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https://www.readbyqxmd.com/read/29764021/-misdiagnosic-analysis-and-treatment-of-pyriform-sinus-fistula-in-children
#1
J Ma, C Ming, F Lou, M L Wang, K Lin, W J Zeng, Z C Li, X F Liu, T S Zhang
Objective: To discuss the misdiagnosis of pyriform sinus fistula and to better understand this kind of illness. Methods: The analysis was based on twenty-eight patients with congenital pyriform sinus fistula aged from 11 months to 14 years, with the median age of 5 years, and who were surgically treated from January 2013 to January 2017 in Kunming Children's Hospital.Twenty patients were misdiagnosed in other hospital.After the routine examination of neck ultrasound and enhanced CT, internal fistula was found by self-retaining laryngoscope, traced by methylene blue, and excised by high ligation...
May 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29761277/treatment-of-differentiated-thyroid-cancer-can-endoscopic-thyroidectomy-via-a-chest-breast-approach-achieve-similar-therapeutic-effects-as-open-surgery
#2
Rui Qu, Jinyi Li, Jingge Yang, Peng Sun, Jian Gong, Cunchuan Wang
BACKGROUND: An analysis of some special factors was performed to further evaluate and discuss whether endoscopic surgery and traditional open surgery have similar therapeutic outcomes for differentiated thyroid cancer (DTC). METHODS: A retrospective study was performed on 76 patients undergoing surgery to treat DTC. Forty patients were treated by endoscopic thyroidectomy via the chest-breast approach (endoscopic group) and thirty-six patients were treated by open surgery (open group)...
May 14, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29731315/multiple-neurosurgical-treatments-for-different-members-of-the-same-family-with-currarino-syndrome
#3
N Serratrice, L Fievet, F Albader, D Scavarda, H Dufour, S Fuentes
INTRODUCTION: Currarino's syndrome (CS) is an autosomal dominant disorder of embryonic development causing a rare malformating syndrome characterized by a triad of an anorectal malformations, presacral mass (most commonly an anterior sacral meningocele) and sacral bony defects. Mutations of the HLXB9 gene have been identified in most CS cases, but a precise genotype-phenotype correlation has not been described so far. Family screening is obligatory. The diagnosis is usually made during childhood and rarely in adulthood...
May 3, 2018: Neuro-Chirurgie
https://www.readbyqxmd.com/read/29706420/spontaneous-resolution-of-a-non-traumatic-vertebro-vertebral-arteriovenous-fistula-in-a-paediatric-patient
#4
Paul Mitchell, Piers Thomas, David Anderson
We report the case of a 10 year old male who presented with right sided tinnitus and a pulsatile neck mass. MRI of the neck demonstrated a vertebro-vertebral arteriovenous fistula (VAVF), with supply from the right vertebral artery and drainage into a paraspinal venous plexus at C1/2. Endovascular treatment would have necessitated vertebral artery sacrifice with significant risk of complication, therefore a conservative approach was adopted; the patient was lost to follow up but presented 5 years later with complete resolution...
April 26, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29700788/vascular-ehlers-danlos-syndrome-presenting-as-a-pulsatile-neck-mass-a-case-report-and-review-of-literature
#5
Bharat Maraj, Emily Harding-Theobald, Fatima Karaki
Ehlers-Danlos syndrome refers to a spectrum of connective tissue disorders typically caused by mutations in genes responsible for the synthesis of collagen. Patients with Ehlers-Danlos syndrome often exhibit hyperflexibility of joints, increased skin elasticity, and tissue fragility. Vascular Ehlers-Danlos (vEDS) is a subtype of Ehlers-Danlos syndrome with a predilection to involve blood vessels. As such, it often manifests as vascular aneurysms and vessel rupture leading to hemorrhage. There are few reports describing primary prevention of aneurysms in the setting of undiagnosed, suspected vEDS...
April 26, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29698292/does-the-watson-jones-or-modified-smith-petersen-approach-provide-superior-exposure-for-femoral-neck-fracture-fixation
#6
Paul M Lichstein, John P Kleimeyer, Michael Githens, John S Vorhies, Michael J Gardner, Michael Bellino, Julius Bishop
BACKGROUND: A well-reduced femoral neck fracture is more likely to heal than a poorly reduced one, and increasing the quality of the surgical exposure makes it easier to achieve anatomic fracture reduction. Two open approaches are in common use for femoral neck fractures, the modified Smith-Petersen and Watson-Jones; however, to our knowledge, the quality of exposure of the femoral neck exposure provided by each approach has not been investigated. QUESTIONS/PURPOSES: (1) What is the respective area of exposed femoral neck afforded by the Watson-Jones and modified Smith-Petersen approaches? (2) Is there a difference in the ability to visualize and/or palpate important anatomic landmarks provided by the Watson-Jones and modified Smith-Petersen approaches? METHODS: Ten fresh-frozen human pelvi underwent both modified Smith-Petersen (utilizing the caudal extent of the standard Smith-Petersen interval distal to the anterosuperior iliac spine and parallel to the palpable interval between the tensor fascia lata and the sartorius) and Watson-Jones approaches...
April 24, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29690556/fine-needle-aspiration-cytology-for-neck-masses-in-childhood-an-illustrative-approach
#7
REVIEW
Consolato Sergi, Aneesh Dhiman, Jo-Ann Gray
The primary indication of fine-needle aspiration cytology of the head and neck region is a thyroid nodule or a mass located in the cervical area or the head. Although a thyroid nodule may raise the suspicion of malignancy, less than one in 20 cases results in a carcinoma. In addition, the list of differential diagnoses is quite different according to the age of the patient. A number of benign lesions, such as branchial cysts, sialadenosis, and sialoadenitis are often seen in childhood and youth. The malignant lesions that are on the top of the list of a pediatric mass of the head and neck (H&N) region include rhabdomyosarcoma, neuroblastoma, and papillary carcinoma of the thyroid gland...
April 22, 2018: Diagnostics
https://www.readbyqxmd.com/read/29682848/the-stop-bang-questionnaire-shows-an-insufficient-specificity-for-detecting-obstructive-sleep-apnea-in-patients-with-atrial-fibrillation
#8
Asmaa M Abumuamar, Paul Dorian, David Newman, Colin M Shapiro
Obstructive sleep apnea (OSA) is a sleep disorder associated with significant cardiovascular comorbidities, including cardiac arrhythmia. The STOP-BANG questionnaire is an eight-item self-report questionnaire designed to screen patients for OSA and was validated in preoperative surgical patients. The STOP items are snoring, daytime tiredness, observed apneas and high blood pressure. The BANG items are body mass index >35 kg/m2 , age >50 years, neck circumference >40 cm and male gender. We aimed to determine the screening properties of the STOP-BANG questionnaire in patients with arrhythmia...
April 22, 2018: Journal of Sleep Research
https://www.readbyqxmd.com/read/29682479/submandibular-lipoblastoma-case-report-of-a-rare-tumor-in-childhood
#9
Olfa El Amine, Meyssa Belghith, Hasna Salhi, Aida Goucha, Amor Gamoudi
Lipoblastoma is a rare, benign tumor usually occurring in childhood. It is essentially localized in the extremities and trunk, with few cases reported in the neck. We report the case of a 2-year-old girl with a rapidly enlarging, painless neck mass. Magnetic resonance imaging (MRI) revealed a 3-cm mass in the right submandibular region. Review of literature, diagnostic methods, and genetics of lipomatous tumors are discussed. Complete surgical excision via a lateral cervical approach demonstrated a white soft tissue with an adherent ganglion...
April 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/29681740/new-nematicidal-and-antimicrobial-secondary-metabolites-from-a-new-species-in-the-new-genus-pseudobambusicola-thailandica
#10
Zeljka Rupcic, Clara Chepkirui, Margarita Hernández-Restrepo, Pedro W Crous, Janet Jennifer Luangsa-Ard, Marc Stadler
During the course of a study on the functional biodiversity of the mycobiota inhabiting rainforests in Thailand, a fungal strain was isolated from a plant sample and shown to represent an undescribed species, as inferred from a combination of morphological and molecular phylogenetic methods. Molecular phylogenetic analyses, based on four DNA loci, revealed a phylogenetic tree with the newly generated sequences clustering in a separate branch, together with members of the Sulcatisporaceae (Pleosporales, Ascomycota)...
2018: MycoKeys
https://www.readbyqxmd.com/read/29662675/anterior-versus-posterior-approach-to-treat-cervical-spondylotic-myelopathy-clinical-and-radiological-results-with-long-period-of-follow-up
#11
Ziad A Audat, Mohammad D Fawareh, Ahmad M Radydeh, Moutasem M Obeidat, Mohannad A Odat, Khaldoon M Bashaireh, Mohammad M Barbarawi, Murad T Nusairat, Amna B Ibraheem, Mohammad Z Audat
Background: Cervical spondylotic myelopathy increases with age, but not all cases are symptomatic. It is usually diagnosed clinically and radiologically (X-ray and magnetic resonance imaging). Surgical treatment is indicated in severe symptomatic cases, while treatment controversy exists in the presence of less severe cases. Anterior and posterior approaches are generally used for decompression with no significant differences in the results of both. Methods: A total of 287 patients of cervical spondylotic myelopathy were treated at our hospital between January 2004 and December 2015...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29594083/large-parotid-gland-lipoblastoma-in-a-teenager
#12
Danny Jandali, Ashley Heilingoetter, Ritu Ghai, Jill Jeffe, Samer Al-Khudari
Background: Lipoblastomas are rare benign neoplasms that arise from fetal white fat cells. They are typically found in children under the age of 3 and have been reported in the mediastinum, extremities, and infrequently in the head and neck. We present a rare case of a lipoblastoma arising from the parotid gland and the first known report of a parotid lipoblastoma in a teenager. Case presentation: A 15-year-old male presented with a painless, slowly enlarging parotid mass and left facial swelling...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29563736/recurrent-bleeding-neck-mass-a-case-report
#13
Purushottam Chavan, Sreelekha Ray, Suma Sheshadri, Rajshekar Halkud
An adult male presented to us with a recurrent, large bleeding tumour in the neck. We describe our approach to the patient, whose tumour was labelled as an atypical glomus on final histopathology. They are relatively uncommon in the head neck, and this case report with literature review is expected to add to our knowledge.
March 2018: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29555500/isolated-greater-trochanteric-fracture-and-the-direct-anterior-approach-using-a-fracture-table
#14
James M Hartford, Bradley P Graw, Sara B Knowles, Dominick L Frosch
BACKGROUND: To identify the incidence, contributing factors, and outcomes of perioperative greater trochanter fractures associated with the direct anterior approach. METHODS: This is a retrospective analyses of 1401 primary THAs. Age, side, height, weight, body mass index, preoperative ambulatory status, discharge status, and hospital length of stay were identified. Radiographs were evaluated for femoral neck angle, femoral neck cut ratio (FNCR), and DORR ratio...
February 21, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29551721/multi-staged-hybrid-open-and-endovascular-surgical-treatment-of-va-thrombosed-giant-aneurysm-by-trapping-and-thrombectomy
#15
Tomoya Suzuki, Shogo Kaku, Kengo Nishimura, Akihiko Teshigawara, Yuichi Sasaki, Ken Aoki, Toshihide Tanaka, Kostadin Karagiozov, Yuichi Murayama
BACKGROUND: Surgical treatment of VA thrombosed giant aneurysms requires to achieve both obliteration of the parent artery to prevent bleeding and dome thrombectomy to relieve the brain stem from mass effect. To secure both proximal and distal control of complex VA aneurysms, contralateral approach to the aneurysm might be a useful alternative as previously described. We successfully treated a case of VA thrombosed giant aneurysm in a new original way by combining craniotomy (ipsilateral and contralateral) and endovascular technique...
March 15, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29549846/synchronous-gallbladder-squamous-cell-carcinoma-and-adenocarcinoma-both-as-primary-tumors-in-one-patient
#16
Amir Vahedi, Mahzad Azimpouran, Ali Ghavidel, Mahsa Karbasi, Mehrdad Farhadi
INTRODUCTION: Synchronous primary carcinomas of gallbladder are extremely rare. In this paper, we report a case of double primary carcinomas in gallbladder CASE REPORT: A 65 year old male was admitted to the hospital for surgical removal of gallbladder, which was diagnosed as cholecystitis in ultrasonography. Macroscopic examination disclosed a single whitish mass in gallbladder neck and another distinct mass in the fundus as wall thickening. Pathologic findings revealed squamous cell carcinoma of the neck and adenocarcinoma in the fundus...
March 6, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29542680/phoenixin-a-novel-brain-gut-skin-peptide-with-multiple-bioactivity
#17
REVIEW
Rong-Ming Lyu, Alan Cowan, Ying Zhang, Yi-Hung Chen, Siok L Dun, Jaw-Kang Chang, Nae J Dun, Jin Jun Luo
In this brief review we summarize the current fndings relative to the discovery of a small peptide ligand, phoenixin (PNX). Using a bioinformatic approach, two novel peptides PNX-14 and PNX-20 containing 14 and 20 amino acids, respectively, were isolated from diverse tissues including the brain, heart, lung and stomach. Mass spectrometry analysis identified a major and minor peak corresponding to PNX-14 and PNX-20, in rat or mouse spinal cord extracts. With the use of a rabbit polyclonal antiserum, phoenixin immunoreactivity (irPNX) was detected in discrete areas of the rodent brain including several hypothalamic subnuclei and dorsal motor nucleus of the vagus...
March 15, 2018: Acta Pharmacologica Sinica
https://www.readbyqxmd.com/read/29534256/subcutaneoscopic-excision-of-external-angular-dermoid-cysts-our-covert-scar-approach-in-11-cases
#18
Annie Hsiao, Ashwin Pimpalwar
INTRODUCTION:  External angular dermoid cysts, or epidermoid inclusion cysts, are a common subcutaneous tumor of the head and neck. For the majority of these lesions, excision is relatively simple and performed through an incision immediately overlying the mass. Facial lesions in pediatric patients present a unique challenge in that a direct approach carries the potential for visible scar formation. OBJECTIVE:  This article aims to detail our experience with subcutaneoscopic excision of external angular dermoid cysts in pediatric patients using endoscopic instrumentation...
March 13, 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29533276/giant-pilomatricoma-arising-as-a-rapidly-growing-vascularized-tumor-in-a-child
#19
Alexandra Yannoutsos, Julie Malloizel-Delaunay, Emilie Tournier, Abdelaziz Abid, Alessandra Bura-Rivière
In this observation, we report an unusual presentation of a pilomatricoma in an 8-year-old girl who was initially referred to the department of vascular medicine for diagnosis and care of a suspected mixed lymphatic venous malformation. The lesion on her left shoulder presented as a giant bluish-purple red solitary mass, painful and rapidly growing, measuring 7 cm in anteroposterior diameter. This mass did not present the typical characteristics of a lymphatic venous malformation but exhibited warning signs of malignancy on clinical examination and imaging...
February 27, 2018: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29519647/transoral-robotic-surgery-for-the-treatment-of-laryngeal-chondrosarcoma-a-case-report
#20
Ashley J Guthrie, Raymond L Chai
IMPORTANCE: Transoral robotic surgery has revolutionized the practice of head and neck surgery over the past decade, with indications now expanding to include laryngeal pathology. Although laryngeal chondrosarcoma is a rare entity, trends in otolaryngology literature suggest that it can frequently be managed with conservative approaches. We hope to inspire other head and neck surgeons to consider transoral robotic surgery for the treatment of such tumors so that outcomes data can be collected and studied...
May 2018: American Journal of Otolaryngology
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