B-ENT

Natural history of a squamous cell carcinoma of the lower lip. OBJECTIVE: In lip cancer cases without significant co-morbidities, curative treatment is preferable to palliative; although, the patient may refuse care. This case report describes the natural progression of squamous cell carcinoma (SCC) of the lower lip. CASE REPORT: A 76-year-old, non-smoker, male farmer had a lesion on his left lower lip that was clinically and histological proven to be a T₁N₀Mx SCC...

Mucosal cavernous hemangioma of the maxillary sinus: a series of 3 cases. INTRODUCTION: Sott-tissue hemangiomas are benign vascular tumors that are common in the head and neck region and rare in the sinonasal tract. Those originating in the sinus mucosa are extremely rare. We report three cases of non-osseous (mucosal) cavernous hemangioma (CH) originating in the maxillary sinus and successfully managed endonasally and endoscopically. PATIENTS AND METHODS: All patients were referred to the ENT outpatient department for a persistent unilateral pansinusitis that was resistant to broad-spectrum antibiotics for one year...

Endoscopic endonasal removal of median palatine cyst. PROBLEM: A 49-year-old man presented with a median palatine cyst, as an incidental finding in a work-up of vision disturbance, due to a cyst in the sphenoid sinus. METHODOLOGY: The median palatine cyst was removed with a diode laser in the contact mode under endoscopic vision; forceps were used to remove the sphenoid sinus cyst. RESULTS: Follow-up over 6 months showed authentic absence of left eye vision impairment, no signs of recurrence of the median palatine cyst, and no acute inflammation in the nasal cavity or paranasal sinus area...

Stridor caused by.a blue laryngeal mass in an infant: case report. We describe an infant who had inspiratory stridor that began a few weeks after birth. Flexible upper airway endoscopy while the infant was awake showed a large blue mass at the posterior glottis, above the esophageal inlet. The lesion was only visible upon crying or coughing; it was undetectable when we examined the infant in the supine position during spontaneous breathing and did not respond to systemic treatment with propranolol. Based upon these typical features, we established a diagnosis of pressure- dependent postcricoid mass...

Plunging ranula with prestyloid parapharyngeal space, masticator space, and parotid gland extension. INTRODUCTION: Ranulas develop from mucous extravasation secondary to sublingual gland duct obstruction or trauma. Plunging ranula usually dive into the submandibular space. METHODS: This is the first reported case of a plunging ranula with direct extension to the prestyloid parapharyngeal space, masticator space, and parotid gland with avoidance of the submandibular space...

Unexpected overnight stay following ENT day-case surgery: a 5-year audit. PROBLEMS/OBJECTIVES: Recent decades have seen a steady reduction in the average duration of hospitalization for all surgical patients, including those undergoing ENT procedures. Correspondingly, the proportion of day surgeries relative to in-patient surgeries has progressively increased. In the present observational study, we aimed to evaluate the proportion of unplanned overnight stays following planned day surgeries in our ENT unit, and the major causes of these unexpected overnight admissions...

Bipolar diathermy-assisted coblation really affects post-tonsillectomy haemorrhage rate and white membrane in paediatric tonsillectomy. OBJECTIVE: this study aimed to evaluate the effect of bipolar diathermy-assisted coblation on post-tonsillectomy haemorrhage (PTH) rate, operation time, the volume of blood loss during surgery, the time needed to return to a regular diet and the relationship between the thickness of the white membrane of tonsil fossa and the degree of postoperative pain in paediatric tonsillectomy...

Residual cholesteatoma revealed by endoscopy after microsurgery. OBJECTIVE: To endoscopically examine common sites of residual cholesteatoma occurrence after microscopic ear surgery. METHODS: Thirty patients (15 men and 15 women; age range: 7-81 years) who underwent treatment for middle ear cholesteatoma (20 patients with pars flaccida :holesteatoma and 10 patients with pars tensa cholesteatoma) were selected. Following the removal of the cholesteatoma matrix via microscopy, residual matrix presence was assessed using an endoscope system...

UNLABELLED: The role of cVEMPs and vHIT in the evaluation of otosclerosis and its eventual vestibular impairment: preliminary findings. OBJECTIVES: Otosclerosis is one of the most common causes of hearing loss in adults, with a prevalence of 0.3% to 0.4% in Caucasians. Vestibular symptoms may occur, with an incidence ranging between 5% and 57% of patients. The aim of our study is to evaluate the vestibular function and its eventual changes after stapes surgery in patients affected by otosclerosis...

Felix tympanoplasty: functional results of a single surgeon's technique in the scope of a literature review on influencing factors. OBJECTIVE: The outcome of myringoplasties may be affected by local, general or epidemiologic factors. We reduced the variability of the surgical procedure to a minimum, in order to better evaluate the role of these factors on the functional results. To accomplish this, a single surgical procedure performed by a single surgeon was analysed in this retrospective study...

Transnasal endoscopic management of anterior cerebrospinal fluid (CSF) leak: experience from a large case series. OBJECTIVES: Anterior cerebrospinal fluid (CSF) leak is a consequence described after head trauma, skull base surgery or inflammatory diseases, but may also occur spontaneously. Prompt recognition and management is crucial in order to avoid complications and to achieve successful surgical repair. The purpose of this study is to present the clinical features of a large group of patients with anterior CSF leak and the results of their surgical management...

Effects of Smoking on healthy oral mucosa: a red-green-blue (photgraphic) evaluation. AIM: The aim of this study was to compare normal looking oral mucosa of smokers and non-smokers by means of a photographic technique. SETTING: Tertiary referral centre Material and methods: There were 78 patients included in the study (age range: 20-60 years), all of whom had normal looking oral mucosa and had been smoking for at least five years. The control group of non-smoking volunteers was age- and gender-matched...

UNLABELLED: Surgical treatments for snoring. OBJECTIVES: To compare the results on snoring and sleepiness of different surgical treatments for sleep disordered breathing (SDB) including uvulopalatopharyngoplasty (UPPP), functional expansion pharyngoplasty (FEP), osteotomy, septoplasty with turbinoplasty, and somnoplasty. METHODOLOGY: Between May 2011 and December 2015, 329 patients presenting with SDB underwent a dedicated clinical examination, drug-induced sleep endoscopy (DISE), and polysomnography (PSG)...

Middle turbinate primary mucocele in a child masquerading as a nasal tumour. INTRODUCTION: Nasal obstruction in children is a very common complaint in daily ENT consultations. The common cold, rhinosinusitis, allergic rhinitis, hypertrophy and inflammation of the adenoid pad are very common causes of nasal obstruction, but there are numerous other causes for which the clinician must be aware. METHODOLOGY: The authors report a very unusual case of a primary mucocele of the middle turbinate of a 7-year-old girl masquerading as a nasal tumour...

Epithelioid hemangioendothelioma of the nasal septum. BACKGROUND: Epithelioid hemangioendothelioma is a tumour of vascular origin and unknown aetiology, which occurs in all age groups. The most common locations are the liver, bone, lungs, and brain, with less common occurrence in head and neck regions, and no prior reports of origination from nasal septum. CASE REPORT: Here we report a case of epithelioid hemangioendothelioma of the nasal septum. A 62-year-old male patient attended our clinic with epistaxis and congestion in his left nasal cavity...

Nasoseptal cyst after septorhinoplasty: late and unusual but preventable complication. INTRODUCTION: Formation if a slowly growing cyst following septorhinoplasty is a rare but serious complication. Mucous cyst is more common than foreign body inclusion cyst. Typically, these cysts present as a solitary lesion that develops in the subcutaneous pace over the nasal bone along the line of nasal osteotomy several months or years after initial surgery. Rarely, the cyst onnects with the nasal septum...

Anterior Inferior cerebellar artery infarction misdiagnosed as inner ear disease. OBJECTIVE: The clinical >resentation of anterior inferior cerebellar artery (AICA) infarction may mimic that of inner ear disease. lethodology: This report presents two patients with cerebellar artery infarction initially misdiagnosed with inner ear lisease. ase Report: Both the patients presented with sudden hearing loss and vertigo. The patient in case 1 was initially liagnosed with idiopathic sudden sensorineural hearing loss...

The injectable filler in rhinoplasty: not a complication-free alternative. PROBLEM: Non-surgical or "filler" rhinoplasty seems an attractive tool to fine-tune the aesthetic results of surgery; its use as a primary technique is also increasingly popular. However, physicians performing these procedures should be aware that they are not complication-free. METHODOLOGY/RESULTS: In two case studies we now describe potential foreign body reactions, resulting in granulomas, to first generation silicone oil fillers, and second generation injectable hyaluronic acid fillers...

UNLABELLED: Subannular T-tubes for the treatment of adhesive otitis: how we do it. OBJECTIVES: Adhesive otitis is a chronic otitis media (OM) that consists of the adhesion of the tympanic membrane (TM) to the promontory. The aim of our study is to evaluate a new way of positioning subannular T-tubes (SATs) in patients affected by adhesive otitis. METHODOLOGY: This study enrolled 22 patients (average age: 36.7 yo, 2.5 SD; M/F ratio: 14/8) affected by unilateral chronic adhesive otitis...

Laser-assisted tympanomastoidectomy for active mucosal chronic otitis media. OBJECTIVES: Achieving disease control in the context of active granulating mucosal chronic otitis media (COM) is typically challenging. Adjuvant laser use in cholesteatomatous COM surgery enhances disease clearance, yet its role in mucosal COM remains unexplored. The purpose of this study is to present the outcomes and our experience of the latter, and to attempt to define the role of this approach in managing mucosal COM...