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Extraparotid Locations of Pleomorphic Adenoma: Reflection on 21 Cases Collected in Bamako
Kassim Diarra,
Nfaly Konate,
Harouna Sanogo,
Drissa Kaloga Bagayoko,
Kalifa Coulibaly,
Youssouf Sidibe,
Fatogoma Issa Kone,
Boubacary Guindo,
Siaka Soumaoro,
Doumbia Kadidiatou Singare,
Mohamed Amadou Keita
Issue:
Volume 8, Issue 2, December 2022
Pages:
33-36
Received:
14 June 2022
Accepted:
27 June 2022
Published:
5 July 2022
DOI:
10.11648/j.ijo.20220802.11
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Abstract: Objectives: To study the epidemiological, diagnostic and therapeutic characteristics of this rare histological entity and to discuss it with the literature. Materials and methods: This was a descriptive, retrospective and longitudinal study over a period of 7 years from January 2015 to December 2022. We made an exhaustive sampling of all patients seen and treated for pleomorphic adenoma (PA) salivary glands with the exception of parotid locations in the ENT department Surgery, University hospital Gabriel Tour. Results: During the study period, 63 patients were operated on in the department for pleomorphic adenoma of the salivary glands, 21 patients met our criteria, either 9 men or 12 women with an average age of 38 years with extremes ranging from 7 at 78 years old. The seat was the submandibular gland in 11 cases (52.3%), the hard and soft palate 6 cases (28.5%), the oropharynx 1 case (4.8%), lower lip 1 case (4. 8%), nasal fossa 1 case (4.8%), para-pharyngeal space 1 case (4.8%). The clinical examination found a firm, mobile, painless and well-defined swelling in the area of interest. Computed tomography (CT) showed a mass with a regular border, of homogeneous tissue density with moderate enhancement by the contrast product (PDC), with no bone lysis opposite. Cervicofacial ultrasound was performed for 100% of cases of tumors with submandibular location. Surgery was the treatment of choice for all patients. Conclusion: The pleomorphic adenoma raises a problem of differential diagnosis with other tumors of the salivary glands. Rigorous monitoring must be conducted finally to detect signs of malignancy and recurrence after surgery.
Abstract: Objectives: To study the epidemiological, diagnostic and therapeutic characteristics of this rare histological entity and to discuss it with the literature. Materials and methods: This was a descriptive, retrospective and longitudinal study over a period of 7 years from January 2015 to December 2022. We made an exhaustive sampling of all patients s...
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A Rare Case of Post-Traumatic Ludwig Anginaina Child
Issue:
Volume 8, Issue 2, December 2022
Pages:
37-40
Received:
9 June 2022
Accepted:
27 June 2022
Published:
20 July 2022
DOI:
10.11648/j.ijo.20220802.12
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Abstract: Ludwig angina is life-threatening soft tissue cellulitis that occurs on the floor of the mouth, including the submental, sublingual, and submandibular spaces bilaterally. Ludwig Angina is a rapidly progressive inflammatory disease, predominantly affecting adults secondary to the dental infection, but may also affect children So, a high index of suspicion is needed for early diagnosis and timely intervention to prevent complications and mortality. This article describes a rare case of post-traumatic Ludwig angina in a two-year-old child, following an oral cavity injury by an accidental fall on a metallic object (Tap). The patient with an injury in the oral cavity, especially the tongue and the floor of the mouth, should be informed about the life-threatening complications such as Ludwig Angina that may occur, therefore, such high risk case need emergency admission, monitoring, and immediate medical treatment to prevent any compromised airway or any other life- threatening complications.
Abstract: Ludwig angina is life-threatening soft tissue cellulitis that occurs on the floor of the mouth, including the submental, sublingual, and submandibular spaces bilaterally. Ludwig Angina is a rapidly progressive inflammatory disease, predominantly affecting adults secondary to the dental infection, but may also affect children So, a high index of sus...
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Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations
Kassim Diarra,
N’faly Konaté,
Youssouf Sidibé,
Kalifa Coulibaly,
Drissa Kaloga Bagayoko,
Moussa Bourama Keita,
Fatogoma Issa Koné,
Boubacary Guindo,
Siaka Soumaoro,
Doumbia Kadidiatou Singare,
Mohamed Amadou Keita
Issue:
Volume 8, Issue 2, December 2022
Pages:
41-45
Received:
6 July 2022
Accepted:
20 July 2022
Published:
29 July 2022
DOI:
10.11648/j.ijo.20220802.13
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Abstract: The authors report three cases of division anomalies (bifurcation and fenestrations) of the internal jugular vein (IJV) revealed intraoperatively during cervical lymph node dissection. Although these terms are commonly interchanged in the literature, they are used interchangeably often granting ambiguity among surgeons. The objective of this work was to report our experience through three clinical observations collected from 2017 to 2022 in order to be able to build the different terminologies and also discuss the clinical implications. Clinical cases: These are three patients aged 55, 59 and 62, male, who all underwent total laryngectomy plus bilateral functional lymph node dissection for squamous cell carcinoma classified as T4aN2bMO, T4aN1MO, T4aN2aMO. During the recesses of the right sides, the dissection carried out along the internal jugular vein found a small duplication in the shape of a "needle point" giving the appearance of a window (fenestration) through which the spinal nerve passed between the branches. In one case, the window was slightly wide in the second patient and in the third patient we found splitting of the vein with a bifurcation type. The postoperative course was simple. Conclusion: Divisions (duplication, bifurcation or fenestration) of IJV are rare and are mainly observed during cervical surgery, diagnostic imaging, and very rarely during cadaver dissection. Understanding its IJV variation abnormalities is important to avoid iatrogenic injury during cervical surgery or during central venous catheterization.
Abstract: The authors report three cases of division anomalies (bifurcation and fenestrations) of the internal jugular vein (IJV) revealed intraoperatively during cervical lymph node dissection. Although these terms are commonly interchanged in the literature, they are used interchangeably often granting ambiguity among surgeons. The objective of this work w...
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Cervico-mediastinal Goiter: The Clinical and Therapeutic Aspects
N’faly Konate,
Kassim Diarra,
Yaya Dembele,
Kalifa Coulibaly,
Fatogoma Issa Kone,
Naouma Cisse,
Boubacary Guindo,
Youssouf Sidibe,
Siaka Soumaoro,
Kadiatou Sinkare,
Mohamed Keita
Issue:
Volume 8, Issue 2, December 2022
Pages:
46-51
Received:
13 July 2022
Accepted:
29 July 2022
Published:
10 August 2022
DOI:
10.11648/j.ijo.20220802.14
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Abstract: OBJECTIVES: Our work aimed to expose the methods of resection of plunging goiters by pure cervicotomy and to compare the results of our study with those of the literature. MATERIAL AND METHODS: This was a retrospective study extended over 5 years from January 2016 to December 2020 on the medical observations of 20 cases of thyroidectomy for plunging goiters in the otolaryngology and cervicofacial surgery department of the Gabriel Touré University Hospital of Bamako. RESULTS: During our study period, 170 cases of thyroidectomies were performed in the department, including 20 cases of plunging goiters, i.e. (11.76%) surgical goiters. The average age was 43.5 years with extremes ranging from 20 to 80 years. The age group of 40 to 50 years was the most represented. We noted a female predominance with a sex ratio of 0.25. Six patients (30%) had a family history of goiter. The average duration of evolution of goiter was 8 years with extremes ranging from 2 to 17 years. The lower edge of the goiter was not palpable in any of our patients. Chest X-ray was performed in all patients and showed greater mediatisnal opacity in 11 patients (55%), tracheal deviation in 7 patients (35%), and tracheal compression in 2 patients (10%). Cervicothoracic computed tomography was performed in 18 patients, i.e. 90% of cases. The anterior location represented 85% and the posterior location 15%. Plasma thyrocalcitonin was measured in 3 patients, i.e. 15%. All the goiters were extirpated exclusively by the cervical route. Our patients benefited from a total thyroidectomy in 70% of cases (n = 14), a subtotal thyroidectomy in 20% of cases (n = 4) and a lobo-isthmectomy for 10% of patients (n = 2). Dissection of the recurrent nerve was performed retrogradely at its entry point into the larynx in all patients. Accidental devascularization of the lower parathyroids was noted in three patients (15%) and infiltration of the upper parathyroids was noted in 1 patient (5%). Reoperation for totalization was performed in one patient (5%). Lymph node dissection was performed in two cases (10%). Post surgery radiotherapy was performed in two cases (10%). Clinical and biological monitoring was normal in our patients.
Abstract: OBJECTIVES: Our work aimed to expose the methods of resection of plunging goiters by pure cervicotomy and to compare the results of our study with those of the literature. MATERIAL AND METHODS: This was a retrospective study extended over 5 years from January 2016 to December 2020 on the medical observations of 20 cases of thyroidectomy for plungin...
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Comparison of Early Symptoms of COVID-19 Patients with Different Variants Before and After Vaccination
Tallat Najeeb,
Nisa Siddiqui,
Abdul Hameed Bhatti
Issue:
Volume 8, Issue 2, December 2022
Pages:
52-56
Received:
27 June 2022
Accepted:
25 July 2022
Published:
15 August 2022
DOI:
10.11648/j.ijo.20220802.15
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Abstract: Corona virus disease (COVID-19) first detected in Wuhan, China in December 2019, spread rapidly to many geographical areas within a few months. As a result, on March 11, 2020 the World Health Organization (WHO) declared COVID-19 as a global pandemic. This disease mainly affected the respiratory system. The review of literature showed a diverse array of clinical features within 2-14 days, that range from asymptomatic and mildly symptomatic to severe illness. However, there is a need to recognize the diversity of clinical features produced by COVID-19 and its variants in Pakistan. The objective of this study is to determine the frequency of various clinical features during the initial stages of COVID-19 infection. This descriptive cross-sectional study was conducted at Fazaia Medical College and PAF hospital Islamabad from April 2020 to March 2022 after approval from the institutional ethical committee. By using WHO sample size calculator, the calculated sample size was 385. The data was collected by using a self-administered questionnaire. Only those patients were included in the study who had a positive RT-PCR for SARS-COVID-19. Data was entered and analyzed by using SPSS version 22.0. Chi.square test was applied. We divided our study into two phases. Out of 385 patients, 218 were included in phase-1 while 167 were included in phase-2. Dominant symptoms of phase 1 were fever (92.7%), anosmia / parosmia (82.1%), taste disturbance (81.2%), sore throat (74.3%) and lethargy (74.3%) but the dominant symptoms of phase 2 were fever (91.6%), sore throat (80.8%), lethargy (78.4%), odynophagia (73.7%) and cough (70.7%). P-value was < 0.001 and was extremely significant for dyspnea, loss of taste and anosmia. This study concludes that the most reliable symptoms for clinical diagnosis and referral for PCR are Fever, Sore throat and Lethargy.
Abstract: Corona virus disease (COVID-19) first detected in Wuhan, China in December 2019, spread rapidly to many geographical areas within a few months. As a result, on March 11, 2020 the World Health Organization (WHO) declared COVID-19 as a global pandemic. This disease mainly affected the respiratory system. The review of literature showed a diverse arra...
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Histiocytosis Otomastoiditis X: About a Clinical Case
Luzbel Von-Haff,
Miguel Rito,
João Figueira,
Anabela Palma,
Cristóvão Ribeiro,
Lígia Ferreira,
Pedro Montalvão,
João Roque
Issue:
Volume 8, Issue 2, December 2022
Pages:
57-61
Received:
16 May 2022
Accepted:
6 September 2022
Published:
29 September 2022
DOI:
10.11648/j.ijo.20220802.16
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Abstract: Langerhans cell histiocytosis (LCH) or histiocytosis X refers to a group of diseases that are characterized by clonal proliferation of histiocyte with similar characteristics to Langerhans cells, which affect different organs of the human body, including the temporal bone. The present study describes the clinical case of a 42-year-old patient admitted to surgery for acute chronic otomastoiditis on the right temporal bone. Axial Computerized Tomography (CT) revealed petromastoid osteolytic lesions, dehiscence of the lateral sinus and external semicircular canal and a solution of continuity of the tympanic tegmen, but without infiltration of neurological structures. The diagnosis of temporal bone LCH was confirmed with histopathological and immunohistochemical exams. Depending on the type of lesion, there are different therapeutic modalities for LCH of the temporal bone that include surgery, chemotherapy, radiotherapy and even corticotherapy. In this case, the patient was submitted to mastoidectomy the right, followed by corticotherapy (dexamethasone) and chemotherapy (vinblastine). Up to date, he has not yet had any relapse, but is still on follow up.
Abstract: Langerhans cell histiocytosis (LCH) or histiocytosis X refers to a group of diseases that are characterized by clonal proliferation of histiocyte with similar characteristics to Langerhans cells, which affect different organs of the human body, including the temporal bone. The present study describes the clinical case of a 42-year-old patient admit...
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