Iranian Journal of Otorhinolaryngology最新文献_第10页

Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis. 硅t型管在声门下狭窄和气管狭窄中的应用。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-05-01 DOI: 10.22038/IJORL.2023.67492.3308

Chethana Ramesh, Arun Dehadaray, Maitri Kaushik, Prasun Mishra, Simran Sidhu

{"title":"Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis.","authors":"Chethana Ramesh, Arun Dehadaray, Maitri Kaushik, Prasun Mishra, Simran Sidhu","doi":"10.22038/IJORL.2023.67492.3308","DOIUrl":"https://doi.org/10.22038/IJORL.2023.67492.3308","url":null,"abstract":"Introduction: The management of subglottic and tracheal stenosis is challenging for any ENT surgeon. The treatment choice depends on the site, severity of stenosis, patient symptoms, and surgeon preferences. The various options for the management include endoscopic balloon dilatation, various types of laryngotracheoplasty, resection anastomosis, and insertion of a silicon T-tube. Compared to the above, silicon T-tube stenting is a better alternative, as it is a onetime procedure, easy to perform with fewer chances of complications. Shiann Yann lee technique is a form of laryngotracheoplasty with long-term stenting using silicon T-tube. This article analyzed our silicon T-Tube insertion result in patients with subglottic and tracheal stenosis using this technique.Materials and methods: In this retrospective study, we included a total of 21 patients with subglottic and tracheal stenosis who underwent silicon T-Tube insertion. Data regarding the site of stenosis, procedure, complications, and outcome were analyzed.Results: Out of 21 patients, nine patients had subglottic stenosis (42.8%), 8 had cervical tracheal stenosis (38.09%), 3 had thoracic tracheal stenosis (14.28%), and 1 (4.7%) had combined subglottic and cervical tracheal stenosis. Out of 21 patients,7 (33.3%) have undergone successful removal of silicon T-Tube so far, one death due to medical reasons, and 13 patients (61.9%) are still on Silicon tube on regular follow-up. They are comfortable with the tube in situ.Conclusions: Silicon T-Tube for benign acquired laryngotracheal stenosis with Shiann Yann Lee's technique is effective, safe with less complication, and good acceptability and tolerance by the patient.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 128","pages":"125-131"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Muscle Variant of the Lateral Neck Region: The Cleido-Vertebral Muscle. 颈部外侧区域的肌肉变异:锁骨椎肌。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-05-01 DOI: 10.22038/IJORL.2023.70325.3388

Daniela Parrino, Enzo Emanuelli

{"title":"A Muscle Variant of the Lateral Neck Region: The Cleido-Vertebral Muscle.","authors":"Daniela Parrino, Enzo Emanuelli","doi":"10.22038/IJORL.2023.70325.3388","DOIUrl":"https://doi.org/10.22038/IJORL.2023.70325.3388","url":null,"abstract":"Introduction: Anatomical variations of the neck muscles have previously been reported, involving in particular the omohyoid and sternothyroid muscles. We herein report a novel variant neck muscle found during a routine surgical procedure.Case report: A 63-year-old women underwent a pelvi-mandibulectomy with bilateral neck dissection for a squamous cell carcinoma of the floor of mouth pT3N1. On the right neck dissection, the present peculiar muscle was discovered. It was located in the lateral region of the neck, deeply to the sternocleidomastoid muscle and caudally to the hyoid bone. It took origin from the sixth cervical vertebrae's transverse process and attached caudally to the middle third of the clavicular bone, after having passed superficially to the omohyoid muscle's intermediate tendon.Conclusions: Neck muscles are important during head and neck surgery due to their significance as surgical landmarks and their relationship with noble vessels. Being aware of possible variant that can alter classical anatomical reference points is important to prevent iatrogenic trauma.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 128","pages":"169-172"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foramen of Huschke: It's Relationship with Volume of Mastoid Pneumatization. Huschke孔:与乳突充气体积的关系。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-05-01 DOI: 10.22038/IJORL.2023.66453.3282

Şahinde Atlanoglu, Muhammed Fatih Topuz

{"title":"Foramen of Huschke: It's Relationship with Volume of Mastoid Pneumatization.","authors":"Şahinde Atlanoglu, Muhammed Fatih Topuz","doi":"10.22038/IJORL.2023.66453.3282","DOIUrl":"https://doi.org/10.22038/IJORL.2023.66453.3282","url":null,"abstract":"Introduction: The foramen of Huschke (FH) is a developmental bone defect located anteroinferior to the external auditory canal. In this study, the frequency of FH and the presence of TMJ herniation into the external auditory canal were investigated using high-resolution computed tomography (HRCT) of the temporal bone in patients with FH. In addition, it was aimed to determine whether there is a relationship between the degree of mastoid pneumatization and mastoid volume and the presence of FH.Materials and methods: The HRCT images of 352 patients were retrospectively evaluated for the presence of FH and TMJ herniation into the external auditory canal. The degree of pneumatization was determined in 50 patients with FH and 53 patients without FH, and the mastoid volume was measured.Results: Of the 704 temporal bones, 50 (7.1%) were detected to have FH 16 (4.5%) on the right and 34 (9.7%) on the left. The incidence of FH was higher in women on the right than in men (p<0.01). There was strong correlation between the FH width and age for the left side (r=0.466, p<0.01). The mastoid volume was 3.2-15.9 cm3 in the patients with FH and 3.2-16.2 cm3 in those without FH. The degree of pneumatization and mastoid volume did not significantly differ between the both groups (p>0.05). TMJ herniation into the external auditory canal was detected in one of the patients with FH.Conclusions: We could not find a relationship between mastoid bone pneumatization and FH development. The presence of FH should be detected before TMJ and ear surgeries to prevent possible complications.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 128","pages":"133-139"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9544789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Toxoplasma Lymphadenopathy: A Comparative Diagnostic Assessment of Clinical, Serological and Histopathological Findings. 弓形虫淋巴结病:临床、血清学和组织病理学结果的比较诊断评估。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-05-01 DOI: 10.22038/IJORL.2023.64479.3205

Samah Abbas Hammadi, Abbas Jaafar Khaleel Al-Anbari, Bassam Maddah Al-Alosi

{"title":"Toxoplasma Lymphadenopathy: A Comparative Diagnostic Assessment of Clinical, Serological and Histopathological Findings.","authors":"Samah Abbas Hammadi, Abbas Jaafar Khaleel Al-Anbari, Bassam Maddah Al-Alosi","doi":"10.22038/IJORL.2023.64479.3205","DOIUrl":"https://doi.org/10.22038/IJORL.2023.64479.3205","url":null,"abstract":"Introduction: Toxoplasma Gondii (TG) is a zoonotic protozoan with extensive symptomatology. Toxoplasmic lymphadenopathy is considered an affirmative sign and is proved by a biopsy of the enlarged nodule. This study was conducted to compare the clinical, serological, and histopathological findings for the diagnosis of toxoplasmic lymphadenopathy.Materials and methods: This study involved biopsy examinations from twelve cases with TG lymphadenopathy. ELISA serological tests were performed for TG specific IgM and IgG immunoglobulins. PCR was done to ratify the results obtained by ELISA.Results: The ages of the patients ranged from 15 to 48 years (mean=27.8). Most of the cases are male n=8(66.7%), while female n=4(33.3%). The asthenia was not only the most frequent clinical presentation (83.3%), but it also last longer. All cases had a positive biopsy. Eight (67.7%) cases revealed seropositivity. Two of them had positive PCR in those who were positive IgM, suggesting that the infection was acute. Six (50%) cases revealed positive IgG tests, while those with negative serology were 4(33.3%). The site of lymph nodes involvement had been assessed and mostly cervical (91.6%).Conclusion: The histopathological results yielded 100% positive findings, thus biopsy was very important in the diagnosis and differential diagnosis of lymph nodes enlargement. The chronic phase of toxoplasmosis does not show the protozoa in the blood causing an absent DNA band for amplification of the PCR cycles, which could explain the lack of bands particular for TG. A negative serological test does not exclude toxoplasmic lymphadenitis, especially in immune-compromised patients.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 128","pages":"157-163"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9544794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Incidence of Pharyngocutaneous Fistula after Total Laryngectomy. 全喉切除术后咽皮瘘发生率的评价。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-05-01 DOI: 10.22038/IJORL.2023.69853.3370

Maziar Motiee Langaroudi, Mehrdad Jafari, Roxana Safari, Mehraveh Sadeghi Ivraghi, Alireza Mazarei

{"title":"Evaluation of the Incidence of Pharyngocutaneous Fistula after Total Laryngectomy.","authors":"Maziar Motiee Langaroudi, Mehrdad Jafari, Roxana Safari, Mehraveh Sadeghi Ivraghi, Alireza Mazarei","doi":"10.22038/IJORL.2023.69853.3370","DOIUrl":"https://doi.org/10.22038/IJORL.2023.69853.3370","url":null,"abstract":"Introduction: Laryngeal squamous cell carcinoma is one of the most critical head and neck cancers. Total laryngectomy is one of the main options for treating laryngeal squamous cell carcinoma responsible for forming pharyngocutaneous fistula (PCF), which increases morbidity and mortality. This study aimed to determine PCF incidence and identify the factors associated with this complication.Materials and methods: In a retrospective cohort study, 85 patients who underwent total laryngectomy at Imam Khomeini Hospital (Tehran, Iran) from 2011 to 2019 were selected as the study population. The presence/absence of PCF, weight, anemia status (Hb <12.5 g/dl), renal dysfunction status (GFR <90 mL/min/1.73m2), malnutrition status (Albumin <3.5 g/dl), and marginal involvement status was extracted from postoperative medical records. The data were analyzed using SPSS ver. 26.0.Results: The overall incidence of PCF was 11.8%. The mean ±SD of the duration of hospitalization in patients with PCF was 32.40 ±14.75 days, and in patients without PCF was 16.89 ±7.05 days (P = 0.009). The mean ±SD of time to develop a fistula was 7.4 ±3.74 days.Conclusions: The statuses of anemia, malnutrition, renal dysfunction, surgical margin, history of radiotherapy, pharynx closure, gender, and age were unrelated to the incidence of PCF. Further studies with a larger sample size are recommended.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 128","pages":"141-146"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Auricle Pilomatricoma in Ear Lobule: A Case Report. 耳廓小叶毛瘤1例报告。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-03-01 DOI: 10.22038/IJORL.2023.66641.3281

Mohammadreza Akhoundian Yazd, Ermia Mousavi Mohammadi, Mohammadreza Afzalzade

引用次数: 0

Multicentric Castleman Disease of the Supraglottis: A Surgeons' Dilemma. 声门上多中心Castleman病:外科医生的困境。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-03-01 DOI: 10.22038/IJORL.2023.57806.2995

Anna Fariza Jumaat, Mohd Razif Mohamad Yunus, Doh Jeing Yong, Reena Rahayu Md Zin, Marina Mat Baki

{"title":"Multicentric Castleman Disease of the Supraglottis: A Surgeons' Dilemma.","authors":"Anna Fariza Jumaat, Mohd Razif Mohamad Yunus, Doh Jeing Yong, Reena Rahayu Md Zin, Marina Mat Baki","doi":"10.22038/IJORL.2023.57806.2995","DOIUrl":"https://doi.org/10.22038/IJORL.2023.57806.2995","url":null,"abstract":"Introduction: An abnormal mass in the head and neck involving the supraglottic and cervical region offers a wide range of differential diagnoses. The pathology is either benign or malignant in nature. Castleman disease (CD) is an uncommon lymphoproliferative disorder characterised by hypervascular lymphoid hyperplasia and is classified into unicentric or multicentric disease. Histopathologically it is divided into hyaline vascular (HV), plasma cell (PC), and mixed cellularity variants. The multicentric disease is linked with PC and has the propensity to progress to lymphoma or Kaposi Sarcoma.Case report: We report a case of a 45-year-old gentleman who presented with a painless anterior neck swelling and left supraglottic mass for six months. Computed tomography (CT) contrast imaging demonstrated a homogenous enhancing lesion at the left supraglottic and the midline of the anterior neck with erosive changes of the thyroid cartilage. A surgical resection of the anterior neck mass was performed. The diagnosis of Castleman disease plasma cell variant was made by histopathologic evaluation. The patient remained well post-resection.Conclusion: Supraglottic multicentric Castleman disease is the least expected diagnosis in this case. Unicentric disease is treated with surgery. However, limited studies are available in determining the effectiveness of surgery in multicentric diseases. The plasma cell variant requires a multidisciplinary and multimodal approach due to an inclination towards malignancy. Research is needed to determine the role of surgery in multicentric disease and to develop optimum guidelines for managing cases. To date, there is unsubstantial literature describing supraglottic multicentric disease.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 127","pages":"101-108"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9518510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seborrhoeic Keratosis of External Auditory Canal & its Management. 外耳道脂溢性角化病及其治疗。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-03-01 DOI: 10.22038/IJORL.2023.67509.3307

Anjan Kumar Sahoo, Namrata Chakraborty, Pavan Kumar Bonthu

{"title":"Seborrhoeic Keratosis of External Auditory Canal & its Management.","authors":"Anjan Kumar Sahoo, Namrata Chakraborty, Pavan Kumar Bonthu","doi":"10.22038/IJORL.2023.67509.3307","DOIUrl":"https://doi.org/10.22038/IJORL.2023.67509.3307","url":null,"abstract":"Introduction: Seborrhoeic keratosis (SK) is a benign neoplasm of the skin. They are usually found to occur anywhere in the body except palms, soles and mucous membranes. The skin of the external auditory canal is an extremely rare site for the occurrence of this benign neoplasm. Malignant transformation rarely occurs in this benign condition. It should be differentiated from other malignant condition like squamous cell carcinoma, basal cell carcinoma, Bowen's disease, malignant melanoma or keratoacanthoma. Surgery is the mainstay of treatment though recurrence is very common. It can be removed by cryotherapy using liquid nitrogen or curettage, light fulgaration, shave removal or painting with pure TCA if the lesion is small. Diathermy shoul be used as minimal as possible to avoid scar formation.Case report: An elderly female presented to ENT OPD with left ear blood-stained discharge. On inspection there was irregular blackish mass filling the entire left external auditory canal, fine needle aspiration cytology came to be seborrhoeic keratosis. Since on imaging the tumor was confined to the external auditory canal, it was excised completely by transcanal route. Surprisingly histopathology came to be squamous cell carcinoma. Considering the age and limited confinement of the tumor, she was kept on regular follow up.Conclusion: Seborrhoeic keratosis though a common benign tumor, malignant transformation may occur. Treatment is patient specific and may be modified considering the age and comorbidity of the patient.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 127","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nanocrystalline Silver for the Treatment of Otomycosis: A Retrospective Study. 纳米晶银治疗耳真菌病的回顾性研究。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-03-01 DOI: 10.22038/IJORL.2023.66805.3303

Aditi Sambhaji Moruskar, Vinod Shinde, Mayur H Ingale, Arpita A Krishna, Rishikesh D Pawar

{"title":"Nanocrystalline Silver for the Treatment of Otomycosis: A Retrospective Study.","authors":"Aditi Sambhaji Moruskar, Vinod Shinde, Mayur H Ingale, Arpita A Krishna, Rishikesh D Pawar","doi":"10.22038/IJORL.2023.66805.3303","DOIUrl":"https://doi.org/10.22038/IJORL.2023.66805.3303","url":null,"abstract":"Introduction: Otomycosis is a common fungal ear infection usually found in tropical and subtropical countries where infections arise due to hot and humid conditions. Also, these infections have a high recurrence rate with limited therapeutic options, which makes their management difficult. There is a long history of applying various antiseptic agents consisting of silver specifically for these broad-spectrum infections. Silver nanoparticles (AgNPs) are futuristic nano-size products for controlling the microbial infection. The study aimed to determine the antifungal properties of nanocrystalline silver in patients with otomycosis.Materials and methods: The study was conducted in Pune (India) in the department of Ear Nose Throat & Head at the Dr. D.Y. Patil Medical College, Hospital and research center, Pune (India) for a period of one year (2019 -2020). Our study included 100 patients (58 male and 42 female) with clinically diagnosed otomycosis, which was treated by applying nanocrystalline silver gel-soaked Gelfoam.Results: Our study had patients of 18 to 60 years, with the highest prevalence in males (58%) aged 30 to 45 years. A large number of infection cases were reported at the hospital, i.e., 62 cases during the wet season as compared to 38 cases during the dry season. Commonly found fungi belonging to the genus Aspergillus (55%), followed by Candida (45%). Improvements in symptoms were observed in 89% of the patients (70% within 5 to 6 days and 19% from 7 to 14 days).Conclusion: Applying nanocrystalline silver cured most of the patients (89%) within 14 days. Treating otomycosis patients with nanocrystalline silver demonstrated beneficial results. Further studies with larger samples should be conducted to validate the benefits of nanocrystalline silver.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 127","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9518509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Ranula: Modified Micro-Marsupialization: Case Report and Review of Literature. 牛蒡:改良微有袋化:个案报告及文献回顾。

Iranian Journal of Otorhinolaryngology Pub Date : 2023-03-01 DOI: 10.22038/IJORL.2023.61890.3131

Barbara Verro, Rodolfo Mauceri, Giuseppina Campisi, Carmelo Saraniti

{"title":"Ranula: Modified Micro-Marsupialization: Case Report and Review of Literature.","authors":"Barbara Verro, Rodolfo Mauceri, Giuseppina Campisi, Carmelo Saraniti","doi":"10.22038/IJORL.2023.61890.3131","DOIUrl":"https://doi.org/10.22038/IJORL.2023.61890.3131","url":null,"abstract":"Introduction: Ranula is a limited mucus retention on the floor of mouth. Due to the young age of patients, over the years, attempts were made to find minimally invasive and effective surgical techniques. To date, however, there is still no gold standard. The modified micro-marsupialization is an effective and minimally invasive technique, with minimal risk of relapse, although there are very few reports about it.Case report: A 12-year-old male presented to our ENT Clinic with a rounded swelling with regular and defined margins, measuring 4x3 cm, soft and painless, non-compressible and bluish. Clinical diagnosis of ranula was made and a modified micro-marsupialization was performed: eight interrupted sutures using silk 3-0 were placed perpendicularly to the major axis of the lesion, from one side of the lesion to the other, without reaching the underlying tissue. No sutures were lost during follow-up, no complications occurred. Complete healing was reached after removing sutures on the 30th postoperative day. At 6 months control no relapse was observed.Conclusion: Modified micro-marsupialization is strongly indicated and recommended, especially in pediatric patient, due to its low invasiveness and its very low relapse rate. The poor case history found in the literature is probably an indication of the lack of knowledge of modified micro-marsupialization which, in our opinion, could be considered the gold standard.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"35 127","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0