Ent-Ear Nose & Throat Journal最新文献

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A Comparison of Potassium Titanyl Phosphate Laser and Pingyangmycin as Treatment for Adult Laryngeal Hemangioma. 磷酸钛钾激光与平阳霉素治疗成人喉血管瘤的疗效比较。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-28 DOI: 10.1177/01455613221086534
Xiufa Wu, Jingru Ma, Jing Zhang, Chunsheng Wei
{"title":"A Comparison of Potassium Titanyl Phosphate Laser and Pingyangmycin as Treatment for Adult Laryngeal Hemangioma.","authors":"Xiufa Wu, Jingru Ma, Jing Zhang, Chunsheng Wei","doi":"10.1177/01455613221086534","DOIUrl":"10.1177/01455613221086534","url":null,"abstract":"<p><p><b>Objective</b>: To evaluate the curative effect of Potassium titanyl phosphate (KTP) laser and pingyangmycin injection for adult laryngeal hemangiomas (ALH). <b>Methods</b>: This was a retrospective study conducted on patients treated with either KTP laser or pingyangmycin injection to assess the efficacy of both treatment and compare the effects on different types of adult laryngeal hemangioma. <b>Results</b>: The ordinal logistic regression test showed the surgery methods had no effect on the therapeutic results. On the contrary, the shape of ALH and the interaction between surgical procedures and ALH shape affected the prognosis of the ALH. This meant that the shape of ALH might be a confounding factor affecting the therapeutic effect of ALH. Thus, the Cochran-Mantel-Haenszel test which is a stratification analysis was used to assess the interaction between surgical procedures and ALH shape. Then better results were achieved using the KTP laser for the plane and raised types of ALH. <b>Conclusions</b>: The selection of surgical procedures (the KTP laser or pingyangmycin injection approaches) affects the treatment of ALH. For plane and raised ALH, the KTP laser may be recommended.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP749-NP755"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48365250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metastasis of parotid adenocarcinoma to the external auditory canal. 腮腺腺癌向外耳道转移。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-29 DOI: 10.1177/01455613221086033
Dong Hoon Lee, Jo Heon Kim, Ik-Joo Chung, Sang Chul Lim
{"title":"Metastasis of parotid adenocarcinoma to the external auditory canal.","authors":"Dong Hoon Lee, Jo Heon Kim, Ik-Joo Chung, Sang Chul Lim","doi":"10.1177/01455613221086033","DOIUrl":"10.1177/01455613221086033","url":null,"abstract":"<p><p>Metastatic carcinoma of the external auditory canal (EAC) is extremely rare. Herein, we report the first case of a patient with metastasis of parotid adenocarcinoma to the EAC. Clinicians should include it in the differential diagnosis of tumors of the EAC. In patients with parotid carcinoma, a physical examination of the entire head and neck, including the EAC, should be performed before surgery.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP717-NP719"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47978763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Torus Tubarius Hypertrophy After Adenoidectomy. 腺样体切除术后的管状环肥大
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2023-09-12 DOI: 10.1177/01455613231199676
Zhi-Pan Teng, Qi Li, Xiao-Fei Shen
{"title":"Torus Tubarius Hypertrophy After Adenoidectomy.","authors":"Zhi-Pan Teng, Qi Li, Xiao-Fei Shen","doi":"10.1177/01455613231199676","DOIUrl":"10.1177/01455613231199676","url":null,"abstract":"<p><p><b>Backgrounds:</b> Adenoidectomy is widely used to cure sleep-disordered breathing symptoms in children, torus tubarius hypertrophy (TTH) after adenoidectomy causing recurred snoring, sleep apnea, nasal obstruction, or mouth breathing was rarely reported, and the causes of TTH are still unclear. <b>Objectives:</b> To report a rare complication TTH after adenoidectomy, and the features of TTH. <b>Material and Methods:</b> A total of 36 pediatric patients with TTH diagnosed by our hospital from January 2017 to 2023 were included in this study. All children were treated conservatively for a month at first, and 13 patients underwent partial resection of TTH. The influencing factors (sex, age, allergic rhinitis [AR], and first operation way) were analyzed. <b>Results:</b> There were 36 patients with TTH: 27 boys and 9 girls. The age of the first operation ranged from 20 to 63 months, and the interval time of TTH after operation ranged from 3 to 55 months. Thirteen patients underwent partial resection of TTH. Thirteen children had definite symptoms and signs of AR. <b>Conclusions and Significance:</b> TTH is a rare complication after adenoidectomy, which is common in male children (75.0%) and in patients who took adenoidectomy before the age of 5 years (94.4%). TTH can occur as early as 3 months after adenoidectomy. AR and the operation way might have relationships with TTH.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":" ","pages":"769-772"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10278617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Osteitis in Eosinophilic Chronic Rhinosinusitis. 嗜酸性慢性鼻窦炎中的骨炎。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-30 DOI: 10.1177/01455613221083793
Takeshi Tsuda, Kazuya Takeda, Risa Terada, Shohei Tanaka, Sadanori Waki, Toshiyuki Akama, Hiroshi Nishimura
{"title":"Osteitis in Eosinophilic Chronic Rhinosinusitis.","authors":"Takeshi Tsuda, Kazuya Takeda, Risa Terada, Shohei Tanaka, Sadanori Waki, Toshiyuki Akama, Hiroshi Nishimura","doi":"10.1177/01455613221083793","DOIUrl":"10.1177/01455613221083793","url":null,"abstract":"<p><strong>Objectives: </strong>Eosinophilic chronic rhinosinusitis (ECRS) is an allergic inflammatory disease characterized by chronic inflammation of the sinus mucosa, and sometimes, osteitis. This study aimed to investigate the pattern of osteitis in ECRS and the relationship between bony thickening of the middle turbinate and recurrence of ECRS.</p><p><strong>Methods: </strong>A total of 246 patients with paranasal diseases were included in the study. The patients' data on bone thickening level, mucosal thickening, polyp score, clinical severity, and laboratory data were retrospectively evaluated.</p><p><strong>Results: </strong>In total, 38, 186, and 22 patients had ECRS, non-ECRS (NECRS), and odontogenic sinusitis, respectively. The Lund-Mackey (LM) score and Global Osteitis Scoring Scale (GOSS) scores in patients with ECRS were higher than those in patients with other paranasal diseases. There was a significant positive correlation between the GOSS score and ECRS clinical disease severity. Postoperative recurrence was significantly increased in patients with ECRS associated with bony thickening of the middle turbinate.</p><p><strong>Conclusion: </strong>Both mucosal inflammation and osteitis were more severe in patients with ECRS than in patients with other diseases, and clinical disease severity was correlated with osteitis. Furthermore, the postoperative recurrence rate tended to increase in patients with ECRS who had bony thickening of the middle turbinate.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP741-NP748"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42399767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Migration of a Fish Bone From the Esophagus to the Thyroid Gland. 鱼骨从食道向甲状腺的迁移。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-29 DOI: 10.1177/01455613221086032
Hsiao-Yu Huang, Chien-Chung Wang
{"title":"Migration of a Fish Bone From the Esophagus to the Thyroid Gland.","authors":"Hsiao-Yu Huang, Chien-Chung Wang","doi":"10.1177/01455613221086032","DOIUrl":"10.1177/01455613221086032","url":null,"abstract":"<p><p>Accidental swallowing of fish bone is one of the most common emergencies in the otolaryngology department. The impacted fish bones are usually found in the palatine tonsil, base of the tongue, valleculae, pyriform sinus, and esophagus, which can be successfully removed after a thorough examination. However, in some cases, the fish bone may penetrate into the neck soft tissue and migrate to extraluminal organs, causing infection, abscess formation, or rupture of vessels. In such cases, prompt recognition and immediate removal of the impacted fish bone are necessary. Herein, we report a rare case of a 60-year-old woman who had accidently swallowed a fish bone 10 days prior to visiting the outpatient department. The fiberoptic scope and head and neck computed tomography scans were obtained from the outpatient department. The fish bone was found to migrate from the upper esophagus to the left thyroid gland. First, a rigid esophageal endoscopy was performed in the operating room, but no obvious fish bone was noted over the esophagus. Finally, the fish bone was removed via exploratory cervicotomy with left-sided total lobectomy of the thyroid. The patient recovered after the operation, and there were no further complications during the 3 years of follow-up.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"765-768"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46712077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tracheobronchial chondritis as an immune-related adverse event occurring during the administration of nivolumab for recurrent hypopharyngeal squamous cell carcinoma. 气管支气管软骨炎作为一种免疫相关的不良事件,在纳武单抗治疗复发性下咽鳞状细胞癌期间发生。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-27 DOI: 10.1177/01455613221081912
Miwako Someya, Takahito Kondo, Akira Okimura, Munehide Nakatsugawa, Mitsuru Okubo, Daisuke Yunaiyama, Atsuo Takeda, Takuma Kishida, Shigekazu Yoshida, Minami Yonekura, Yasuo Ogawa, Kiyoaki Tsukahara
{"title":"Tracheobronchial chondritis as an immune-related adverse event occurring during the administration of nivolumab for recurrent hypopharyngeal squamous cell carcinoma.","authors":"Miwako Someya, Takahito Kondo, Akira Okimura, Munehide Nakatsugawa, Mitsuru Okubo, Daisuke Yunaiyama, Atsuo Takeda, Takuma Kishida, Shigekazu Yoshida, Minami Yonekura, Yasuo Ogawa, Kiyoaki Tsukahara","doi":"10.1177/01455613221081912","DOIUrl":"10.1177/01455613221081912","url":null,"abstract":"<p><p>Tracheobronchial chondritis is a rare immune-related adverse event (irAE) associated with immune checkpoint inhibitors. We report a case wherein tracheobronchial chondritis occurred while administering nivolumab for recurrent hypopharyngeal squamous cell carcinoma (SCC) in a man diagnosed with T2N3bM0 stage IVB hypopharyngeal SCC. After treatment with cisplatin and radiotherapy followed by left and right neck dissection, local recurrence was observed in the hypopharynx. Because of the difficulty of salvage surgery, we administered 240 mg/body of nivolumab. After 9 cycles of nivolumab, the patient was judged to have complete response. After 10 cycles, he had cough and sputum, for which prompting us to perform imaging tests. Computed tomography (CT) showed edematous thickening around the trachea and bilateral bronchi and elevated amounts of adjacent subcutaneous fat tissue. Positron emission tomography-CT showed diffuse fluorodeoxyglucose uptake in the trachea and bilateral bronchi, bronchial endoscopy showed redness and swelling throughout the bronchi, and biopsy showed partial mucosal erosion, inflammatory cell (lymphocyte) infiltration, interstitial edema, and desmoplasia. The patient was diagnosed with tracheobronchial chondritis as an irAE resulting from administering anti-programmed death-1 monoclonal antibody. After four-day prednisolone treatment, his cough and sputum disappeared; after two weeks, tracheobronchial chondritis no longer appeared on CT.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP705-NP709"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46141226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management for Warthin Tumor of the Parotid Gland: Surgery or Observation. A 21-Year Retrospective Study of 387 Cases. 腮腺沃辛瘤的治疗:手术或观察。387例21年回顾性研究。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-04-08 DOI: 10.1177/01455613221080927
Hiromi Nishimura, Ryo Kawata, Ichita Kinoshita, Masaaki Higashino, Tetsuya Terada, Shin-Ichi Haginomori, Takeshi Tochizawa
{"title":"Management for Warthin Tumor of the Parotid Gland: Surgery or Observation. A 21-Year Retrospective Study of 387 Cases.","authors":"Hiromi Nishimura, Ryo Kawata, Ichita Kinoshita, Masaaki Higashino, Tetsuya Terada, Shin-Ichi Haginomori, Takeshi Tochizawa","doi":"10.1177/01455613221080927","DOIUrl":"10.1177/01455613221080927","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the characteristics, diagnosis, and treatment of Warthin tumors (WTs) to explore the possibility of managing patients by observation.</p><p><strong>Methods: </strong>We reviewed the records of 1167 patients with benign parotid tumors who were seen in our department between September 1999 and April 2021. Among them, 387 cases were WT and 668 cases were pleomorphic adenoma. We evaluated preoperative diagnoses of WT by symptoms/signs, fine-needle aspiration cytology (FNAC), imaging, such as ultrasonography and magnetic resonance imaging, and technetium-99m pertechnetate (Tc-99m) scintigraphy. Fisher's exact test and the Mann-Whitney U test were used in statistical analyses.</p><p><strong>Results: </strong>Warthin tumors were treated by surgery in 238 cases and follow-up in 149 cases. The 238 patients were diagnosed as WT at the final pathology after surgery. Among them, 172 patients (72.3%) were determined as benign histological type by preoperative FNAC; in these 172 patients, 170 (71.4%) were correctly diagnosed as WT in the final pathology. Preoperative Tc-99m scintigraphy was performed in 69 patients diagnosed with WT by final pathology or FNAC, and the positive rate of Tc-99m scintigraphy in WT was 75.4%.</p><p><strong>Conclusions: </strong>Combining FNAC and Tc-99m scintigraphy, as well as considering clinical findings, enables the diagnosis of WT in most cases. In particular, WT is more common in the elderly, grows more slowly, and is less likely to be malignant. Therefore, if WT can be diagnosed preoperatively with a high rate of correct diagnosis, it could be an accurate and effective means of managing patients through follow-up without surgery.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"779-786"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45493812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Sclerosing Polycystic Adenoma of the Parotid Gland. 腮腺硬化性多囊腺瘤1例。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-30 DOI: 10.1177/01455613221079511
Birk Olson, Sumi Thomas, Matin Imanguli
{"title":"A Case of Sclerosing Polycystic Adenoma of the Parotid Gland.","authors":"Birk Olson, Sumi Thomas, Matin Imanguli","doi":"10.1177/01455613221079511","DOIUrl":"10.1177/01455613221079511","url":null,"abstract":"<p><p>Sclerosing polycystic adenoma (SPA) is a rare salivary gland tumor with about 100 cases reported in the literature. We describe a case of SPA in the parotid gland and review the diagnostic tools used for identifying SPA. A 24-year-old male with a two-year history of right-sided face mass, initially thought to be pleomorphic adenoma of the parotid gland after fine needle aspiration (FNA). Following superficial parotidectomy, histologic features were consistent with SPA. This case illustrates the challenge of pre-operative assessment for SPA. Recent study has suggested SPA is a neoplasm and definitive treatment is surgical excision.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP714-NP716"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43171521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endonasal endoscopic removal of intra-orbital (extralacrimal, extraconjunctival) oculosporidiosis: Anatomical and surgical considerations. 鼻内窥镜下摘除眶内(泪道外、结膜外)眼孢子虫病:解剖学和外科考虑因素。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-29 DOI: 10.1177/01455613221086022
Mainak Dutta, Avik Mondal, Sutarthi Kar, Nupur Milind Pednekar
{"title":"Endonasal endoscopic removal of intra-orbital (extralacrimal, extraconjunctival) oculosporidiosis: Anatomical and surgical considerations.","authors":"Mainak Dutta, Avik Mondal, Sutarthi Kar, Nupur Milind Pednekar","doi":"10.1177/01455613221086022","DOIUrl":"10.1177/01455613221086022","url":null,"abstract":"<p><p>This report illustrates the successful removal of a proper intra-orbital oculosporidiosis (extralacrimal, extraconjunctival) exclusively by the endonasal endoscopic approach. It also introduces the <i>naso-orbital pseudofontanelle</i> as an important surgical landmark and describes a hitherto undefined <i>intra-orbital extramucosal three-dimensional potential wedge</i> that harbored the <i>Rhinosporidium seeberi</i> infestation as a nodular conglomerate. The patient, a 50-year-old woman, was operated on three years ago for rhinosporidiosis of the nasal cavity and the distal lacrimal drainage system (lacrimal sac and nasolacrimal duct). The resulting alterations in regional anatomy were evident on imaging. They could explain the present recurrence and formation of the pseudofontanelle that allowed the conglomerate to bulge through the lateral nasal wall on digital pressure, making endoscopic intervention feasible. The primary principle for adopting this approach was to protect the facial skin from possible seeding. With an angled endoscope, the pseudofontanelle was breached and the intra-orbital extramucosal wedge between the bony orbital wall and the peri-orbita entered. The nodules that formed the conglomerate were densely adherent with the peri-orbita and skin. They were carefully and meticulously removed to avoid inadvertent injury to vital intra-orbital structures. Endonasal endoscopic intervention for a true intra-orbital oculosporidiosis has never been documented before. The surgical approach, the newly defined anatomical domain for the intra-orbital extramucosal oculosporidiosis, and the concept of pseudofontanelle characterize this report as a novel clinical experience worth presenting.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP694-NP699"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46439633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Giant Schwannoma Extending from Medial Portion of Middle Cranial Fossa to Parapharyngeal Space and Deep Parotid Space. 一个巨大的神经鞘瘤,从中颅窝内侧延伸到咽旁间隙和腮腺深间隙。
IF 1 4区 医学
Ent-Ear Nose & Throat Journal Pub Date : 2024-12-01 Epub Date: 2022-03-29 DOI: 10.1177/01455613221086031
Jing-Yi Jiang, Yi-Shing Leu, Ying-Piao Wang, Yun-Kai Chan, Tung-Ying Chen
{"title":"A Giant Schwannoma Extending from Medial Portion of Middle Cranial Fossa to Parapharyngeal Space and Deep Parotid Space.","authors":"Jing-Yi Jiang, Yi-Shing Leu, Ying-Piao Wang, Yun-Kai Chan, Tung-Ying Chen","doi":"10.1177/01455613221086031","DOIUrl":"10.1177/01455613221086031","url":null,"abstract":"<p><p>Trigeminal schwannomas are rare tumours comprising 0.2% of all intracranial tumours and 0.5% of all head and neck tumours. Patients with trigeminal schwannomas presented with facial hypoesthesia and pain. We presented a case with left bulging oropharynx. The CT scan showed a 3.8x2.6x4.9cm left parapharyngeal tumour compressed to the oropharynx and middle cranial fossa. We performed 3 ways in two times of operation to excise the whole tumour. We chose the transoral approach for parapharyngeal space, trans-parotid approach for deep parotid part and the endoscopic endonasal trans-pterygoid approach and trans-maxillary with Canine fossa trephination for intracranial lesions. The pathology showed schwannoma. A huge schwannoma extended from intracranial to several spaces is difficult to resect just by one approach. We should separate the tumour to several parts by clinical image before the operation and design a plan to remove the whole tumour in different approach. The different space of tumour involvement had several ways to access. We needed to choose the less harm but with better surgical field.</p>","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP710-NP713"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45582339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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