Volume 2 Issue 3
A Case of Pleomorphic Adenoma Arising in the Palato-Pharyngeal Arch
Takeshi Kusunoki*, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Mitsuhisa Fujimaki, Ayumi Yabe, Katsuhisa Ikeda
Pleomorphic adenomas are in many cases benign tumors arising in both the major and minor salivary glands. Beil described that more than 90% of all oral and oropharyngeal tumors were squamous cell carcinoma, and about 10 % were benign. Eveson reported that the most common benign tumors of the minor (oropharyngeal) salivary glands in the files of the British Salivary Gland Tumour Panel were pleomorphic adenomas, and the principal sites were the palate (47.0%), lips (43.7%) and buccal mucosa (36.85%) (143 cases). A histologic study of 426 oral minor salivary gland tumors by Waldron demonstrated that the palate was the most common site for minor salivary gland tumors, followed by the upper lip and the buccal mucosa.
Management of Small, Minimally Invasive Sinonasal Hemangiopericytoma
Suzy Cheng, Patrick JD Dawes*
Sinonasal hemangiopericytoma is a rare tumour, with low malignant potential, which predominantly presents as disease localised to the nasal cavity. It may arise from within the nasal cavity or paranasal sinuses; its origin may be discrete or diffuse. The tumour varies in size and vascularity and larger tumours may have a significant vascular supply. Recent systematic reviews have recommended CT/MR imaging followed by wide local excision; with subsequent lifelong follow-up because of the risk of recurrent disease.
Diagnosis and Treatment of Paratracheal Nerve Schwannoma
Frank R. Miller*, John Flynn, Kevin Tojo Chorath
This case report will discuss the pathophysiology, clinical manifestations, diagnostic protocol (imaging and morphology), and management of a paratracheal schwannomas. We followed the diagnosis and treatment of a woman with a paratracheal nerve schwannoma. She reported having an incidental neck mass identified by previous CT imaging, and further MRI imaging demonstrated a right paratracheal mass resulting in narrowing of the subglottic trachea. Further tracheobroncoscopy revealed 40% tracheal obstruction. During surgical excision, adherence of the mass to the recurrent laryngeal nerve (RLN) was observed and the RLN was successfully preserved.
The Incidence of Hypothyroidism in Patients with Advanced Squamous Cell Carcinoma of the Head and Neck Treated with Radical Radiotherapy and Cetuximab
Borg MA, Borg MJ, Borg M, Stein B, Krishnan S,Palumbo K, Rees G, Switajewski M
Most patients with squamous cell carcinoma present with locally advanced stage disease.1 In Adelaide, standard therapy for advanced squamous cell carcinoma of the head and neck involves primary surgery followed by chemoradiotherapy (CRT) or primary CRT alone, chemotherapy involving concurrent single agent Cisplatin. Treatment is associated with improvement in locoregional control and overall survival but also with marked acute and long-term toxicity.
Laryngeal Aspergillosis-Clinical, Diagnose and Treatment
Ran Yuping*, Lu Yao, Li Lina, Yang Boyan, Ran Xin, Dai Yalin, Zhang Caoliang , Bai Haoru, Liu Shixi
It was long after scientist identified and named the fungus, Aspergillus, in 1729. Generally, the Aspergillus is widespread in natural and indoor environment. By far, several hundred species of the Aspergillus genus have been identified by mycologist, most are harmless to human. But we have realized some species, for instance, Aspergillus fumigatus, A. flavus and A. niger, can cause the infection of different parts of human body and develop corresponding symptoms.
Transoral Excision of a Huge Parapharyngeal Space Pleomorphic adenoma: A Possibility of Changing the Surgical Consideration to a Minimally Invasive Approach
Mutlaq Al-Sihan M.B. B.Ch, B.A.O, M.D
Parapharyngeal space(PPS) primary tumors are rare and differ in nature and where they lie in the PPS. The type, the position and size of the tumor impacts the decision for type of surgical approach. We present here the case of a 35-year-old male with a very large pleomorphic adenoma arising from PPS, measuring 7.8x6x4.6 cm. A transoral surgical approach was done with uneventful intraoperative and postoperative complications.