scholarly journals Branchial Fistulas—A Rare Entity in Pediatric Otorhinolaryngology: Current Management Protocols and Review of Literature

2014 ◽  
Vol 5 (3) ◽  
pp. 108-111
Author(s):  
Sudhir M Naik ◽  
MK Goutham ◽  
Ravishankar S Bhat ◽  
Mohan Appaji ◽  
KV Chidananda ◽  
...  
Keyword(s):  
Cosmetic Surgery ◽  
Case Series ◽  
Surgical Anatomy ◽  
Rare Entity ◽  
Review Of Literature ◽  
Retrospective Case ◽  
Current Management ◽  
Transcervical Approach ◽  
Conventional Procedure ◽  
Surgical Access

ABSTRACT Background/objectives Surgical managements which form the mainstay of these branchial apparatus anomalies are based on accurate understanding of the embryology and surgical anatomy. The conspicuous scarring in the young which becomes conspicuous as the age advances are reduced by newer approaches, the facelift approach, retroauricular approach and endoscope-assisted neck approach. Case report A retrospective case series analysis of eight patients with complete fistula managed by the combined trans cervical approach. The recurrence was nil, with good surgical access and minimal scar at the incision site. Conclusion Combined transcervical approach is the conventional procedure of choice for branchial fistulas. While retroauricular hairline incision (RAHI) approach and endo-scopic approaches need expertise and more instrumentation, meticulous cosmetic surgery techniques helps reduces scars of the transcervical approach. How to cite this article Bhat RS, Naik SM, Goutham MK, Bhat S, Appaji M, Chidananda KV, Devi NP, Joseph S, Nayak P. Branchial Fistulas—A Rare Entity in Pediatric Otorhinolaryngology: Current Management Protocols and Review of Literature. Int J Head Neck Surg 2014;5(3):108-111.

scholarly journals Acute Formic Acid Poisoning: A Case Series Analysis with Current Management Protocols and Review of Literature

2014 ◽  
Vol 5 (3) ◽  
pp. 104-107
Author(s):  
Sudhir M Naik ◽  
MK Goutham ◽  
Ravishankar S Bhat ◽  
CR Bhat ◽  
Mohan Appaji ◽  
...  
Keyword(s):  
Formic Acid ◽  
Case Series ◽  
Review Of Literature ◽  
Accidental Ingestion ◽  
Retrospective Case ◽  
Current Management ◽  
Deliberate Self Harm ◽  
Series Analysis ◽  
Renal Complications ◽  
Self Harm

ABSTRACT Background Formic acid (FA) being pungent, odorless, easily available and consumed for suicidal purposes and the dilute form being colorless and odorless is consumed accidentally. Accidental ingestion is rare and deliberate self-harm is very painful and violent which has been a rare modality of committing suicide but for these areas where it is easily available. Materials and methods This a retrospective case series analysis study 14 patients with acute formic acid poisoning. There were 14 patients, with 3 females and 11 males. The average age was 35.5 years, with the average in males being 34.9 and 37.6 in females. Thirty milliliter were considered as cutoff range as diluted/undiluted FA below 30 ml were managed in our institution and 30 ml+ were referred to higher toxicology speciality care. Results Act of deliberate self-harm was seen in 11 cases (78.5%) and accidental ingestion in three cases (21.5%). All had orofacial burns, 4 had mild hematemesis and 3 severe hematemesis with impending renal complications. All the stabilized and referred cases were no further evaluated for follow-up. Facial burns and contracture needing cosmetic correction was seen in three cases, while corneal and lid scarring seen in two cases while a case of esophageal stricture with lower GIT and renal complications were seen in one case. Conclusion Formic acid poisoning is uncommon, and limited literature review is available with fewer protocols laid. So, immediate management of this corrosive poisoning with supportive measures reduces the mortality drastically. Serial upper gastrointestinal imaging diagnose stricture earlier and cosmetic reconstruction helps in facial scarring and contractures. How to cite this article Bhat RS, Naik SM, Goutham MK, Bhat CR, Appaji M, Chidananda KV, Devi NP, Joseph S, Nayak P. Acute Formic Acid Poisoning: A Case Series Analysis with Current management Protocols and Review of Literature. Int J head Neck Surg 2014;5(3):104-107.

CD4 + primary cutaneous small/medium-sized pleomorphic T-cell lymphoma: a retrospective case series and review of literature

2014 ◽  
Vol 56 (4) ◽  
pp. 951-957 ◽  
Author(s):  
Edward James ◽  
Joseph G. Sokhn ◽  
Juliet Fraser Gibson ◽  
Kacie Carlson ◽  
Antonio Subtil ◽  
...  
Keyword(s):  
T Cell ◽  
Cell Lymphoma ◽  
Case Series ◽  
T Cell Lymphoma ◽  
Review Of Literature ◽  
Retrospective Case ◽  
Retrospective Case Series

Rhytidectomy After Parotidectomy

2017 ◽  
Vol 35 (2) ◽  
pp. 92-98
Author(s):  
Boris Paskhover ◽  
Benjamin C. Paul ◽  
David B. Rosenberg
Keyword(s):  
Patient Satisfaction ◽  
Facial Nerve ◽  
Intraoperative Complications ◽  
Case Series ◽  
Surgical Anatomy ◽  
Retrospective Case ◽  
Neck Lift ◽  
Parotid Surgery ◽  
History Of ◽  
Surgical Field

A history of prior parotidectomy is typically thought to substantially increase the risk of facial nerve injury for patients undergoing subsequent facelift surgery. For this reason, surgeons are often hesitant and may even elect not to perform facelift surgery on such patients. However, we have developed a safe and predictable operation for performing the post-parotidectomy rhytidectomy. Here, we present our rationale, approach, and results for performing this operation. This review is a retrospective case series. In total, 1200 facelifts from 2012 to 2016 performed by a single surgeon (D.B.R.) were reviewed. From these, 9 patients were identified as having had parotid surgery prior to rhytidectomy. Rhytidectomy was performed in 8 of 9 cases with a deep-plane, bilaminar approach. There were no intraoperative complications. One patient had a direct neck lift. There were no cases of revision. There were no cases of facial nerve damage including paresis or paralysis; 100% patient satisfaction was noted. Rhytidectomy with a deep-plane approach may be performed safely in patients who have undergone prior parotidectomy. Although there were no complications, revisions, postoperative asymmetry, or dissatisfaction in the patients in this study, it must be stressed that there is no substitute for a thorough appreciation of the surgical anatomy in combination with consideration of the changes to the surgical field that occur with parotid surgery.

Epiploic Appendagitis: A Rare Entity Easily Misdiagnosed as an Acute Abdomen: Case Series and Review of Literature

2013 ◽  
Vol 108 ◽  
pp. S385
Author(s):  
Stanley Yakubov ◽  
Steven Guttmann ◽  
Po Cheng Chu ◽  
Kadirawel Iswara ◽  
Ira Mayer ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Case Series ◽  
Rare Entity ◽  
Review Of Literature ◽  
Epiploic Appendagitis

scholarly journals Cladophialophora Bantiana: A Rare Intracerebral Fungal Abscess—Case Series and Review of Literature

2017 ◽  
Vol 03 (02) ◽  
pp. e62-e68 ◽  
Author(s):  
Maleeha Ahmad ◽  
Darren Jacobs ◽  
Hueizhi Wu ◽  
Donna Wolk ◽  
Syed Kazmi ◽  
...  
Keyword(s):  
Visual Field ◽  
Mortality Rate ◽  
Surgical Resection ◽  
Memory Loss ◽  
Case Series ◽  
Review Of Literature ◽  
Retrospective Case ◽  
Complete Surgical Resection ◽  
Intracerebral Infection

Background Intracerebral Cladophialophora bantiana may carry up to a 70% mortality rate despite advances in surgical resection capabilities and the use of both systemic and intrathecal antifungal treatments. Objectives The authors examined a retrospective case series of two patients with intracerebral infection from the rare, neurotropic fungus Cladophialophora bantiana and conducted a literature review to evaluate optimal therapies. Patients/Methods At our institution, the patients' cases presented with raised intracranial features of headache, visual field cut, and/or memory loss, with a correspondingly wide variety of radiological differential diagnoses. It was the microbiological, histopathological, and genomic identification of C. bantiana that ensured targeted, individualized patient therapies. Results and Conclusions Successful treatment depends on obtaining a complete surgical resection, an accurate microbiological diagnoses for mold identification, and an effective long-term, personalized antifungal treatment. Close radiographic surveillance is necessary to ensure complete eradication of pheoid fungi.

Comparison of Approaches for Oral Cavity Cancer Resection: Lip-Split versus Visor Flap

2007 ◽  
Vol 137 (3) ◽  
pp. 428-432 ◽  
Author(s):  
Benjamin W. Cilento ◽  
Mark Izzard ◽  
Ernest A. Weymuller ◽  
Neal Futran
Keyword(s):  
Oral Cavity ◽  
Case Series ◽  
Fistula Formation ◽  
Retrospective Case ◽  
Recurrence Rates ◽  
Surgical Morbidity ◽  
Surgical Access ◽  
Significant Difference ◽  
The University ◽  
Previous Irradiation

OBJECTIVE: To compare lip-split and visor flap approaches to the oral cavity in terms of morbidity, margins, and locoregional recurrence. DESIGN AND SETTING: Retrospective case series at the University of Washington, Seattle. METHODS: Seventy patients undergoing resection of advanced (T4) anterior oral cavity squamous cell carcinoma requiring fibula reconstruction were grouped according to surgical access procedure performed (lip-split [LS] or visor flap [VF]). Data on surgical morbidity, margin status, and outcomes were compared. RESULTS: Recurrence rates and positive margins were similar for both groups. Rates of postoperative fistulae were 6.8% (LS) vs 0% (VF) and for oral incompetence 14.6% (LS) vs 6.9% (VF). Most of the fistulas (37.5%) were in irradiated patients. Neither group had any malunions. CONCLUSIONS: There is no significant difference in pathological margins or rates of local recurrence when using either the lip-split or the visor approach. The lip-split approach has a higher rate of postoperative fistula formation than the visor flap approach; fistula formation may be associated with previous irradiation.

scholarly journals Secretory Carcinoma of the Oral Cavity: A Retrospective Case Series with Review of Literature

2021 ◽  
Author(s):  
Shankar Venkat ◽  
Sarah Fitzpatrick ◽  
Peter A. Drew ◽  
Indraneel Bhattacharyya ◽  
Donald M. Cohen ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Case Series ◽  
Review Of Literature ◽  
Secretory Carcinoma ◽  
Retrospective Case ◽  
Retrospective Case Series
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