returned to 63.6% of the patients who had been able to work full time before the trauma. After the trauma and surgery, the number of pensioners and disabled patients increased from 11.4% to 47.7%.The minimal and moderate disability among surgery patients is identified more often than the severe one.Key words: spinal column, fractures, surgical treatment, fixation type, social groups

scholarly journals Antibodies against type-I Interferon: detection and association with severe clinical outcome in COVID-19 patients

2021 ◽  
Author(s):  
David Goncalves ◽  
Mehdi Mezidi ◽  
Paul Bastard ◽  
Magali Perret ◽  
Kahina Saker ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Type I Interferon ◽  
Clinical Course ◽  
University Hospital ◽  
Type I ◽  
Type I Ifn ◽  
Type I Ifns ◽  
Recombinant Type ◽  
Circulating Autoantibodies

Objectives Impairment of type I interferon (IFN-I) immunity has been reported in critically ill COVID-19 patients. This defect can be explained by the presence of circulating autoantibodies against IFN-I. We set out to improve the detection and the quantification of such antibodies (Abs) in a cohort of severe Covid-19 patients, in an effort to better document the prevalence of these Abs as the pandemics evolves and how they correlate with the clinical course of the disease. Methods Anti-IFN-a Abs was investigated 84 critical COVID-19 patients who were admitted to ICU at the Lyon University Hospital, France with a commercially available kit (Thermo-Fisher). Results Twenty-one patients out of 84 (25%) had anti-IFNa2 Ab above cut-off (>34ng/mL) in sera. A neutralizing activity against IFN-a2 was evidenced in 15 of them, suggesting that 18% of patients were positive for neutralizing anti-IFN-a and -w auto-Abs. In addition, in most of patients with neutralizing IFN-I Abs, we noticed an impairment of the IFN-I response. However, we did not find any difference in terms of clinical characteristics or outcome between critical COVID-19 patients with or without neutralizing anti-IFN-a2 auto-Abs in these conditions. Finally, we detected anti-type I IFN auto-Abs in sera of COVID-19 patients were detected throughout the ICU stay. Conclusions We report that 18% of severe COVID-19 patients were positive for these Anti-Type-I IFN Abs, confirming the detrimental role of these Abs on the antiviral response. Our results further support the use of recombinant type I IFNs not targeted by the auto-Abs (e.g., IFN-b) in COVID-19 patients with an impaired IFN-I response.

scholarly journals Type I second branchial cleft cyst in an adult patient

2021 ◽  
Vol 8 (10) ◽  
pp. 3217
Author(s):  
Ramesh M. Tambat ◽  
Nitish A. Golasangi ◽  
Siddesh G. B. ◽  
Suhas P. ◽  
Yogendra Shrestha ◽  
...  
Keyword(s):  
Significant Risk ◽  
Neck Region ◽  
Rare Condition ◽  
Needle Aspiration ◽  
Type I ◽  
Branchial Cleft Cyst ◽  
Patient Reported ◽  
Branchial Cleft Anomalies ◽  
Second Branchial Cleft Cyst ◽  
Branchial Cleft

Branchial cleft anomalies are rare diseases of head and neck region. Second branchial cleft anomalies represent more than 95% of all branchial cleft anomalies. Second branchial cleft cyst is a benign developmental cyst due to the incomplete obliteration of pharyngeal cleft. A 46-year-old female patient reported to hospital with a complaint of swelling over the left side of the neck since 4 to 5 months. On clinical examination, swelling was seen below and behind the angle of mandible on the left side. The patient was evaluated using ultrasound and contrast enhanced computerized tomography (CECT) of neck which revealed second left bronchial cleft cyst/enlarged cystic lymph-node. Fine needle aspiration cytology of the swelling showed features of cystic lesion. Type-I branchial cleft cyst is a rare condition with a significant risk of misdiagnosis. To avert misdiagnosis and surgical complications, thorough investigation must be performed prior to surgical intervention.

Bilateral Ear Canal Cholesteatoma with Underlying Type I First Branchial Cleft Anomalies

2019 ◽  
Vol 128 (4) ◽  
pp. 360-364 ◽  
Author(s):  
Renee M. Banakis Hartl ◽  
Sherif Said ◽  
Scott E. Mann
Keyword(s):  
Careful Consideration ◽  
Initial Assessment ◽  
Type I ◽  
Branchial Cleft Cyst ◽  
Ear Canal ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Pathologic Analysis ◽  
Underlying Diseases ◽  
Work Up

Objectives: To describe a case of bilateral ear canal cholesteatomas in the setting of underlying first branchial cleft cyst anomalies and to review the pathophysiology underlying the development of external auditory canal cholesteatomas from branchial cleft cyst abnormalities. Methods and Results: We present a case study of a 61-year-old man who presented with chronic right-sided hearing loss and left-sided postauricular drainage. Clinical evaluation, radiographic work-up, and pathologic analysis confirmed a diagnosis of bilateral ear canal cholesteatoma in the setting of underlying first branchial cleft cyst anomalies. The patient’s clinical course, surgical treatment, and management considerations are discussed here. Conclusion: Ear canal cholesteatoma represents a rare clinical disease entity deserving a thorough initial assessment. Careful consideration of underlying diseases that result in chronic inflammation, such as branchial cleft lesions, should be included in the differential diagnosis of idiopathic canal cholesteatoma in the absence of prior otologic surgery or trauma.

scholarly journals A Type I first branchial cleft cyst masquerading as a parotid tumor

2014 ◽  
Vol 5 (1) ◽  
pp. 84 ◽  
Author(s):  
Arvind Krishnamurthy ◽  
Vijayalakshmi Ramshanker
Keyword(s):  
Type I ◽  
Parotid Tumor ◽  
Branchial Cleft Cyst ◽  
Branchial Cleft

Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

2018 ◽  
Vol 36 (2) ◽  
pp. 166-172 ◽  
Author(s):  
Hiroaki Niitsu ◽  
Hiroaki Tsumura ◽  
Tetsuya Kanehiro ◽  
Hiroaki Yamaoka ◽  
Hiroyuki Taogoshi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Characteristics ◽  
Reproductive Age ◽  
Pathological Examination ◽  
Type I ◽  
Women Of Reproductive Age ◽  
Hernia Sac ◽  
The Right ◽  
Hiroshima City ◽  
Mass Median

Aim: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age. Methods: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck’s canal (type I), round ligament (type II), or subcutaneous area (type III). Clinical characteristics were compared among groups. Results: Of 2,798 patients investigated, 28 were pathologically diagnosed as having IEM with 15, 10, and 3 classified as type I, II, and III respectively. All patients presented with a mass (median 20 mm) and/or bulge that mainly occurred at the right inguinal region. Sixteen patients presented with inguinal pain associated with menstruation. While the groups did not differ in terms of most clinical characteristics, the lack of a preoperative diagnosis of IEM occurred more frequently for type I than for types II and III. Conclusions: Because IEM-type I might be underdiagnosed preoperatively, complete resection of a hernia sac or hydrocele of Nuck’s canal with subsequent pathological examination is required for women of reproductive age with an inguinal disease.

Cystic dilation of the ventriculus terminalis

2012 ◽  
Vol 17 (1) ◽  
pp. 86-92 ◽  
Author(s):  
Mario Ganau ◽  
Andrea Talacchi ◽  
Paolo C. Cecchi ◽  
Claudio Ghimenton ◽  
Massimo Gerosa ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Status ◽  
Relevant Literature ◽  
University Hospital ◽  
Neurological Deficits ◽  
Herniated Disc ◽  
Treatment Modalities ◽  
Consecutive Series ◽  
Type I

Object The ventriculus terminalis, an embryological remnant consisting of the ependymal-lined space of the conus medullaris, can occasionally become symptomatic after cystic dilation. In the existing literature, consisting of 32 cases, the preferred type of management (conservative vs surgical) is still debated. The object of this study was to report the surgical results in a consecutive series of 10 adult patients with cystic dilation of the ventriculus terminalis (CDVT), to match them with data retrieved from the relevant literature, and specifically to validate a new recent clinical classification. Methods The authors reported 13 new cases of CDVT treated in the Department of Neurosurgery at University Hospital in Verona, Italy. Treatment modalities and clinical and radiological outcomes, both early and at follow-up, were analyzed and compared with a preoperative classification of clinical presentation, as established by de Moura Batista and colleagues (2008). Results Surgical treatment seemed to guarantee the resolution of CDVT. Dorsolumbar laminotomy, myelotomy, and cystic drainage were performed in 10 patients. Patients with Type I symptoms (nonspecific complaints) often presented with comorbidities (herniated disc or facet hypertrophy) confusing their clinical status. The surgical treatment of patients with Type I symptoms promoted good results only if the diagnosis of CDVT was definitive and symptoms had rapidly evolved. In patients with Type II (focal neurological deficits) and III (sphincter disturbances) symptoms, surgical treatment sustained improvement even at the late follow-up. Conclusions While confirming the usefulness of de Moura Batista and colleagues' classification in its impact on prognosis, the authors propose a revision of the classification with subgroups Type Ia (nonspecific symptoms without clear relation to CDVT), which is best treated conservatively, and Type Ib (rapid onset and invalidating unspecific complaints without comorbidities), which may benefit from surgical evacuation.

Hydrocephalus in Spinal Muscular Atrophy: A Case Report and Review of the Literature

2020 ◽  
Author(s):  
Jeetendra P. Sah ◽  
Aaron W. Abrams ◽  
Geetha Chari ◽  
Craig Linden ◽  
Yaacov Anziska
Keyword(s):  
Spinal Muscular Atrophy ◽  
Clinical Characteristics ◽  
Clinical Presentation ◽  
Muscular Atrophy ◽  
Communicating Hydrocephalus ◽  
Type I ◽  
Review Of The Literature ◽  
Radiographic Findings ◽  
Comprehensive Review ◽  
The Relationship

AbstractIn this article, we reported a case of spinal muscular atrophy (SMA) type I noted to have tetraventricular hydrocephalus with Blake's pouch cyst at 8 months of age following intrathecal nusinersen therapy. The association of hydrocephalus with SMA is rarely reported in the literature. Development of hydrocephalus after intrathecal nusinersen therapy is also reported in some cases, but a cause–effect relationship is not yet established. The aim of this study was to describe the clinical characteristics of a patient with SMA type I and hydrocephalus, to review similar cases reported in the literature, and to explore the relationship between nusinersen therapy and development of hydrocephalus. The clinical presentation and radiographic findings of the patient are described and a comprehensive review of the literature was conducted. The adverse effect of communicating hydrocephalus related to nusinersen therapy is being reported and the authors suggest carefully monitoring for features of hydrocephalus developing during the course of nusinersen therapy.

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