1/5. Heterotopic nasopharyngeal brain tissue associated with cleft palate.OBJECTIVE: The occurrence of extracranial brain tissue is rare. Most of the literature describes cases in which it is located around the nose and throat and has been classified as nasal glioma. Even more unusual is heterotopic brain tissue in the nasopharynx. We were able to find only 17 previously reported cases. Of these 17 cases, 6 had heterotopic brain tissue located in a cleft palate. This report comments on the identification and treatment of heterotopic brain tissue associated with cleft palate without connection to the central nervous system. Our case subject is a 10-month-old girl diagnosed with heterotopic nasophranygeal brain tissue associated with cleft palate. RESULTS: Excision and palatoplasty were performed conjunctively with excellent results. CONCLUSIONS: Simultaneous excision of heterotopic nasopharyngeal brain tissue and palatoplasty of the cleft palate is an excellent option for treatment of these cases.- - - - - - - - - - ranking = 1keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
2/5. Sinonasal and nasopharyngeal adenoidcystic carcinoma: report of four cases.Four cases of sinonasal and nasopharyngeal adenoidcystic carcinoma that came to the RIMS Hospital, Imphal during the period of July, 2002 to March, 2003 are reported in this article. The age incidence ranged from 30 to 80 years and the mean age was 47.5 years; with male to female ratio of 1:1. The average duration from first sympton in the patient to the date of his medical consultation was 17.8 months. nasal obstruction was the first symptom two cases; lump sensation in the throat and headache in the third and fourth cases respectively. Despite the evidence of rapid and extensive local spread there were definitely delays from the patients' end to consult a clinician. Whereas the tumour itself is not common, the usual sites, if it occurs, are palate and minor salivary glands and rarely mucous and seromucinous glands elsewhere.- - - - - - - - - - ranking = 0.0072165924835398keywords = palate (Clic here for more details about this article) |
3/5. Heterotopic nasopharyngeal brain tissue associated with cleft palate.Heterotopic brain tissue in a cleft palate is a very rare developmental anomaly. We present the eighth case reported worldwide with a review of the literature and suggestions on the management of this unusual condition.- - - - - - - - - - ranking = 0.625keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
4/5. The true choanal polyp-a case report.Whether one could distinguish if a large polyp occupying the nasal pharynx derives from the mucosa of the posterior superior wall of the antrum, ethmoids, or the choanae is a matter not clearly understood. Existing literature is somehow confusing on this subject. One definite fact is that these polyps, whatever the site of their origin, are rare. From the histologic point of view, the general opinion among pathologists is that choanal polyps do not differ histologically from the simple mucous polyps of the nose. The case we are reporting concerns a 65-year-old caucasian male, who for many years had a sensation of fullness behind the nose. Examination revealed a polypoid growth protruding below the margin of the soft palate. Surprisingly roenthenograms were not contributory. This polyp was removed by threading a long soft wire over a regular nasal snare. The free loop of the wire was passed through the anterior nose down to the pharynx where the polyp was threaded into this loop, and by pulling the free end of the wires, the polyp was totally removed without any bleeding whatever. A pathology report is attached as well as a picture of the polyp.- - - - - - - - - - ranking = 0.0072165924835398keywords = palate (Clic here for more details about this article) |
5/5. Acquired nasopharyngeal stenosis: a warning and review.OBJECTIVES: To present and discuss the clinical presentation and treatment planning in children with acquired nasopharyngeal stenosis (NPS) following tonsillectomy and adenoidectomy. DESIGN: Case series. SETTING: Tertiary care center. patients AND OTHER PARTICIPANTS: Nine children identified over 2 years (1995-1996) with newly diagnosed NPS were evaluated. Seven of these children underwent adenoidectomy using a potassium titanyl phosphate laser technique at a neighboring facility. These children were aged 15.6 to 62.1 months at the time of original surgery, and all presented with nasal obstruction and mouth breathing beginning within 10 weeks after surgery. In addition, 5 had newly documented obstructive sleep apnea. RESULTS: Of the 9 children, 1 required a tracheotomy. After undergoing an adenoidectomy, chronic rhinosinusitis developed and aggressive medical treatment failed in 4 children. time from symptom onset to diagnosis of NPS ranged from 2 to 34 months. The diagnosis of NPS depends on obtaining a thorough medical history and conducting a physical examination that includes nasopharyngoscopy. Most children underwent a computed tomographic scan prior to repair. The scarring encountered in these patients involved the soft palate and the posterior pharyngeal wall and/or choanae bilaterally. Five children had no identifiable eustachian tube opening into the nasopharynx, and all 5 children had chronic otitis media with effusion or persistent otorrhea. CONCLUSIONS: Nasopharyngeal stenosis following adenoidectomy and/or tonsillectomy is difficult to correct. Multiple surgeries may be required to relieve the obstruction. Standard operative techniques using the lateral pharyngeal flap and transpalatal or endoscopic intranasal approaches were adapted to the clinical situation. Prolonged use of nasal stents is mandatory to produce a nasopharyngeal opening. Adjunctive treatment may include pressure equalization tubes. However, the best treatment remains prevention.- - - - - - - - - - ranking = 0.0072165924835398keywords = palate (Clic here for more details about this article) |