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unilateral tonsil

Fatih Bingöl, Hilal Balta, Buket Özel Bingöl, Recai Muhammet Mazlumoğlu, Korhan Kılıç
Lymphoepithelial cyst (LEC) is the most commonly encountered congenital neck pathology in the lateral part of the neck. A 66-year-old woman presented to the ENT clinic due to difficulty in swallowing persisting for approximately 1 year. Magnetic resonance imaging revealed a cystic mass at right tonsil. Surgery was performed due to this unilateral tonsillar mass, which was excised together with the right tonsil. LEC was diagnosed at histopathological examination. LEC in the palatine tonsil is rare, and only a few cases have been reported in the literature...
2016: Case Reports in Otolaryngology
Casey Hay, Rafal Kozielski, Philomena Behar
No abstract text is available yet for this article.
September 8, 2016: JAMA Otolaryngology—Head & Neck Surgery
Zahra Dalili Kajan, Ali Khalighi Sigaroudi, Majedeh Mohebbi
BACKGROUND: Tonsilloliths are calcified concretions that develop in tonsillar crypts. They are usually small and asymptomatic, so they are found accidentally during routine dental radiogrphy procedure. Large tonsilloliths can occur with clinical signs and symptoms. The purpose of this study was to evaluate the prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography (CBCT) images. MATERIALS AND METHODS: In this cross-sectional study, 0...
July 2016: Dental Research Journal
Thomas Paul Rackley, Wanangwa Clara Namelo, Nachi Palaniappan, Naomi Cole, David M J Owens, Mererid Evans
BACKGROUND: The purpose of this study was to determine the rate of contralateral neck recurrence after surgery and unilateral neck radiotherapy, for lateralized tonsillar cancers with ipsilateral neck disease, in order to inform future clinical trial protocols for this disease. METHODS: Patients with lateralized tonsillar squamous carcinoma (T1-T2, N0-N2b), treated with surgery and unilateral adjuvant radiotherapy in a single United Kingdom center were retrospectively identified...
July 20, 2016: Head & Neck
Rajan Duggal, Alka Rana, Ashok Vaid, Nitin Sood, Kumud Kumar Handa
Tonsillar lymphoma usually presents as unilateral or bilateral enlargement or as an ulcerative or fungating lesions. Most lymphomas that involve the tonsils are diffuse large B-cell lymphomas and primary low grade lymphomas are exceptional. We report a case of primary B-cell chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) affecting tonsils with interfollicular pattern of infiltration in a 54-year-old female who clinically presented with bilateral tonsillar enlargement, sore throat, dysphagia and respiratory difficulty, unresponsive to the conservative treatment...
June 2016: Indian Journal of Hematology & Blood Transfusion
Joanna Michalska, Jurek Olszewski, Marzena Mielczarek
INTRODUCTION: The aim of this work was to evaluate the correlation between Apnea/Hypopnea Index (AHI) and selected parameters of morphological and clinical character in the patients with a unilateral or bilateral impairment of nasal patency. MATERIAL AND METHODS: The study covered 60 adults, including 37 male and 23 female subjects, 19-69 years of age. In the Department, these subjects were divided into 3 groups: I - 20 patients with unilateral impairment of nasal patency, II - 20 patients with bilateral impairment of nasal patency, III - controls with normal nasal patency...
April 30, 2016: Otolaryngologia Polska. the Polish Otolaryngology
Emma B Holliday, Esengul Kocak-Uzel, Lei Feng, Nikhil G Thaker, Pierre Blanchard, David I Rosenthal, G Brandon Gunn, Adam S Garden, Steven J Frank
A potential advantage of intensity-modulated proton therapy (IMPT) over intensity-modulated (photon) radiation therapy (IMRT) in the treatment of oropharyngeal carcinoma (OPC) is lower radiation dose to several critical structures involved in the development of nausea and vomiting, mucositis, and dysphagia. The purpose of this study was to quantify doses to critical structures for patients with OPC treated with IMPT and compare those with doses on IMRT plans generated for the same patients and with a matched cohort of patients actually treated with IMRT...
2016: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
Nir Hirshoren, Elizabeth Olayos, Jason Callahan, Eddie Lau
OBJECTIVES/HYPOTHESIS: In the setting of considerable variation of pharyngeal palatine tonsil fluorine 18 fluorodeoxyglucose (FDG) uptake, we mostly rely on the asymmetry between the left- and right-sided tonsils to identify underlying malignancy. The current study evaluates the FDG positron emission tomography (PET)/computed tomography (CT) findings within the contralateral tonsil among patients who had unilateral tonsillectomy and analyzes the cancer incidence in the contralateral tonsil with high FDG avidity...
April 26, 2016: Laryngoscope
Alhasan Elghouche, Tom Shokri, Yewen Qin, Susannah Wargo, Deborah Citrin, Carter Van Waes
We report a constellation of cervical polyneuropathies in a patient treated with concurrent bortezomib, cetuximab, and cisplatin alongside intensity modulated radiotherapy for carcinoma of the tonsil with neck metastasis. The described deficits include brachial plexopathy, cervical sensory neuropathy, and oculosympathetic, recurrent laryngeal, and phrenic nerve palsies within the ipsilateral radiation field. Radiation neuropathy involving the brachial plexus is typically associated with treatment of breast or lung cancer; however, increased awareness of this entity in the context of investigational agents with potential neuropathic effects in head and neck cancer has recently emerged...
2016: Case Reports in Otolaryngology
William R Kennedy, Michael P Herman, Rohan L Deraniyagala, Robert J Amdur, John W Werning, Peter Dziegielewski, Jessica Kirwan, Christopher G Morris, William M Mendenhall
This study is aimed at updating our institution's experience with definitive radiotherapy (RT) for squamous cell carcinoma of the tonsil. We reviewed 531 patients treated between 1983 and 2012 with definitive RT for squamous cell carcinoma of the tonsil. Of these, 179 patients were treated with either induction (n = 19) or concomitant (n = 160) chemotherapy. Planned neck dissection was performed on 217 patients: unilaterally in 199 and bilaterally in 18 patients. Median follow-up was 5.2 years for all patients (range 0...
August 2016: European Archives of Oto-rhino-laryngology
Michelle Feinberg, Parker Babington, Shawn Sood, Robert Keating
The authors present a case of Chiari malformation manifesting as isolated trismus, describe the typical symptoms associated with Chiari malformation, and discuss the potential anatomical causes for this unique presentation. A 3-year-old boy presented with inability to open his jaw for 6 weeks with associated significant weight loss. The results of medical and radiological evaluation were negative except for Type I Chiari malformation with cerebellar tonsils 12 mm below the level of the foramen magnum. The patient underwent Chiari decompression surgery...
May 2016: Journal of Neurosurgery. Pediatrics
Allison Ye, Katherine L Bradley, Hosam Kader, John Wu, John H Hay
OBJECTIVES:  In the pre-human papillomavirus (HPV) era, unilateral radiation therapy (URT) for tonsil cancer was associated with low contralateral failure rates and had less toxicity than bilateral radiation therapy (BRT). This study explores the validity of URT in HPV-positive tonsil cancers. METHODS:  Tonsil squamous cell carcinomas (SCC) treated (typically with 70 Gy radiation and Cisplatin-based chemotherapy) between 2001 and 2007 were reviewed. Retrospective p16 immunohistochemistry staining was undertaken...
2015: Curēus
Giselle Cuestas, Agustín Martínez Font, María Victoria Demarchi, María Pía Martínez Corvalán, Hernán García Rivello, Ana Morandi, Juan Razetti, Carlos Boccio
Tonsil malignancy is uncommon in children. Tonsillar asymmetry is usually secondary to a benign process, either inflammatory conditions, differences in the tonsillar fossa depth or anterior pillar asymmetry. However, it may indicate a serious underlying disorder such as lymphoma. Lymphoma is the most common childhood malignancy in the head and neck. Approximately, 15% of the cases affect the Waldeyer's ring. The most common clinical manifestations of palatine tonsils lymphoma are unilateral tonsillar hypertrophy, alteration in the appearance of the mucosa and ipsilateral cervical lymphadenopathy...
August 2015: Archivos Argentinos de Pediatría
Janan Ghabanchi, Abdolaziz Haghnegahdar, Leila Khojastehpour, Ali Ebrahimi
STATEMENT OF THE PROBLEM: Tonsilloliths are relatively common clusters of dystrophic calcified material that form in the tonsillar crypts, mostly the palatine tonsils. Although they may be asymptomatic, some cause halitosis, cough, dysphagia, and foreign body sensation, as well as otalgia. Since tonsilloliths can be detected on panoramic views as radiopaque lesions, and misdiagnosis may lead to wasting time and cost, dentist should be familiar with radiographic characteristics of this type of calcification...
June 2015: Journal of Dentistry
Mahmood Shishegar, Mohammad Motamedi-Far, Seyed Basir Hashemi, Abbas Bigham-Sadegh, Amir Emami
Otitis media with effusion (OME) is one of the most common causes of hearing loss (HL) in children. It has been reported that several factors such as eustachian tube dysfunction, insufficiencies in the aeration of the mastoid cells, allergies, immunity, and infections play an important role in the etiology of the disease. Little is known about the role of Helicobacter pylori (H. pylori) in extragastric diseases. Because of the near location of the nose, sinuses, tonsils, and adenoids to the eustachian tube and middle ear, we believe it is possible to have H...
May 2015: Iranian Journal of Medical Sciences
Jochen P Windfuhr, Alexandra Zurawski
Peritonsillar abscess (PTA) is the most common complication of acute tonsillitis resulting in fever, unilateral sore throat, odynophagia and trismus. This retrospective study was undertaken to analyze the clinical courses of 775 patients with two different methods of the first-line treatment. Abscess tonsillectomy (TAC) including contralateral tonsillectomy was preferably performed between 2007 und 2010 (group A; n = 443). After that, incisional drainage (ID) was chosen as first-line treatment between 2010 and 2013 (group B; n = 332)...
May 2016: European Archives of Oto-rhino-laryngology
Alpen B Patel, Michael L Hinni, Taylor R Pollei, Richard E Hayden, Eric J Moore
OBJECTIVES: Alert the reader to the complication of severe dysphagia following transoral laser microsurgery (TLM) or transoral robotic surgery (TORS) for bilateral simultaneous or synchronous tonsillar squamous cell carcinoma. METHODS: A case series of four patients treated at an academic tertiary center between 2008 and 2012 is presented; two treated with transoral laser microsurgery and two with transoral robotic surgery for biopsy-proven untreated bilateral primary squamous cell carcinoma...
November 2015: European Archives of Oto-rhino-laryngology
Carol M Lewis, Gregory M Chronowski, Wenli Dong, G Brandon Gunn, David I Rosenthal, Randal S Weber
OBJECTIVE: The cost of treatment as it affects comparative effectiveness is becoming increasingly more important. Because cost data are not readily available, we evaluated the charges associated with definitive nonsurgical therapy for early-stage lateralized tonsil cancers. METHODS: Patients treated with unilateral radiation therapy (RT) for T1 or T2 tonsil cancer between 1995 and 2007 were retrospectively reviewed. Total and radiation-specific charges, from 3 months before to 4 months after radiation, were adjusted for inflation...
August 2015: Annals of Surgical Oncology
Alexandre Caixeta Guimarães, Guilherme Machado de Carvalho, Carlos Roberto Silveira Correa, Reinaldo Jordão Gusmão
Lymphoma is the most common head and neck malignancy in children, and palatine tonsils asymmetry is the most frequent clinical manifestation of tonsillar lymphoma. However, several studies with children with tonsillar asymmetry found no case of lymphoma, showing that the relationship of tonsillar asymmetry with lymphoma is unclear. In this review, we aimed to identify the association between tonsillar asymmetry and tonsillar lymphoma in children by conducting systematic reviews of the literature on children with palatine tonsil lymphoma and tonsillar asymmetry...
March 2015: Critical Reviews in Oncology/hematology
Edin Nevzati, Bawarjan Schatlo, Ali-Reza Fathi, Javier Fandino, Carl Muroi
Unilateral posterior inferior cerebellar artery (PICA) thrombosis is frequent. However, bilateral PICA thrombosis is rare. Herein we report about an intraoperative visualization of a bilateral thrombosis of the telovelomedullary segment of the PICA. A 74-year-old woman was admitted to our department on day two of a bilateral PICA thrombosis with developing cerebellar infarction. Her Glasgow Coma Scale score dropped from 15 to 13, and cranial computed tomography revealed compression of the fourth ventricle with consecutive occlusive hydrocephalus...
2014: Case Reports in Neurological Medicine
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