Cases reported "Pharyngeal Diseases"

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1/89. The use of granulocyte colony stimulating factor to promote wound healing in a neutropenic patient after head and neck surgery.

    BACKGROUND: neutropenia and neutrophil dysfunction, in association with a variety of diseases, has been shown to play a role in poor wound healing. Wound breakdown with fistula formation in patients undergoing total laryngectomy results in significant morbidity and increased hospital stay. Although malnutrition, prior radiation, diabetes, and other diseases are recognized as factors predisposing patients with head and neck cancer to developing fistulas, neutrophil dysfunction should also be considered. Granulocyte colony stimulating factor (G-CSF) has been used successfully to treat neutropenia and neutrophil dysfunction. methods: This study was conducted as a case report. RESULTS: We present the first report of a neutropenic head and neck cancer patient with a persistent wound of 6 months' duration who showed dramatic improvement after treatment with G-CSF. CONCLUSION: We conclude that G-CSF may represent a useful adjunct in patients with persistent wound healing problems and neutropenia despite adequate treatment by conventional means. Further clinical experience with G-CSF in patients with delayed healing is indicated.
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ranking = 1
keywords = fistula
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2/89. Surgical management of acquired laryngopharyngeal fistulae.

    Pathological communication between the food and air passages in the neck region due to malignant disease is known. However, such a pathology arising as a result of a non malignant process is relatively uncommon, and only a handful of reports exists in the literature. The authors describe and discuss the management of two patients with laryngopharyngeal fistula of nonmalignant etiology.
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ranking = 2.5
keywords = fistula
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3/89. Closure of an oropharyngocutaneous fistula in an irradiated patient. A case report.

    A case of oropharyngocutaneous fistula is presented in a preoperatively irradiated patient. A double-layer closure, using a modified Owens flap, was used to obtain a satisfactory result.
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ranking = 2.5
keywords = fistula
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4/89. The use of a posterior-based tongue flap for the closure of a pharyngocutaneous fistula.

    The closure of a pharyngocutaneous fistula by the use of a posteriorly based tongue flap is described. The use of such a flap for this purpose has not been previously recorded in the literature.
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ranking = 2.5
keywords = fistula
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5/89. Computed tomography of emphysema following tooth extraction.

    Subcutaneous and tissue space emphysema following surgical extraction of mandibular third molars is a rare and serious complication of dental surgery. Recognition of mediastinal emphysema following surgical extraction is difficult because there are no absolute clinical symptoms and signs. We present two cases of emphysema following extraction of a lower third molar and discuss the contribution of CT to the early recognition of the presence and spatial migration of air and to clinical management.
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ranking = 0.0015352017528326
keywords = dental
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6/89. Repair of the pharyngocutaneous fistula with a fasciocutaneous island flap pedicled on the superficial temporalis artery.

    The case of an 84-year-old man with a pharyngocutaneous fistula after radiotherapeutic treatment and total laryngectomy for a squamous cell carcinoma was reported. Treatment with local flaps failed and normal flaps were not likely to succeed because of general and locally poor conditions considering that intensive radiotherapy had been administered. We therefore decided to use a fasciocutaneous island flap from the temporoparietal region pedicled on the parietal branch of the superficial temporalis artery. We obtained efficient and stable repair of the lesion both from a cosmetic and a functional point of view. We were forced to use this procedure for lack of another choice; however, we think that this could become a useful option in covering substance loss in this area when simpler solutions are not available.
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ranking = 2.5
keywords = fistula
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7/89. Acute tonsillitis complicated by retropharyngeal and thyroid abscess infected with de-repressed beta lactamase citrobacter mutans.

    An unusual presentation of acute tonsillitis complicated by retropharyngeal and thyroid abscess is reported. Spontaneous rupture of retropharyngeal abscess resulted in necrotic fistulae between the pharyngeal wall and the retropharyngeal space.
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ranking = 0.5
keywords = fistula
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8/89. Oral manifestation of sporotrichosis in AIDS patients.

    A wide spectrum of oral lesions has been associated with human immunodeficiency viral infection (hiv), or AIDS. This report describes the case of an hiv-infected patient who developed a case of disseminated sporotrichosis whose first clinical sign was the presence of orofacial lesions. A histopathological study of this patient's biopsy specimens taken from the oropharyngeal lesions revealed a number of rounded and/or oval free-spore forms of sporothrix schenkii, the identification of which was corroborated by culturing skin lesion exudate on Sabouraud's glucose agar. To the best of our knowledge to date, this is the first time a case of the oral manifestation of sporotrichosis in association with hiv infection has been described in the dental literature.
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ranking = 0.0015352017528326
keywords = dental
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9/89. The surgical treatment of post-laryngectomy pharyngocutaneous fistulae.

    The repair of large post-laryngectomy pharyngocutaneous fistulae presents a challenge to the plastic surgeon. The radial forearm flap is ideally suited for the reconstruction of these large fistulae. With the help of a case report, this article highlights the etiology and management of large post-laryngectomy pharyngocutaneous fistulae.
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ranking = 3.5
keywords = fistula
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10/89. Necrotizing fasciitis of the head and neck: review of the literature and report of a case.

    Necrotizing fasciitis is a rapidly spreading, life-threatening, bacterial disease. mortality rates have been estimated to vary between 8.7% and 74%. mortality depends on many factors, one of which is early recognition. Necrotizing fasciitis of dental origin has a low prevalence and as such presents diagnostic challenges for the dentist. The literature is reviewed, and a case history is presented.
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ranking = 0.0015352017528326
keywords = dental
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