Congenital Midline Cervical Cleft: A Case Report with Review of Literature

2017 ◽  
Vol 8 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Ashwin A Jaiswal ◽  
Bikram K Behera ◽  
Ravindranath Membally ◽  
Manoj K Mohanty

ABSTRACT Aim To highlight a rare case of a congenital midline cervical cleft (CMCC) in context with embryological theories/hypothesis, presentation, and management along with review of literature. Introduction Congenital midline cervical cleft is a rare but interesting anterior neck anomaly with controversial theories/ hypothesis regarding its embryogenesis. Case report We describe here a classical case of midline cervical cleft that presented at birth with a cephalocaudal orientation, extending from the level below the hyoid bone to the suprasternal notch with a length of 3 cm and width of 0.5 cm. At 6 months of age, the lesion was excised and closure was done by multiple Z-plasty, with satisfactory results. Discussion Although the diagnosis is clinical, it is frequently misdiagnosed. The associated clinical features could include thyroglossal duct cysts, cleft lip/mandible/sternum, cervical contractures, mandibular spurs, microgenia, and/or bronchogenic cysts. If it is not treated at an early age, it can result in complications like webbing of the neck, dental malocclusion, and restricted neck movements. Conclusion Earliest recognition of CMCC and proper intervention can provide better esthetic and functional prognosis. Clinical significance A correct earlier recognition of the lesion and appropriate surgical management are key to avoid longterm complications. How to cite this article Jaiswal AA, Behera BK, Membally R, Mohanty MK. Congenital Midline Cervical Cleft: A Case Report with Review of Literature. Int J Head Neck Surg 2017;8(1):25-30.

2015 ◽  
Vol 6 (3) ◽  
pp. 115-117
Author(s):  
Sachin Lal Shilpakar ◽  
Bivek Aryal ◽  
Shyam Thapa Chettri ◽  
Apar Pokharel ◽  
Deepak Paudel

ABSTRACT The trichoepithelioma is a benign cutaneous neoplasm which is derived from hair follicles. It is common in the face, but there are only three reports of the solitary occurrence on the nose. It is often not recognized because of its rarity, controversial classification, origin and biological potential. The objective of this paper is to present a case of solitary trichoepithelioma on the nose, histopathological examination and treatment. It should be considered as a differential diagnosis of a solitary lesion of nose which is confused with basal cell carcinoma. The confirmation by histopathological examination is essential. How to cite this article Sah BP, Shilpakar SL, Aryal B, Chettri ST, Pokharel A, Mishra S, Paudel D. Solitary Trichoepithelioma of Nose: A Rare Case Report and Review of Literature. Int J Head Neck Surg 2015;6(3):115-117.


2019 ◽  
Vol 4 (3) ◽  

Intravascular Papillary Endothelial Hyperplasia (IPEH) or Masson’s Tumor is a benign vascular tumor, most commonly seen on the skin and usually on the head, neck or extremities. It is more common in women with no age predilection. Visceral involvement is very rare, with about 30 intra-abdominal reports. We present a case report of a 58 year old woman who underwent a CT scan due to dysphagia complaints, with an incidental known finding of growth in the adrenal adenoma, which was 5 cm in diameter on hospitalization. The patient underwent laparoscopic adrenalectomy. Biopsy results demonstrated a brownish yellow lesion, 2.8 cm in diameter, composed of a blood clot and septate. Immunochemical staining for CD31 and CD34 was positive and the lesion was diagnosed as an IPEH of pure form. Our review of literature examines different forms of IPEH, previous reports and characteristics of Masson’s tumors in the adrenal gland and stratifies ways of differentiation it from other benign or malignant lesions of the adrenal.


2015 ◽  
Vol 6 (1) ◽  
pp. 23-25
Author(s):  
Santosh Kumar Swain ◽  
Mahesh Chandra Sahu ◽  
Rajashree Tripathy

ABSTRACT Pleomorphic adenoma (PA) is the most common benign tumor of the salivary glands and has both epithelial and mesenchymal tissues. It most commonly arises from the parotid or submandibular glands. Rarely, it arises from the minor salivary glands. We report here a case of pleomorphic adenoma arising from the soft palate and both sides of anterior tonsillar pillars in a 75-year-old man. This patient was presenting painless slow growing large swelling in the soft palate over 20 years causing mechanical obstruction of airway and food. The entire tumor mass was excised along with overlying mucosa. How to cite this article Swain SK, Sahu MC, Tripathy R. A Giant Pleomorphic Adenoma of the Palatine Arch in a 75-Year-Old Man: A Case Report with Review of Literature. Int J Head Neck Surg 2015;6(1):23-25.


1970 ◽  
Vol 1 (2) ◽  
pp. 19-20 ◽  
Author(s):  
S Shah ◽  
D Yadav ◽  
P Adhikari

Keywords: Neurofibroma; middle meatus; endoscopic sinus surgeryDOI: 10.3126/njenthns.v1i2.4760 Nepalese J ENT Head Neck Surg Vol.1 No.2 (2010) p.19-20


1962 ◽  
Vol 1 (3) ◽  
pp. 148-151
Author(s):  
Andrew M. Margileth

1. Our experience with a six-year-old boy who had diarrhea, urethritis, conjunctivitis and arthritis is presented as a classical case of Reiter's syndrome. The patient recovered fully in a period of five months and has remained well during the past five years. 2. The cause of Reiter's syndrome remains unknown but in children may be related to Flexner bacillus dysentery. 3. The disease in children is usually less severe than in adults and all 11 children reported have recovered. The recent literature is reviewed. 4. Treatment with antibiotics is of no value and steroid therapy has not prevented exacerbations nor shortened the course of the disease. 5. The nongonococcal triad of urethritis, conjunctivitis, and arthritis is a distinct clinicopathologic entity which differs from known infections and juvenile rheumatoid arthritis.


2014 ◽  
Vol 5 (1) ◽  
pp. 25-27
Author(s):  
Sunil Kumar ◽  
Ashwini Sethi ◽  
Satwinder Pal Singh

ABSTRACT Very few cases of oncocytoma parotid have been reported in literature. Because of its rarity (less than 1% of salivary gland tumors) and clinical presentation of the tumor, there is a tendency among the clinicians to misdiagnose it as pleomorphic adenoma, hemangioma or other forms of oncocytosis. Only a histopathological examination can confirm it. We report here a case of oncocytoma of parotid gland in a 70-year-old male who had the tumor for over 9 years. How to cite this article Kumar S, Sethi A, Singh SP, Sharma V. Oncocytoma Parotid Gland: A Case Report and Brief Review of Literature. Int J Head Neck Surg 2014;5(1):25-27.


2013 ◽  
Vol 4 (2) ◽  
pp. 66-69
Author(s):  
Srijon Mukherji ◽  
Yogendra Singh Chauhan

ABSTRACT Intraosseous vascular lesions are rare conditions, comprising only 0.5 to 1% of all intraosseous hemangioma tumors. They mainly occur in the second decade of life especially in female. The most common locations are the vertebral column and skull; nevertheless, the mandible is quite rare location. Hemangiomas are benign vasoformative neoplasms of endothelial origin. However, the origin of central hemangioma is debatable. Cavernous hemangioma produces dilemma in diagnosis with central gaint cell tumor, aneurysmal bone cyst, ameloblastoma, cystic lesion such as residual cyst, keratocyst and fibro-osseous lesions, such as fibrous dysplasia being frontier in clinical diagnosis. Here, we report a 6 years male with cavernous hemangioma of mandible. How to cite this article Chauhan YS, Mukherji S. Intraosseous Hemangioma: A Case Report and Review of Literature. Int J Head Neck Surg 2013;4(2):66-69.


2010 ◽  
Vol 119 (11) ◽  
pp. 786-790
Author(s):  
Gayathri Mandya Renukaswamy ◽  
Marlene A. Soma ◽  
Benjamin E. J. Hartley

Objectives: A midline cervical cleft (MCC) is a rare congenital anomaly due to failure of fusion of the first and second branchial arches during embryogenesis. It may present as a midline defect of the anterior neck skin with a skin projection or sinus, or as a subcutaneous fibrous cord. This report evaluates the clinical features and surgical management of an MCC. Methods: We analyzed a series of 4 patients with an MCC successfully treated at Great Ormond Street Hospital for Children in London. Results: Three male patients and 1 female patient between 4 and 11 months of age were found to have an MCC. Each patient presented with an erythematous, fibrous band of tissue extending between the chin and the suprasternal notch. Treatment comprised surgical excision of the lesion and Z-plasty repair. We present the embryology, common clinical presentation, investigations, differential diagnosis, and histology, along with a literature review, of this uncommon malformation of the anterior neck. Conclusions: An MCC is a differential diagnosis to consider when assessing a child with a midline cervical lesion. Early surgical excision with Z-plasty repair of the soft tissue defect is the treatment of choice to prevent long-term complications.


2017 ◽  
Vol 103 (1_suppl) ◽  
pp. S47-S49 ◽  
Author(s):  
Cheng Yi ◽  
Lin Han ◽  
Rui Yang ◽  
Junfeng Yu

Purpose Paraganglioma, a kind of pheochromocytoma originating from embryonic neural crest, is a rare neuroendocrine neoplasm commonly located at extra-adrenal areas such as head, neck, and abdomen. There are a few reports on renal paragangliomas; fewer than 5 reported cases are renal pelvic paragangliomas, including our case. Methods Our patient, who had not experienced headache, hypertension, or palpitation, was founded to have a fixed mass in the left renal pelvis incidentally. Ultrasonography and computed tomography (CT) demonstrated a heterogeneous mass before surgery, and histopathologic test subsequently revealed that the infrequent mass was paraganglioma. Results During 6 months follow-up, ultrasonography and CT examinations showed no signs of recurrence or metastasis. Conclusions The present case report confirms surgery as the standard to treat patients with paraganglioma. We present this case to serve as a reminder of suspected paraganglioma when it has occurred in renal pelvis.


2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Ülkü Özmen Bayar ◽  
Varîm Numanoğlu ◽  
Sibel Bektaş ◽  
Hakan Sade ◽  
Duygu Tatlî

Congenital malformations of the lung (CML) are rare with similar embryological and clinical spectra and could result in mortality if left untreated. Bronchogenic cysts are formed during the budding of the tracheal diverticula and ventral foregut in the embryological period. In this paper we want to present a case of bronchogenic cyst with continuous intrauterine cyst aspiration follow-up. After the baby birth was operated and the postoperative period was uneventful. The pathological examination revealed a bronchogenic cyst.


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