Congenital Laryngeal Web in Adult Female: Impromptu & Incidental

 

Abstract

Congenital laryngeal web constitutes 5% of all congenital laryngeal anomalies. Most of them are either present at birth or in the first few months of life but very rarely at an older age group. It needs both meticulous evaluation and imperative management to the earliest as its presentation can range anywhere between perpetual dysphonia to permanent dyspnoea leading to devastating morbidity and mortality.

Keywords: Glottic web; congenital; dysphonia; dyspnoea; anterior laryngeal web

Read More About This Article Click on Below Link:
https://lupinepublishers.com/otolaryngology-journal/fulltext/congenital-laryngeal-web-in-adult-female-impromptu-&-incidental.ID.000257.php

Read More about Lupine Publishers Google Scholar Articles:
https://scholar.google.com/citations?view_op=view_citation&hl=en&user=dMOUw-wAAAAJ&cstart=100&pagesize=100&citation_for_view=dMOUw-wAAAAJ:It0W0vAlS5QC

 

Ehlers-Danlos Syndrome (EDS) : A Common and often Disregarded Cause of Serious Gastrointestinal Complications in Children and Adults

 

Abstract

Ehlers-Danlos is a hereditary disease of the whole connective tissue initially described by dermatologists (Tscherchnogobov Moscow 1892, Ehlers, Copenhagen, 1900, Danlos, Paris, 1908). They emphasized the joint hyperlaxity and stretchiness of the skin which has long summed up the clinical expression of this entity. In recent decades, many other manifestations have been described and gradually identified, mainly by rheumatologists (Grahame, London, 1960). Several of them concern the digestive tract, mainly gastric reflux and constipation. They can be the cause of serious accidents: bronchial flooding by gastric reflux or aspiration, intestinal obstruction, hernial constriction, eventration, intestinal rupture, peritonitis of vesicular or appendicular origin, hemorrhages. It is important that gastroenterologists know how to link these manifestations to their etiology in order to adapt treatments, prevent iatrogenic accidents and direct the patients towards the treatment of other manifestations of Ehlers-Danlos disease. Nine clinical signs, including digestive manifestations, allow diagnosis by their significant grouping. The proof of hereditary origin is based on the identification of other identical cases in the family,, even if they are paucisymptomatic. A person affected by the disease systematically transmits the disease to all his children. We have verified this in all our patients.

Read More About This Article Click on Below Link:
https://lupinepublishers.com/otolaryngology-journal/fulltext/ehlers-danlos-syndrome-(-eds-)-a-common-and-often-disregarded-cause-of-serious.ID.000256.php

Read More about Lupine Publishers Google Scholar Articles:
https://scholar.google.com/citations?view_op=view_citation&hl=en&user=dMOUw-wAAAAJ&cstart=100&pagesize=100&citation_for_view=dMOUw-wAAAAJ:yZoBfgUKqwcC

 

 

On Recurrence Detection of Squamous Cell Carcinoma of The Head and Neck; A Critical Survey

 

Abstract

Current follow-up protocols of squamous cell carcinoma of the head and neck (SCCHN) rely on detection of recurrence at an asymptomatic stage. The evidence supporting a survival benefit of asymptomatic recurrence detection is relatively weak. These protocols are entirely based on assumptions and tradition, not evidence. There is ample evidence supporting the notion that most recurrences are diagnosed through patient symptoms. The staggering preponderance of symptomatic recurrence suggests that patients lack knowledge concerning symptoms that signify recurrence. Patient education should therefore be regarded a key factor of follow-up. We strongly emphasize the need for an easily accessible and adequate description of red flag symptoms that might signify recurrence. Having proper information, patients are less likely to forget, withhold or disregard these symptoms. Adequate incorporation of symptomatic recurrence might prove beneficial in terms of survival. Improvement of surveillance protocols for patients treated for SCCHN is of great concern considering the lives at stake, expense of treatment and follow-up. Local recurrence is the most important prognostic factor in SCCHN and incomplete surgical margins the single most decisive factor concerning recurrence. Local recurrence can arise close to the site of the initial primary tumor, either from cells left behind after surgery (minimal residual disease/cancer) and further deterioration of premalignant epithelial changes left behind after an excision. Several techniques have been developed for securing resection margins and identification of premalignant epithelial changes, thereby replacing the need for frozen sections. Genetic studies have unravelled the difference between local recurrence and secondary malignant tumors (SMTs) that necessitate significant changes in the timing and duration of follow-up appointments and renewed listing of SMTs.

Conclusion: Today’s simple ‘one size fits all’ surveillance protocols for SCCHN are inadequate. Rethinking of today’s follow-up procedure is absolutely required.

Keywords: Cancer; head and neck; squamous cell carcinoma; recurrence; surveillance; second malignant tumours; treatment; survival, prognosis

Read More About This Article Click on Below Link:
https://lupinepublishers.com/otolaryngology-journal/fulltext/on-recurrence-detection-of-squamous-cell-carcinoma-of-the-head-and-neck.ID.000255.php

Read More about Lupine Publishers Google Scholar Articles:
https://scholar.google.com/citations?view_op=view_citation&hl=en&user=dMOUw-wAAAAJ&cstart=100&pagesize=100&citation_for_view=dMOUw-wAAAAJ:ujxm2eEBZHIC

The Migration of a Fish Bone into Posterior Cervical Space

 

Abstract

Esophageal foreign bodies are commonly encountered in otolaryngology clinic. The most common esophageal foreign bodies are fish bones which are encountered in Southeast Asia and in Vietnam. The rare complication due to the ingested foreign body is its migration to the deep neck space and the formation of cervical abscess. This case depicts a patient with a fish bone in the esophagus that migrated extraluminally into the posterior cervical space. Moreover, the difficulties in removing the foreign body as well as the management of esophageal perforation are described in detail.

Keywords:Fish bone; Esophageal perforation; Migration; Posterior cervical space

Read More About This Article Click on Below Link:
https://lupinepublishers.com/otolaryngology-journal/fulltext/the-migration-of-a-fish-bone-into-posterior-cervical-space.ID.000254.php

Read More about Lupine Publishers Google Scholar Articles:
https://scholar.google.com/citations?view_op=view_citation&hl=en&user=dMOUw-wAAAAJ&cstart=100&pagesize=100&citation_for_view=dMOUw-wAAAAJ:IT1MJ6E3JesC